Perception Of Nursing Middle Managers About The Evidence-Based Management
Objective: to comprehend the experience of nursing middle managers of an accredited public hospital, from São Paulo state, about the evidence-based management.
Method: case study and analysis of thematic content in the stages of unity of meaning, condensed meaning unity, interpretation of the underlying meaning, sub-theme and theme. Nine manager nurses participated. The data collection was done through a script with questions that, according to the convenience of the participants, were answered by electronic mail. The data were analyzed in the light of the theoretical reference of the managerial process in nursing and the evidence-based management.
Results: six themes were revealed: Evidence-based management and management process; Evidence-based management strengths; Evidence-based management challenges; the leader and the Evidence-based management; Hospital accreditation and evidence-based management and Experiences with the evidence-based management.
Conclusion: the scientific knowledge and the experiences in the work are sources of evidences that interfere, positively, in the quality and safety of the patient. Leadership training, planning, team empowerment and involvement are essential for the development of this practice. Strategies need to be discussed and implemented so that the management process is based on evidences.
2. O'Halloran P, Porter S, Blackwood B. Evidence based practice and its critics: what is a nurse manager to do? J Nurs Manag. 2010;18(1):905. doi:10.1111/j.1365-2834.2009.01068.x.
3. Pfeffer J, Sutton RI. Evidence-based management. Harvard Business Review; 2006;84(1): 62-74.
4. Shortell SM, Rundall TG, Hsu J. Improving patient care by linking evidence-based medicine and evidence-based management. JAMA. 2007;298(6):673-6. doi:10.1001/jama.298.6.673.
5. Kovner AR, Rundall TG. Evidence-based management reconsidered. Frontiers of Health Services Management. 2006;22(3):3-22.
6. Duffy JR, Thompson D, Hobbs T, Niemeyer-Hackett NL, Elpers S. Evidence-based nursing leadership evaluation of a joint academic-service journal club. J Nurs Adm. 2011;41(10):422-7. doi:10.1097/NNA.0b013e31822edda6.
7. Marshall DR. Evidence-based management making decisions with the best available theory and data. J Nurs Adm. 2010;40(5):197-200. doi:10.1097/NNA.0b013e3181da3f9e.
8. Rich VL, Porter-O’Grady T. Nurse executive practice creating a new vision for leadership. Nurs Adm Q. 2011;35(3):277-81. doi:10.1097/NAQ.0b013e3181ff3821.
9. Lima SSB, Erdman AL. A enfermagem no processo de acreditação hospitalar em um serviço de urgência e emergência. Acta paul enferm. 2006;19(3):271-8. doi.org/10.1590/S0103-21002006000300003. Brazil.
10. Manzo BF, Brito MJM, Corrêa AR. Implications of hospital accreditation on the everyday lives of healthcare professionals. Rev Esc Enferm USP. 2012;46(2):213-9.
11. Organização Nacional de Acreditação. Manual Brasileiro de Acreditação Hospitalar. Brasília; 2014. Brazil.
12. Chizzotti A. Pesquisa em ciências humanas e sociais. São Paulo: Cortez, 7ª; 2005. Brazil.
13. Bardin L. Análise de Conteúdo. Traduzido por Luiz Antero Reto e Augusto Pinheiro. Lisboa: Edições 70; 2011. Brazil.
14. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12.
15. Anderson F, Frith KH, Caspers B. Linking economics and quality developing and evidence-based nursing staffing tool. Nurs Adm Q. 2011;35(1):53-60.
16. Kitson AL. The need for systems changes: reflections on knowledge translation and organizational change. J Adv Nurs. 2009;65(1):217-28. doi: 10.1111/j.1365-2648.2008.04864.x.
17. Reviriego E, Cidoncha MA, Asua J, Gagnon MP, Mateos M, Gárate L, et al. Online training course on critical appraisal for nurses: adaptation and assessment. BMC Med Educ. 2014;14(1):1-10. doi:10.1186/1472-6920-14-136.
18. Spiri WC, Macphee M. The Meaning of Evidence-Based Management to Brazilian Senior Nurse Leaders. J Nurs Scholarsh. 2013;45(2):265-72, 2013. doi:10.1111/jnu.12024.
19. Drenkard K. Strategy as solution: developing a nursing strategic plan. J Nurs Adm. 2012;42(5):242-3. doi:10.1097/NNA.0b013e318252efef.
20. Rouse RA, Al-Maqbali M. Identifying nurse managers’ essential communication skills: an analysis of nurses’ perceptions in Oman. J Nurs Manag. 2014;22(2):192-200. doi:10.1111/jonm.12222.
21. Macphee M, Dahinten VS, Hejazi S, Laschinger H, Kazanjian A, McCutcheon A, et al. Testing the effects of an empowerment-based leadership developmente programme: part 1 – leader outcomes. J Nurs Manag. 2014:22(1):4-15. doi:10.1111/jonm.12053.
22. Fennimore L, Wolf G. Nurse manager leadership development leveraging the evidence and system-level support. J Nurs Adm. 2011;41(5):204-10. doi:10.1097/NNA.0b013e3182171aff.
23. Solomons NM, Spross JA. Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review. J Nurs Manag. 2011;19(1):109–20. doi:10.1111/j.1365-2834.2010.01144.x
24. Davies A, Wong CA, Laschinger H. Nurses' participation in personal knowledge transfer: the role of leader–member exchange (LMX) and structural empowerment. J Nurs Manag. 201;19(5):632–43. doi:10.1111/j.1365-2834.2011.01269.x
25. Honkavuo L, Lindstrom UA. Nurse leaders’ responsibilities in supporting nurses experiencing difficult situations in clinical nursing. J Nurs Manag. 2014;22(2):117-26. doi:10.1111/j.1365-2834.2012.01468.x
26. Maziero VG, Spiri WC. The meaning of the hospital accreditation process for nurses of a public state hospital. Rev Eletr Enf. 2013;15(1):121-29. doi: 10.5216/ree.v15i1.14757.
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