Learning in the workplace: the role of Nurse Managers

2016 ◽  
Vol 40 (3) ◽  
pp. 286 ◽  
Author(s):  
Margaret Yen ◽  
Franziska Trede ◽  
Carmel Patterson

Objective This research explores Nurse Managers’ (NMs’) influence on workplace learning. The facilitation of staff learning has implications for the role of NMs, who are responsible for the quality and safety of patient care. However, this aspect of their work is implicit and there is limited research in the area. Methods This paper discusses the findings from one hospital as part of a broader philosophical hermeneutic study conducted in two public hospitals over a 20-month timeframe. NMs participated in interviews, a period of observation, follow-up interviews and a focus group. Transcribed data was thematically analysed. Eraut’s ‘Two triangle theory of workplace learning’ was used to interpret participants’ accounts of how they facilitated workplace learning. Findings The analysis found that NMs worked to positively influence staff performance through learning in three domains: orientating new staff, assessing staff performance and managing underperformance. Conclusions This study purports that NMs influence workplace learning in ways that are seldom recognised. A more conscious understanding of the impact of their role can enable NMs to more purposefully influence workplace learning. Such understanding also has implications for the professional preparation of NMs for their role in the context of workplace learning, facilitating learning for change and enabling the advancement of quality and safety in healthcare. What is known about the topic? Studies exploring the influence of Nurse Managers in workplace learning have been limited to their role in the facilitation of formal learning. There is a paucity of research that examines their role in influencing informal learning. What does this paper add? The findings of this study draw on Eraut’s ‘Two triangle theory of workplace learning’ to further define the interdependent relationship between management and educational practices. What are the implications for practitioners? NMs’ awareness and deliberate use of their management role to enhance workplace learning will not only strengthen their role, but will also foster good learning environments and quality nursing services.

2018 ◽  
Vol 6 (2) ◽  
pp. 77
Author(s):  
Victoria Timah

The quest for quality efficient workforce in the attainment of organizational goals continues to attract attention from organizations in their desire to remain competitive in the business arena. This study sought to assess the impact of training on staff performance at the Ghana Health Service in the Kumasi Metropolis (GHS-K). The research was conducted through questionnaire administration on the impact of staff training and development at GHS-K. The questionnaire was administered to randomly selected health workers at the selected public hospitals and staff of GHS-K. The data collected were analyzed to yield frequencies and percentages of responses. The results showed that In-service training (85.0%) as part of on-the-job training types dominate training programmes organized by GHS-Kumasi Metro and that greater number of these programmes are routine (66.0%) in nature and as such do not base on training- needs assessment. The study also shows that the organization of training and development programmes at GHS-K has brought some remarkable improvement (59.0%) in the performance of employees, and that financial constraints (64.0%) and lack of organizational objectives (54.0%) pose a challenge to its sustenance. The study concludes that as more training programmes in varying forms are given to employees and right procedures adopted, better performance of job execution will be achieved.


2014 ◽  
Vol 38 (5) ◽  
pp. 487
Author(s):  
David J. Hillis ◽  
Michael W. Gorton ◽  
Bruce H. Barraclough ◽  
David Beckett

