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This study forms part of the Doctoral Thesis of the first-named author (Maria Jose Membrive-Jimenez). Funding for this study was provided by the Andalusian Government Excellence Project (P11-HUM-7771). ; Nurse managers are affected by burnout due to the high degree of interaction between managers with their registered nurses. Explanatory models based on psychological, and personality related variables purvey an estimation to level changes in the three dimensions of the burnout syndrome. A categorical-response logistic ordinal regression model, supported on a quantitative, crosscutting, multicentre, descriptive study with 86 nursing managers in the Andalusian Health Service in Granada, Spain is performed for each dimension. The three models included different variables related to personality, as well as depression as the only explanatory variable included in all the models. The risk factor neuroticism was significant at population level and related to emotional exhaustion, whilst responsibility was significant in the model estimated to personal accomplishment dimension. Finally, depression was significant for the three dimensions of Burnout. This analysis provides useful information to help the diagnosis and evolution of this syndrome in this collective. ; Andalusian Government Excellence Project P11-HUM-7771

Although Managing to Nurse may contradict contemporary beliefs about health care reform, the insiders' account that it provides is undeniable evidence that nurses' caring work is being undermined and patient care is being eroded, sometimes dangerously, by current health care agendas

Designated a Doody's Core Title!. Are you establishing a solo or collaborative health care practice? This concise reference book is designed to provide the basic business and management skills you need. It is packed with practical information, from writing your mission statement to preparing and implementing a business plan, to marketing and legal considerations. Three sample business plans are included as an appendix.

Work life, family life and care are all being substantially re-shaped in Australia as in other post-industrial societies. Concern about work/life balance has increased as domestic gender relations slowly change, the breadwinner/homemaker model becomes less dominant and families undertake more demanding and flexible modes of employment and care. Using data from a qualitative study of nurses and their families this paper explores how families are managing the contemporary intersection of flexible family life and flexible labour. Family values emerged as an important mediating factor in the organisation of work and care. The couples valued parental care and time with children and used shift work to enable family life. We argue that just as the breadwinner model is being modified in Australia so too is the maternalist culture of care. In most of the families in the study the women are important but secondary breadwinners and the men are important but secondary carers.

The immediate motivation of this paper is California Bill AB 394, legislation which mandates fixed nurse-to-patient staffing ratios as a means to address the current crisis in the quality of health care delivery. Modeling medical units as closed queueing systems, we seek to determine whether or not ratio policies are effective at managing nurse workload. Our many-server asymptotic results suggest that ratio policies cannot provide consistently high service quality across medical units of different sizes. As a remedy, we recommend policies that deviate from the restrictive linear nature of ratio policies, employing the 'square root rule' commonly used to staff large service systems. Under some quality of care assumptions, our policies exhibit a type of 'super' pooling effect, in which, for large systems, the requisite workforce is significantly smaller than the nominal patient load.

Economics of health care -- Insurance and reimbursement -- Managed care and ACOs -- Measuring nursing care -- Reporting and managing budgets -- Budget planning -- Special purpose, capital, and other budgets -- Cost-finding, break-even, and charges -- Comparing costs and benefits -- Writing a business plan -- Health program grant writing -- Assessing financial health -- Entrepreneurship and practice management -- Ethical issues and international health care systems -- Health policy and future trends

Leading and Managing in Nursing, 6th Edition offers an innovative approach to leading and managing by merging theory, research, and practical application to better prepare you for the NCLEX® exam and the transition to the practice environment. This cutting-edge text is organized around the issues that are central to the success of professional nurses in today's constantly changing healthcare environment, including consumer relationships, cultural diversity, resource management, delegation, and communication. UNIQUE! Each chapter opens with The Challenge, where practicing nurse leaders/managers offer their real-world views of a concern related in the chapter, encouraging you to think about how you would handle the situation. UNIQUE! The Solution closes each chapter with an effective method to handle the real-life situation presented in The Challenge, and demonstrates the ins and outs of problem solving in practice. The Evidence boxes in each chapter summarize relevant concepts and research from nursing/business/medicine literature. Theory boxes highlight and summarize pertinent theoretical concepts related to chapter content. Research and Literature Perspective boxes summarize timely articles of interest and point out their relevance and applicability to practice. Separate chapters on key topic areas such as cultural diversity, consumer relationships, delegation, managing information and technology, legal and ethical issues, and many more. End-of-chapter Tips offer guidelines for applying information presented in the chapter. Numbered exercises challenge you to think critically about concepts in the text and apply them to real-life situations. Eye-catching full-color design helps engage and guide you through each chapter. Glossary alphabetically lists and defines all the boldfaced key terms from the chapters. Chapter Checklists provide a quick

