Being a nurse leader in bedside nursing in hospital and community care contexts in Norway and Sweden

Athlin, Elsy; Hov, Reidun; Petzäll, Kerstin; Hedelin, Birgitta

doi:10.5430/jnep.v4n3p234

Cited by 8 publications

(10 citation statements)

References 47 publications

(55 reference statements)

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“…In our study, 27% of the care staff directly involved in care activities were RNs. This is a considerably higher level of RNs than in other European and U.S. nursing homes . The negative relationship between RNs and activities may be explained by the fact that RNs are trained in the more medical aspects of the quality concept; thus, their focus on medical treatment may lead to a lower focus on activities.…”

Section: Discussionmentioning

confidence: 91%

An examination of quality of care in Norwegian nursing homes – a change to more activities?

Kjøs¹,

Havig

2015

Scandinavian Caring Sciences

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The study shows that the level of physical and social activities offered to the residents is relatively low, while the general care level is significantly higher, in line with earlier studies. Consequently, the government has not succeeded with its current policy to increase the level of activities in nursing homes. The relationship between the two quality dimensions and the explanatory variables shows that nursing home quality is a complicated phenomenon.

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Section: Discussionmentioning

confidence: 91%

An examination of quality of care in Norwegian nursing homes – a change to more activities?

Kjøs¹,

Havig

2015

Scandinavian Caring Sciences

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“…Accordingly, this finding further stresses the important role leaders have in order to improve nursing quality. [63][64][65][66] Another disappointing finding was the facilitators' experiences of short-comings in information and support from the project management. As relationship-building through regular communication, shared decision-making and consensus-building are stated as very important components in a successful collaboration [57,67,68] this finding is significant.…”

Section: Discussionmentioning

confidence: 99%

Improvement of nursing care by means of the evidence based practice process: The facilitator role

Bjuresäter

Athlin

2016

JNEP

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Background: This study is as part of a comprehensive project aimed at implementing and evaluating a model (Collaborative Model of Best Practice, CMBP) for promoting evidence-based practice (EBP) in health care contexts. Nurses and nurse teachers were engaged as facilitators. Aim: In this paper the aim was to explore facilitators' experiences of their role in the EBP-process in medical/surgical wards at two Swedish hospitals. Methods: Five focus group interviews were conducted with two groups of facilitators, four nurses and one nurse teacher in each group, all together ten interviews. Data was analyzed according to the method of inductive content analysis. Findings: The facilitator role was described as comprehensive, dynamic, and changing, which put heavy demands on the facilitators. Being in the role meant shouldering a leadership role filled with many responsibilities, together with one's own professional and personal development. Ongoing, timely and adequate support was essential in order to succeed with implementation of evidence-based new routines. Conclusions: The study shows that the CMBP model with nurse-and teacher facilitators working together could impact positively on the implementation of new routines on hospital wards. Our findings resonate with other studies showing that change in practice is a challenging and strenuous activity that needs long preparation in advance for all parties involved, and most of all puts demand on comprehensive support. Long-lasting activities are needed to make sure that prerequisites given in an EBP project like this one really are working in the decided direction.

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“…They are therefore expected to have leadership and managerial competencies, as well as substantial professional knowledge (González García et al, 2020 ; Kantanen et al, 2017 ). Nurse leaders have diverse responsibilities across finance, human resources and operations and are also responsible for developing services in accordance with official regulations and social needs (Athlin et al, 2014 ; Berg & Byrkjeflot, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Nurse leaders' experiences of professional responsibility towards developing nursing competence in general wards: A qualitative study

Julnes

Myrvang

Reitan

et al. 2022

J Nursing Management

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Aim To explore nurse leaders' experiences of professional responsibility to facilitate nursing competence in general wards. Background Nurse leaders are responsible for maintaining high levels of competence among nurses to improve patient safety. Methods Qualitative analysis was conducted between February and April 2019 using semi‐structured interview data from 12 nurse leaders in surgical and medical wards at three Norwegian hospitals. Results Four main themes were identified: struggle to achieve nursing staff competence; focus on operational and budgetary requirements rather than professional development; demands to organize sick leaves and holiday periods; and challenges in facilitating professional development. Conclusion Nurse leaders felt that their responsibilities were overwhelming and challenging. They witnessed more support for current administrative tasks than for the implementation of professional development. Additionally, unclear work instructions from the employer provided few opportunities to facilitate professional development. Hospital management failed to ensure quality of care and patient safety in general wards by not supporting the strengthening of nurses' professional competence and preventing turnover. Implications for Nursing Management Management may integrate formal work instructions that clarify nurse leaders' responsibilities as professional developers, allowing nurse leaders to meet their obligation of maintaining adequate professional competence among nursing staff in general wards.

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Being a nurse leader in bedside nursing in hospital and community care contexts in Norway and Sweden

Abstract: Background: The changes of health care that have been going on the latest decades have affected nurse leaders' role in bedside nursing in hospitals and community care in Norway and Sweden as in many other countries.

Cited by 8 publications

References 47 publications

An examination of quality of care in Norwegian nursing homes – a change to more activities?

An examination of quality of care in Norwegian nursing homes – a change to more activities?

Improvement of nursing care by means of the evidence based practice process: The facilitator role

Nurse leaders' experiences of professional responsibility towards developing nursing competence in general wards: A qualitative study

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