Nurses as Street Level Bureaucrats: Experiences from Diabetes Care Nurses in Kuwait

Alshammari, Muna; Nalubega, Sylivia

doi:10.4236/ojn.2021.115028

Cited by 2 publications

(2 citation statements)

References 8 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Like any other street-level bureaucrats (SLBs), nurses and nurse champions specifically are positioned at the frontline of the new public administration ( Hoyle, 2014 ), thereby delivering government funded health services to the public. They interact directly with service recipients (patients) and enjoy substantial and decentralized discretion while executing their work as autonomous agents ( Alshammari and Nalubega, 2021 ). They work in organizations which have heavy workloads, limited formal supervision, inadequate resources and an increasing demand for their services ( Lipsky, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Nurse champions as street-level bureaucrats: Factors which facilitate innovation, policy making, and reconstruction

et al. 2022

View full text Add to dashboard Cite

BackgroundNurse champions are front-line practitioners who implement innovation and reconstruct policy.PurposeTo understand through a network theory lens the factors that facilitate nurse champions’ engagement with radical projects, representing their actions as street-level bureaucrats (SLBs).Materials and methodsA personal-network survey was employed. Ninety-one nurse champions from three tertiary medical centers in Israel participated.FindingsGiven high network density, high levels of advice play a bigger role in achieving high radicalness compared with lower levels advice. High network density is also related to higher radicalness when networks have high role diversity.DiscussionUsing an SLB framework, the findings suggest that nurse champions best promote adoption of innovation and offer radical changes in their organizations through professional advice given by colleagues in their field network. Healthcare organizations should establish the structure and promote the development of dense and heterogeneous professional networks to realize organizations’ goals and nurses’ responsibility to their professional employees, patients, and society.

show abstract

Section: Introductionmentioning

confidence: 99%

Nurse champions as street-level bureaucrats: Factors which facilitate innovation, policy making, and reconstruction

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Public health measures introduced to combat the COVID-19 pandemic have impacted millions of people's physical activity, health, and well-being [8]. The nurses are the most prominent health professionals at the front line of the health care system's response to the pandemic [9]. Their physical proximity to patients exposes them directly to the virus and increases their risk of disease transmission [10] [11].…”

Section: Introductionmentioning

confidence: 99%

Health Behavior Changes among Maternity Nurses during the COVID-19 Pandemic: A Cross-Sectional Study

Alshammari¹,

Alajmi²,

Vidal³

et al. 2022

OJN

View full text Add to dashboard Cite

Background: Maternity nurses are frontline health professionals in the COVID-19 pandemic who may confront life-altering challenges. Studies that evaluated the impact of COVID-19 on maternity nurses' daily lifestyles are limited. Objective: The aim of this study was to examine the changes in health-enhancing behaviors, such as eating habits and lifestyle behaviors, during the COVID-19 pandemic among nurses working in a maternity hospital. Methods: This was a cross-sectional study that surveyed maternity nurses working in a major government maternity hospital in Kuwait. Data were collected between January and February 2021. Results: A total of 336 participants completed the questionnaire. Normal weight was perceived by 88 (26.2%) of the participants, while 56 (16.7%) had a Body Mass Index indicating obesity. Weight gain during the pandemic was reported by 128 (38.1%) participants and 91 (27.1%) of the sample gained one to three kilograms. The findings showed low adherence to the Mediterranean diet 5.3 ± 2.5 points. Sleep hours decreased significantly during the crisis, with 113 (33.6%) of participants sleeping 7 to 9 hours during the COVID-19 situation compared to 136 (40.5%) before the pandemic (p < 0.001). There was a significant difference in the proportion of participants who practiced sports before the COVID-19 crisis 78 (23.2%) and those who practiced sports 72 (21.4%) during the COVID-19 crisis (p < 0.001). A significant association was found between weight gain and participants who have chronic diseases 27 (56.3%) (X 2 = 7.621, P = 0.006), felt hungry between meals 37 (50.7%) (X 2 = 6.505, p = 0.011), and who reported changes in their appetite (X 2 = 17.129, p < 0.001). Conclusion: Maternity nurses revealed low adherence with the healthy diet, with almost a third of participants having self-reported weight gain.

show abstract

Nurses as Street Level Bureaucrats: Experiences from Diabetes Care Nurses in Kuwait

Cited by 2 publications

References 8 publications

Nurse champions as street-level bureaucrats: Factors which facilitate innovation, policy making, and reconstruction

Nurse champions as street-level bureaucrats: Factors which facilitate innovation, policy making, and reconstruction

Health Behavior Changes among Maternity Nurses during the COVID-19 Pandemic: A Cross-Sectional Study

Contact Info

Product

Resources

About