DOI: 10.5176/2315-4330_WNC18.162
Authors: Kyoko Sato, Takae Machida, Eiko Suzuki, Akiko Maruyama, Chihiro Asakura
Abstract:
This study aims to identify factors related to the administrative abilities of nurses, and contribute to the improvements in education programs and arrangements for nurse administrators. We distributed a self-rating questionnaire survey to 1291 head nurses and administrative staff in positions equivalent to head nurse in 69 participating hospitals among the 172 hospitals with 300 beds or more in the Kanto and Tokai regions of Japan. The surveyed items are ability in nurse administration, demographic characteristics, support from superiors, and workplace environment. We received 984 (76.2%) responses. Excluding responses that included two or more choices to a question and where there was no response to questions of gender and administrative abilities, this left 880 (68.2%) responses which were considered valid and these were included in the further analysis. As a result of a multiple regression analysis for factors related to the administrative abilities of nurses, administrative abilities are better for head nurses who reported that “My judgment in nursing is appropriate”, “I am decisive”, “I can demonstrate my ability in this job”, and “I fulfill my responsibilities to achieve goals in accordance with my beliefs”, as well as those who participate in workshops for nurse administrators. Head nurses who showed poorer administrative abilities reported that “I am satisfied with the rewards earned”, and “I became less kind to people since I became a nurse”. The findings suggest that head nurses who are confident in their decision making abilities may have better administrative abilities. In addition, head nurses with low cynicism (only little of negative attitude) scores, a subscale of the burnout score, appear to have better administrative abilities. The head nurses with better administrative abilities tend to feel that they are not sufficiently rewarded for fulfilling their duties. Education programs for nurse administrators need to include measures that enable administrative staff to work with self-confidence while preventing them from developing cynical attitudes.
Keywords: nurse administrator; training; administrative ability of nurses
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