Cover -- Title -- Copyright -- Contents -- Preface -- Organization -- Conversation Guides and Activities -- Summary -- Acknowledgments -- Share Fast Facts for the Clinical Nurse Manager: Managing a Changing Workplace in a Nutshell, Second Edition -- Part I: The Bottom Line: Managing What Now Lies Beneath -- Chapter 1: The Buck Stops Here: Managing Professional Practice -- Toward a New Way of Being -- 24/7/365 is Not Enough Time -- Managing Change to Ensure Safe, Competent, Ethical Practice -- Professional Practice Standards Check-In -- Practice Standards in a Practice Setting -- Strategies for Promoting Standards of Practice -- The Bottom Line is Not About Money -- Chapter 2: Power, Politics, and Possibilities: Managing the Art of the Possible -- "P" Words: Positive Power, Politics, and Possibilities -- Power, Politics, and Possibility Ponderables -- Power to Choose Your Attitude -- Attitude Matters -- Choosing Powerlessness -- Choosing a Positive Personal and Professional Way of Being -- 12 Terrific Strategies for Powering Up Personally and Professionally -- Powering Up Politically -- A Note of Caution: When Nurse Managers "Hang Out" With Staff -- Managing the Art of the Possible -- Chapter 3: Competencies for a Changing Workplace: Managing New Rules, New Roles -- Oh, the Times They are a Changin' -- Remembering the Good Ol' Days -- Extra! Extra! Read All About It! Professional Nursing Practice in a State of Transition -- You've Come a Long Way, Baby! -- A Bird's-Eye View of the Good Ol' Days of Nursing Management -- Today's Nurse Managers -- New Competencies: Risk Taking, Innovation, Creativity, and Flexibility -- From No Name to New Name: Tips to Help Staff Reframe Their Practice -- Reference -- Part II: The Here and Now: Managing New Realities -- Chapter 4: Anticipating Change: Managing Staff Anxiety, Uncertainty, and Fear.

Deaths caused by cardiovascular diseases (CVDs) account for 60% of all deaths that occur in rural and remote areas. Disease management programs are increasingly used to improve the effectiveness of chronic care. Nurses are a key component of the health workforce and have an important role to play in CVD prevention, treatment, and the care of sick people in remote areas. Due to the nature of their work, nurses are prone to working hard, and to experience burnout, sleep, or eating disorders. This is often exacerbated by a shortage of staff and equipment. The objectives of the study were to explore and describe the experiences of professional nurses in managing CVDs in South African rural and peri-urban clinics. A qualitative, explorative-descriptive design and a contextual research approach were adopted for the present study. Purposive sampling was employed to recruit nurses who were managing patients with CVD from 11 primary health care facilities. Data were collected through semi-structured individual interviews and analyzed using Tesch's open coding method. Interview transcripts were coded and analyzed for common themes. The following two major themes emerged from the data: perceived institutional challenges affecting the management of CVDs and nurses' perceptions of patient challenges that impede the effective management of CVD. The study concludes by highlighting that apart from a resource challenge, the shortage of nurses in rural clinics is the biggest reason behind overcrowding, waiting long hours for consultations, and an increase in the workload, resulting in medical errors and poor quality care. It is, therefore, recommended that, for improved care and management of CVD in rural populations, local governments need to employ more skilled nurses whilst availing the necessary material resources.