The Complex Nuances of Nurse Manager Leadership

Author(s):  
Seleste Bowers

Hospital organizations are affected by the shortage of nurses across the United States. Hospital organizations must strategically plan to recruit and retain nurses. An average hospital will incur costs between $5.13 million to $7.86 million due to RN turnover. In an outcome-focused healthcare environment, healthcare leaders must consider all perspectives involved in nurse manager leadership. The purpose of this phenomenological study was to describe nurses' lived experiences with nurse manager leadership on medical surgical units in Riverside County, California, USA.

Author(s):  
Seleste Bowers

Hospital organizations are affected by the shortage of nurses across the United States. Hospital organizations must strategically plan to recruit and retain nurses. An average hospital will incur costs between $5.13 million to $7.86 million due to RN turnover. In an outcome-focused healthcare environment, healthcare leaders must consider all perspectives involved in nurse manager leadership. The purpose of this phenomenological study was to describe nurses' lived experiences with nurse manager leadership on medical surgical units in Riverside County, California, USA.


2021 ◽  
Vol 9 (1) ◽  
pp. 365-379
Author(s):  
Barbara Kensington-Miller ◽  
Andrea Webb ◽  
Ann Gansemer-Topf ◽  
Heather Lewis ◽  
Julie Luu ◽  
...  

This study examines the lived experiences of seven internationally diverse scholars from Canada, the United States, New Zealand, and Australia to answer the question: how do we make meaning of our collective boundary crossing experiences across disciplines and positions within SoTL? Our positions range from graduate student, faculty, and academic developers, to department chair and centre director. We conducted a phenomenological study, based on narratives of experience, and drew on Wenger-Trayner and Wenger-Trayner’s (2015) theoretical framework that explores the features of a landscape of practice. Guided by this framework, we analyze our boundary crossings and brokering across the “diverse, political and flat” features of the SoTL landscape. Our collective findings highlight the critical role brokers play in facilitating boundary crossings. Brokering is precarious, bringing people together, building trusting relationships, and developing legitimacy while negotiating deadlocks, bureaucracy, authorities, and a multitude of challenges. Brokers, we found, require strength and resilience to mobilise, influence, and drive change in the landscape to transform existing practices or create new ones. We suggest that our analytical process can be used as a tool of analysis for future research about how brokers influence the SoTL landscape of practice and how brokering enhances SoTL development, support, and leadership.


2011 ◽  
Vol 25 (3) ◽  
pp. 210-226 ◽  
Author(s):  
Victor R. Vapor ◽  
Yu Xu

This phenomenological study examined the lived experiences of eight self-identified Filipino physician-turned nurses working in Las Vegas in the United States. Participants were interviewed, and audiotaped interviews were transcribed verbatim. Meanings of significant statements and clusters of themes and subthemes were then generated using the Colaizzi’s (1978) method. In addition, van Manen’s (1990) existentials of lived world was adopted to interpret the collected data. The results of the study revealed that the experiences of these Filipino physician-turned nurses involved multidimensional challenges captured in three themes in context of cross-national and transprofessional migration. As a result, they faced a “double whammy” adjustment to a new cultural and work environment common to all foreign nurses (cultural adaptation) and unique identity/role change from physician to nurse (transprofessional adaptation)—that made their transition especially challenging, resulting in short-lived nursing careers at the bedside. Tailored transition programs for physician-turned foreign nurses are needed to address their transprofessional adaptation. In addition, costs and benefits of recruiting and employing physician-turned foreign nurses as direct caregivers need to be reconsidered in light of this study’s findings.


2021 ◽  
Vol 9 (1) ◽  
pp. 365-379
Author(s):  
Barbara Kensington-Miller ◽  
Andrea Webb ◽  
Ann Gansemer-Topf ◽  
Heather Lewis ◽  
Julie Luu ◽  
...  

This study examines the lived experiences of seven internationally diverse scholars from Canada, the United States, New Zealand, and Australia to answer the question: how do we make meaning of our collective boundary crossing experiences across disciplines and positions within SoTL? Our positions range from graduate student, faculty, and academic developers, to department chair and centre director. We conducted a phenomenological study, based on narratives of experience, and drew on Wenger-Trayner and Wenger-Trayner’s (2015) theoretical framework that explores the features of a landscape of practice. Guided by this framework, we analyze our boundary crossings and brokering across the “diverse, political and flat” features of the SoTL landscape. Our collective findings highlight the critical role brokers play in facilitating boundary crossings. Brokering is precarious, bringing people together, building trusting relationships, and developing legitimacy while negotiating deadlocks, bureaucracy, authorities, and a multitude of challenges. Brokers, we found, require strength and resilience to mobilise, influence, and drive change in the landscape to transform existing practices or create new ones. We suggest that our analytical process can be used as a tool of analysis for future research about how brokers influence the SoTL landscape of practice and how brokering enhances SoTL development, support, and leadership.


