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Caring relationships established between nurse managers and staff nurses promote positive work environments. However, research about staff nurses' perceptions of nurse manager caring behaviors is limited. A 94-item Caring Assessment Tool-Administration (CAT-adm©) was developed to measure staff nurses' perceptions of nurse managers' caring behaviors; however, it lacked robust psychometric testing. This study was undertaken to establish the CAT-adm© survey as a reliable and valid tool to measure staff nurses' perceptions of nurse managers' caring behaviors. The Quality-Caring Model® (QCM®) served as the theoretical framework. Specific aims were to 1) evaluate construct validity of the CAT-adm© survey by describing factors that account for variance in staff nurses' perceptions of nurse manager caring, 2) estimate internal consistency, and 3) conduct item reduction analysis. Four research questions were: 1) Will the factor structure of observed data fit an 8-factor solution? 2) What is the internal consistency reliability of the CAT- adm©? 3) What items can be reduced while maintaining an acceptable factor structure? and 4) What are staff nurses' perceptions of nurse manager caring behaviors? A cross-sectional descriptive design was used. A sample of 703 staff nurses from Midwestern, Midatlantic and Southern Regions of the U.S. completed the CAT-adm© survey electronically. Analysis included Confirmatory Factor Analysis (CFA), Exploratory Factor Analysis (EFA), univariate analysis, and descriptive statistics. CFA did not support an 8-factor solution. EFA supported a two-factor solution and demonstrated significant shared variance between the two factors. This shared variance supported a one-factor solution that could conceptually be labeled Caring Behaviors. Random selection reduced the scale to 25-items while maintaining a Cronbach's Alpha of .98. Using the new 25-item scale, the composite score mean of staff nurses' perceptions of nurse manager caring behaviors indicated a moderately high level of caring. Suggestions for nursing administration, nurse manager practice, leadership, education and for future research were given. The new 25-item CAT-adm© survey has acceptable reliability and validity. The 25-item CAT-adm© survey provides hospital administrators, nurse managers, and researchers with an instrument to collect valuable information about the caring behaviors used by nurse managers in relationship with staff nurses.
Compiling the work of nurse scholars from five continents, this book s hows how caring's applicability cuts across cultural and geographic bo rders. "A Global Agenda for Caring" is a significant contribution to t he world's body of research on caring, and it brings us closer to real izing the full potential of studying caring worldwide.
First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care
The third edition is updated throughout and includes a comprehensive literature review of the research and measurement of caring. It features several new tools and instruments, and updates all established tools and instruments to reflect how each has been used in the past ten years. The third edition also presents a new chapter on assessing and measuring caring in digital/cyberspace settings, discusses global developments in assessing and measuring caring, and provides an updated section dedicated to the challenges and future directions of caring measurement.
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Learning about research can be a daunting task. This best-selling core text book offers a comprehensive introduction to important research concepts, processes and issues. The author guides readers who are new to research but also introduces new debates and perspectives to those with some experience wanting to develop their skills further. This popular book equips students with the information and skills they need to read, comprehend and critique research. Whether an undergraduate taking an introductory research module, a postgraduate nursing student embarking on a project, or an experienced practitioner wanting to sharpen your skills, Parahoo's accessible writing style will ensure readers are able to utilise research throughout their study and in everyday practice. New to this Edition: - Three new chapters on qualitative methods, introducing grounded theory, phenomenology and ethnography - Updated narrative and research examples to ensure content and application is relevant
" ... takes a patient-centered, traditional approach to the topic of nursing education and professional development. This dynamic text engages students in recognizing the critical role that nurses play in health care delivery, and focuses on the five core competencies for health professions as determined by the Institute of Medicine (IOM) ..."--Back cover.
Praise for Previous Editions: "I enjoyed the book. It was well written, current and timely with changes in the healthcare system. The reflective questions and practice analysis were great and would be wonderful to use with students at the graduate and undergraduate levels." –Doody's Medical Reviews Freshly updated, this acclaimed text demonstrates how nurses can promote caring relationships with individuals, groups, and communities in various health care settings to ensure better patient outcomes, lower costs, and greater clinician well-being. The book is grounded in the author's Quality Caring Model©, a middle range theory that analyzes relationships among the self, the community, patients and families, and the health care team. It expands upon the concept of self-caring and examines current thinking on employee work engagement and creating value. Interviews with practicing nurses who describe current healthcare challenges and strategies for managing them also enrich the text. Written for nursing students, clinicians, educators, and leaders, the book delves into the intricacies of relational healthcare and imparts strategies to ameliorate the ills of our current health system by focusing on nursing care that advances equity, pursues innovative and advanced educational experiences, leads, and engages in practice across multiple settings. Chapters apply the model to patients and families and provide optimal learning strategies to facilitate quality-caring competencies. Woven throughout the text are case studies, interviews, exemplars, and relevant lessons to put theory into practice. An Instructor's Manual includes a crosswalk of QCM concepts, core competencies, and performance standards; student assignments, reflections, and value exercises; and PowerPoints. New to the Fourth Edition: Instructor resources and power point slides Updates to address latest recommendations from NAM's The Future of Nursing 2020-2030, ANA's 2021 Nursing Scope and Standards of Practice, AACN's 2021 The Essentials, and AACN's 2021 Entry-to-Practice Nurse Residency Program Standards Expanded content on the challenges of self-caring with practical guidance for preventing moral injury Examples of caring behaviors in action Current thinking on employee work engagement and creating value Interviews with practicing nurses reflecting challenges and strategies for dealing with current state of healthcare Updated information on resiliency, long-term career planning, and work engagement Revised educational and leadership strategies to address the post pandemic health system Key Features: Examines in depth the evolution, key concepts, and clinical, educational, and leadership applications of the Quality Caring Model Underscores the significance of caring relationships in improving the safety and quality of healthcare systems Delivers comprehensive, concise, evidence-based content throughout Offers practical insights with real-life case studies and interviews in diverse community and academic settings Includes memorable quotes, learning objectives, boxed calls to action, key summary points, reflective exercises, and Practice Analysis supporting an active, learner-centered approach