Development of administrative behaviors of head nurses
Development of administrative behaviors of head nurses
การพัฒนาพฤติกรรมการบริหารงานของหัวหน้าหอ
Khaisang Potigozoom, Assoc. Prof., D. of Ad. in Nursing Education and Nursing Service,
F. of Nursing, PSU.
Ladda Chusintong, Head Nurse, Obstetrics Units, Nursing Department, Hat Yai Hospital, Songkhla
Thanaporn Saiwaree, Staff Nurse, Nursing Department, Hat Yai Hospital, Songkhla
Grant : Government Budget
Published : Songklanagarind J of Nursing, 2000, 20(2) : 86-109
Key words : development, administrative behaviors, head nurse
The objectives of this study were to study real and expected administrative behaviors of head nurses, to study factors affecting administrative behaviors of head nurses, and to identify methods in developing administrative behaviors. Key informants included 18 head nurses. Other informants were nurse supervisors, staff nurses, and patients or their relatives, The five step research process was conducted within 17 months. Data were collected using questionnaires, interviews, observations, focus groups, and self - report forms. The data were analysed by content analysis and statistics including percentage, F-test and multiple range test with Tukey-B procedure. The findings revealed that :
1. Head nurses had confidence, knowing what to do and how to do, and no confusion in their administrative roles and behaviors. During focus groups, tension among head nurses was found. More than nine head nurses reported their successful performances on 14 items from 34-item administrative behaviors. These performances encompassed establishing Care Map, conducting research projects, developing group relationships, auditing chart, and giving congratulation cards to patients before discharging. It was found that head nurses could not do every activity, as planned. Only the profess-ional ethical activity was performed continuously. Some head nurses joined a self development project and peer team to build up their relationships and academics.
For evaluation of head nurses' behaviors, it was found that there were significant differences among staff nurses, head nurses, and nurse supervisors on head nurses' practicing of administrative roles, administrative skills, administrative competencies and the accomplishment of head nurses' performances on developing administrative behaviors (p < .05). However, there was no a significant difference among these three groups on head nurses' thinking ability in terms of attribute, type, and
skill. Moreover, it was found that the mean score of self-reported scale among head nurses was higher than that among staff nurses and nurse supervisors.
It was also found that effective strategies in developing head nurses' administrative behaviors during this study included fostering a thinking process, enhancing a standardized administration, and encouraging self-directed learning, whereas, motivating behavior modifications and team building were founded as ineffective strategies.
2. Both head nurses and nurse supervisors expected that head nurses should be able to perform all 34 items of administrative behaviors. Staff nurses expected their head nurses to improve their own personal characteristics.
3. Factors affecting head nurses' administrative behaviors were personal factors and environmental factors, including director of nursing and nurse supervisors, subordinate staffs, nursing department, and role identifications.
4. All staff nurses, head nurses, and nurse supervisors did not propose any suggestions regarding developing head nurses' administrative behaviors, instead, they referred to a need for accomplishment of all 34 administrative behaviors of head nurses.
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