2017 ◽  
Vol 51 (2) ◽  
pp. 222-246 ◽  
Author(s):  
Sarah L. Woulfin ◽  
Jennie Weiner

Principals are positioned at the center of school improvement. In the United States, current turnaround reforms target the principalship as a key lever for change. This article uses institutional theory to explore the logics of turnaround leadership that steer principals and their work. Specifically, we draw on qualitative interview data from a phenomenological study of a cohort of aspiring turnaround principals in a northeastern state to explain how educators invoked and enacted four logics of turnaround leadership. We found that, in addition to engaging with the previously identified logics of instructional, managerial, and social justice leadership, participants invoked a new logic that we name “triggering change.” This logic focused squarely on building capacity via positive relationships and shaping culture as mechanisms for whole school improvement. By depicting aspiring principals’ conceptions and negotiations of these four logics, we contribute to the literature on turnaround policy and leadership with implications for turnaround leader development.


2017 ◽  
Vol 7 (4) ◽  
pp. 963-989
Author(s):  
Kerrie A. Montgomery

The Chinese undergraduate student population currently represents 12.8% of all international students enrolled in the United States (Institute for International Education, 2015a).  In an effort to understand the experiences of this population in their first year of college in the United States, a phenomenological study was conducted using a conceptual framework comprising Schlossberg’s Transition Model (Schlossberg, Waters, & Goodman, 1995) and the Culturally Engaging Campus Environments (CECE) Model (Museus, 2014). Three transition types were identified – academic, social/personal, and linguistic – and participants’ preparation, sources of institutional support, and coping strategies for moving through these transitions were examined. Recommendations for practice include: multi-faceted, mandatory orientation programs; ongoing workshops and resources beyond orientation; and improvements to housing and residential life opportunities and experiences.


PEDIATRICS ◽  
1991 ◽  
Vol 88 (3) ◽  
pp. 553-559
Author(s):  
José E. Becerra ◽  
Yvonne W. Fry ◽  
Diane L Rowley

Morbidity estimates of conditions originating in the perinatal period have not been reported in the United States. Conditions originating in the perinatal period were identified according to the International Classification of Diseases. The National Hospital Discharge Survey provided a weighted, nationally representative sample of newborns discharged each year from short-stay, nonfederal hospitals. From 1986 through 1987, 33.7% of all newborns had at least one nonteratologic perinatal condition. However, 6.8% of all newborns had physiologic jaundice as their only discharge diagnosis. Nonphysiologic jaundice was diagnosed in 4.4%, maternal causes of perinatal morbidity in 3.1%, birth trauma in 2.5%, fetal distress in 2.3%, birth asphyxia in 2.1%, and infections specific to the perinatal period in 2.0% of all newborn discharges. The average hospital stay for all newborns was 3.5 days, but it was 5.3 days for newborns with at least one nonteratologic perinatal condition and 2.6 for newborns discharged without a morbid condition. This study provides nationally representative estimates of perinatal morbidity useful for comparisons with smaller hospital-based samples. In addition, the study provides estimates of the public health impact of these conditions in terms of hospital stay days.


Author(s):  
Joseph O. Otundo ◽  
Jane A. Opiri

Although the number of African immigrants in the United States has steadily increased, there remains a gap in understanding their lived experiences in the context of employment and wellness. Using qualitative method, this study investigated underemployment and wellness among six foreign-educated African immigrants. The purpose of this chapter is to discuss three themes that emerged from this study. Study design utilized was grounded theory. Participants in this study held professional jobs before relocating to the US. Results suggest that despite excitement of migrating to the US, African immigrants experience myriad life events from the time they land until when they settle down. Yet, the adaptation mechanisms reported include social networking and social support. Thus, three themes that emerged from this study are occupational, emotional, and social wellness. From the findings, the authors developed underemployment versus wellness conceptual framework that can be used for future studies.


2022 ◽  
pp. 1222-1236
Author(s):  
Joseph O. Otundo ◽  
Jane A. Opiri

Although the number of African immigrants in the United States has steadily increased, there remains a gap in understanding their lived experiences in the context of employment and wellness. Using qualitative method, this study investigated underemployment and wellness among six foreign-educated African immigrants. The purpose of this chapter is to discuss three themes that emerged from this study. Study design utilized was grounded theory. Participants in this study held professional jobs before relocating to the US. Results suggest that despite excitement of migrating to the US, African immigrants experience myriad life events from the time they land until when they settle down. Yet, the adaptation mechanisms reported include social networking and social support. Thus, three themes that emerged from this study are occupational, emotional, and social wellness. From the findings, the authors developed underemployment versus wellness conceptual framework that can be used for future studies.


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