Explaining the experiences of nursing administrators, educators, and students about education process in the COVID-19 pandemic: a qualitative study

Background The coronavirus disease 2019 (COVID-19) has severely influenced various aspects of human life, particularly education. This study aimed to explain the impact of the COVID-19 pandemic on nursing education from administrators, educators, and students’ perspectives. Methods This qualitative study with a conventional content analysis approach was conducted from June to October 2020 at a nursing school in Tehran. Thirteen participants were enrolled using purposive sampling. Data collection was through in-depth and semi-structured interviews and continued until reaching data saturation. Nursing administrators, educators, and students constructed interviews to understand nursing education changes during the pandemic. All interviews were recorded, transcribed, reviewed, coded, and analyzed using the Graneheim and Lundman methods. Results Interviewed respondents included administrators and professors (n = 6) and nursing students (n = 7). The respondents reported five main topic areas: (1) safe management in ambiguous situations; (2) perceived situations; (3) adaptive coping; (4) educational facilitators and challenges, and (5) continuing education in an uncertain context. The central theme was “close conflict of education with COVID-19”. Conclusions The current study noted instability and challenges placed on nursing education during the pandemic. Opportunities were addressed during the pandemic to improve the nursing training process using planning, scientific management, emerging technology, innovative educational opportunities, and comprehensive support from institutional stakeholders. Clear guidelines and recommendations are needed to ensure medical education safety during the pandemic.

Exodus of Nurses in a Tertiary Government Hospital: Nursing Service Workforce Perspectives

Objectives: The purpose of the study was to determine the perspectives of the Nursing service workforce on the exodus of nurses occurring at a government tertiary hospital and their interventions. The outcome of the study served as basis for recommendations to the Human Resource Management of the hospital. Specifically, the study answered the following questions:1.What are the perspectives of the nurse administrators on the exodus of nurses in terms of:1.1.staff replacement;1.2.scheduling of duties;1.3.work assignment;1.4.scheduling of leaves;1.5.supervision;1.6.staff promotion; and1.7.budget needs.2.What are the perspectives of the staff nurses on the exodus of nurses in terms of:2.1.work load;2.2.competence;2.3.promotion and career path; and2.4.nursing administrators’ functions.3.What are the perspectives of the nursing attendants on the exodus of nurses in terms of:3.1.own workload;3.2.nurses’ work load;3.3.nurses’ competence;3.4.nurses’ promotion and career path;3.5.its affectations on nursing administrators’ functions?4.What interventions have been put in place to cope with the affectations of the exodus of nurses as perceived by:4.1.nurse administrators;4.2.staff nurses; and4.3.nursing attendants? Methods:The qualitative study utilized the nursing service workforce of Zamboanga City Medical Clinic, Zamboanga City, Philippines which consists of 20 nurse supervisors, 95 staff nurses, and 41 nursing attendants. A structured interview guide was used. Findings and Conclusion:The nurse administrators perceived that the exodus of nurses affected their work as it took time to replace staff. Due to the lack of personnel, scheduling of duties was difficult. They acted as relievers or went “on call” or as “trouble shooters.” Granting of leaves was difficult and more supervision was needed over the new hires. However, there was a greater chance of staff nurse promotion. More budget was needed for hiring of contractual health workers to augment the nursing workforce.The staff nurses also perceived an increase in their work load. Although the senior nurses were competent, the increase in patient and area loads made them less effective, having less time for patient care. However, the staff nurses had more chances of getting promoted.Some nursing attendants, likewise, perceived an increase in their work load because they worked with the staff nurses as a team. Others, however, claimed that they were not affected of the exodus since they have different functions and responsibilities. There is an increase in the workload for the nursing service workload due to nurse migration while replacement process is underway. Volunteers and contractual health workers were utilized to augment the workforce. Staff promotion is a welcome event caused by the vacancies due to the resignation of employees.The exodus of nurses adversely affected the financial status, system and operations of the hospital. However, the nursing attendants were not affected because they maximized the volunteer and contractual workers to augment the workforce.Recommended citation:Gonzales, M. G. M. & Amparado, M. A. P. (2009, March). Exodus of Nurses in a Tertiary Government Hospital: Nursing Service Workforce Perspectives. 2009 Southwestern University Research Congress, 1(1), 35-37.

SIGNIFICANCE OF HEAD NURSES – NURSING ADMINISTRATORS’ LEADERSHIP STYLES IN HEALTH CARE

The article analyses the significance of Head Nurses – Nursing Administrators leadership styles in health care. Proper leadership is important in every health care organization, Head Nurses need to know and be able to apply a variety of leadership styles. Managers often choose wrong leadership style without appreciating the real situation, which affects the quality of health care, increases patient and employee dissatisfaction, and makes employees less motivated to achieve their goals. Researchers emphasize that Head Nurses must have the knowledge of management science and practice in order to manage the entire department. This article discusses the main three leadership styles: transactional, transformational, and charismatic leadership styles and their principles. There are also four different leadership styles offered in the situational leadership model: directing, coaching, supporting – facilitating and delegating. It is important for managers to acquire emotional and social intelligence, they should encourage innovative thinking for individual and team productivity. Head Nurses through effective leadership styles can complete future challenges by fulfilling the mission and the vision of the health care organization.

Extent of Collaboration in Building Academic – Service Partnerships in Nursing

Background: There is a growing concern in the nursing service industries to expand the roles of nurses. A well-developed and planned collaboration between the academic and services in nursing is required. Purpose: This study investigated the extent of collaboration in building academic-service partnerships based on the perceptions of the students, faculty, staff nurses, and nursing administrators. Methods: This study employed a descriptive research design to obtain a thorough picture about the extent of collaboration in building academic and service partnerships. The majority of the participants (n=500) were staff nurses (n=232, 46.4%) from 5 hospitals, students (n=160, 32%) and faculty (n=62, 12.4%) from 7 schools who were informed, consented and selected using a purposive sampling. A questionnaire was used to describe the extent of collaboration. Descriptive statistics such as mean, standard deviation, frequency, and the percentage were used. Results: Students, faculty, nursing administrators and staff nurses assessed the overall extent of collaboration in building academic-service partnerships to a great extent in terms of nursing education redesign, research collaboration, faculty practice, academic and clinical progression, and workforce development. Conclusion: Despite the fact there was a great extent of collaboration in building academic-service partnerships in nursing, the proposed intervention or enhancement program can be an instrument to strengthen the current status of nursing amidst radical reforms in the healthcare delivery.