Objectives The Baume Report (1994) on Australia’s surgical workforce had the potential to impact upon the health and educational sectors. This paper analyses the recommendations of this report and their impact at the time and 15 years later (2009). Methods A questionnaire-based study was performed with the 18 senior Fellows and the Royal Australasian College of Surgeons (RACS) solicitor who had been instrumental in facilitating responses to the review. Results The 19 respondents were asked to evaluate 22 areas from the Baume Report. The most highly ranked areas identified as being reasonable in 1994 were: additional funding being made available for more training positions, identifying workforce deficits, moving towards compulsory continuing professional development and having evidence of competence before introducing new technology. In 2009, the most highly ranked areas were: funding for more training positions; compulsory continuing professional development, involving the profession in improvements and broadening the training environment beyond public hospitals. Areas considered to be substantially addressed were: the selection process and encouragement of diversity, workforce numbers and deficits, confirming the educational merit of the training program and the role of professional colleges. Conclusions The Baume Report highlighted many issues including workforce planning, the role of professional organisations in society and the complex interface between health and education. Issues of ongoing standards through a surgical career, access for patients to surgical services, funding for more training posts to provide the appropriate workforce level and distribution, and the assessment and introduction of technology remain priorities. Time has not diminished the relevance of these issues. What is known about this topic? The impact of key government reviews can always be substantial. The Baume Report was directed to postgraduate specialist medical training, particularly surgical training. There have been substantial changes in the health and educational sectors since the report, with significantly more regulation and transparency. What does this paper add? Analysis of the Baume Report after 15 years by the senior office bearers of the RACS who were actively involved in handling and implementing many of the recommendations provides an insight into the dynamics of specialist training. It outlines the significant changes that have occurred and the things that still need to be done. What are the implications for practitioners? Professional bodies have an influential presence across society. They are particularly focused on the standards required to become a practitioner of that profession and the ongoing maintenance of these standards. However, this comes with responsibility for and accountability to society and the community. External reviews, particularly with a political imperative, change both the dynamics and key relationships, issues that the professional bodies must commit to addressing in a positive manner.


2016 ◽  
Vol 11 (2) ◽  
pp. 722-738 ◽  
Author(s):  
Ajay K. Jain

Purpose This study aims at investigating the effect of vertical trust on distributed leadership (DL) and performance as mediated by job satisfaction, and further to observe the role of DL in carrying out the effect of satisfaction on employees’ performance. Design/methodology/approach As grounded in the organizational citizenship behavior (OCB) literature, the author proposes that employees’ participation in DL should be viewed as an extra role behavior, as leadership functions are not directly related to their job description. The study uses large-scale survey data from a study in one of Denmark’s largest public hospitals (N = 1,439). Findings The results of structural equation modelling (SEM) analysis showed that job satisfaction mediates the relationship between vertical trust and DL, and DL had a positive impact on job performance. Furthermore, the results showed that job satisfaction had a positive impact on DL and employees’ performance. Moreover, DL has positively affected employees’ performance, and it carries the impact of job satisfaction on performance. Research limitations/implications The study showed that trust and job satisfaction are important triggers of DL. Furthermore, results are interesting because literature so far has shown an insignificant relationship between satisfaction and performance. Here, the author establishes that the satisfaction–performance relationship is mediated by DL. The findings should motivate health care organizations to introduce structures and educate formal leaders so that DL can be enabled. Originality/value This should be the first study that relates trust and DL in an empirical manner. As grounded in the OCB literature, results also showed the significance of job satisfaction as a mediator variable.


2020 ◽  
pp. 095207672097761
Author(s):  
Salvador Parrado ◽  
Anne-Marie Reynaers ◽  
José Rama

This research assesses the impact of the degree of publicness on hospital performance in a specific ’mixed market’ of public health. This market is characterized by patient choice, capitation financing for private hospitals, and funding through ‘soft’ budgets (public authorities partially cover deficits or appropriate profits) for public hospitals. Previous studies on ownership (economic theory), market logic (on choice), and welfare orientation (role of professionals) offer inconclusive results as to the differences of performance among hospitals with different degree of publicness. We contrast statistics related to several dimensions of efficiency and survey data on different aspects of patient satisfaction. Logistic regression models demonstrate that a higher degree of publicness is correlated with a lower degree of perceived quality. However, hospitals with a varying degree of publicness are similarly efficient. These results indicate that divergences of performance differ amongst performance dimensions and the theoretical expectations need to consider differently these dimensions. Comparisons of the performance of hospitals with a varying degree of publicness should consider the broader institutional (i.e. market mix) configuration and the specific constraints of political authority for all hospitals, and not just single organizations. Finally, professionalism may play a role in explaining variations or similarities of performance by levelling out the differences in the degree of publicness.


2019 ◽  
Vol 11 (5) ◽  
pp. 59
Author(s):  
Ali Mustafa Magablih

The aim of this study to define the concept of noise pollution and the cost of pollution from noise, it also aims to explain the cost of noise pollution on the profits of industrial enterprises, in addition to the recognition of the role of the Jordan Phosphate Mines Company to reducing the impact of noise pollution on workers, as well as the role played by the reduction of the costs of pollution and its impact on the profits of noise pollution to reducing treasury revenues.   And therefore could not measure the impact of the company incurring the costs caused by noise pollution on company profits in the absence of a clear classification of the causes of the cost and thus the difficulty of measuring the impact on the profits of the company, the results of the study also indicated that there are costs of noise pollution and a clear impact on the profits of the company. This study focuses on the economic and social aspects which are of crucial importance in noise pollution that strongly affect the performance of the workers, the profits of industrial enterprises, and concludes that the noise pollution impact on staff performance and production as well as tax collections, the treasury and the national economy.


2018 ◽  
Vol 19 (0) ◽  
pp. 320-330
Author(s):  
Mohammad Hunitie

Confusion between strategic planning and strategic thinking in the context of strategic leadership and its effect on competitive advantage was the foremost rationale for this study to come into view. Thereby, the aim of this study was to examine the role of two mediating variables, i.e., strategic planning and strategic thinking in the impact of strategic leadership on competitive advantage. Scoping health care sector in Jordan resulted in three public hospitals agreed to participate in the study. Data were gathered using a questionnaire developed on the basis of literature review. A total of 1000 questionnaires were administered to hospitals. A total 521 questionnaires were returned with a response rate of 52.1%. The results pinpointed that strategic leadership significantly predicted strategic planning, strategic thinking and competitive advantage. the results also revealed that strategic planning and strategic thinking significantly and positively related to competitive advantage. accordingly, it was approved that strategic planning and strategic thinking mediated the effect of strategic leadership on competitive advantage. Despite that the influence of strategic thinking on competitive advantage was greater than the influence of strategic planning on competitive advantage. The study hold the perspective that both strategic planning and strategic thinking were essential in the context of strategic leadership, since strategies are developed by strategic thinking and operationalized via strategic planning.


2019 ◽  
Vol 25 (12) ◽  
pp. 1-16
Author(s):  
Waheed Ali Umrani ◽  
Bilal Afsar

This study examines the impact transformational leadership has among nursing staff. The link between transformational leadership and innovative work behaviour and the mediating impact it has on psychological empowerment and the moderating role of attachment anxiety were also examined. Data were gathered from 367 registered nurses and 69 nurse managers based in 69 work groups from 7 hospitals. It was found that transformational leadership positively impacted innovative work behaviour among nurses, and that psychological empowerment mediated this link. Nurses' attachment anxiety positively moderated the relationship between transformational leadership and innovative work behaviour; as a result, the relationship was stronger when attachment anxiety was high rather than low. Nurses' attachment avoidance negatively moderated the relationship between transformational leadership and innovative work behaviour and consequently the relationship was weaker when attachment avoidance was high rather than low.


2013 ◽  
Vol 44 (5) ◽  
pp. 311-319 ◽  
Author(s):  
Marco Brambilla ◽  
David A. Butz

Two studies examined the impact of macrolevel symbolic threat on intergroup attitudes. In Study 1 (N = 71), participants exposed to a macrosymbolic threat (vs. nonsymbolic threat and neutral topic) reported less support toward social policies concerning gay men, an outgroup whose stereotypes implies a threat to values, but not toward welfare recipients, a social group whose stereotypes do not imply a threat to values. Study 2 (N = 78) showed that, whereas macrolevel symbolic threat led to less favorable attitudes toward gay men, macroeconomic threat led to less favorable attitudes toward Asians, an outgroup whose stereotypes imply an economic threat. These findings are discussed in terms of their implications for understanding the role of a general climate of threat in shaping intergroup attitudes.


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