Developing Strategy: A Guide for Nurse Managers to Manage Nursing Staff's Work-Related Problems
Main Article Content
Keywords
Delphi technique, nurse managers, nursing staff, workplace challenges
Abstract
This study aims to evaluate the challenges encountered by nursing staff as perceived by their supervisors and subsequently propose effective strategies for nurse managers to address these challenges.
Methods: A descriptive research design was employed for this study. The participants consisted of two groups: Group 1 included a convenience sample of 150 first-line supervisors from three hospitals, while Group 2 comprised a panel of experts selected using the Snowball sampling technique for the Delphi technique. Data collection tools included: Tool 1—a questionnaire assessing nursing staff challenges; Tool 2—the Delphi technique for strategy development; and Tool 3—an opinionnaire format.
Results: First-line supervisors identified job stress, work overload, interpersonal conflicts, workplace violence, performance issues, high turnover rates, demotivation, lack of empowerment, and absenteeism as common challenges faced by nursing staff.
Conclusion: The strategies developed through the Delphi technique were deemed valid by expert panelists. The study recommends implementing these strategies universally across healthcare settings to guide nurse managers in addressing staff challenges effectively.
References
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22. Fute, M., Mengesha, Z.B., Wakgari, N., & Tessema, G.A. High prevalence of workplace violence among nurses working at public health facilities in Southern Ethiopia. BMC Nursing, 14, 9. doi: 10.1186/s12912-015-0062-1.
23. Abdellah, R.F., & Salama, K.M. Prevalence and risk factors of workplace violence against health care workers in the emergency department in Ismailia, Egypt. Pan African Medical Journal, 26, 21. doi: 10.11604/pamj.2017.26.21.10837.
24. Sulaiman, E. Tarek, M. “Doctors” are calling on Parliament for a deterrent law to stop attacks on its members in hospitals. Retrieved from El-watan News (Egyptian).
25. Sim, J., Crookes, P., Walsh, K., & Halcomb, E. Measuring the outcomes of nursing practice: A Delphi study. Journal of Clinical Nursing, 27(1-2), e368–e378. doi: 10.1111/jocn.13971.
26. Bjorkman, A., Engstrom, M., Olsson, A., & Wahlberg, A. Identified obstacles and prerequisites in tele-nurses' work environment–a modified Delphi study. BMC Health Services Research, 17, 357. doi: 10.1186/s12913-017-2296-y.
27. Munro, C.L., & Hope, A.A. Healthy work environment: Resolutions for 2020. American Journal of Critical Care, 29(1), 4–6. doi: 10.4037/ajcc2020940.
28. Shah, M. Impact of interpersonal conflict in the health care setting on patient care; the role of nursing leadership style in resolving the conflict. Nursing and Care Open Access Journal, 2(2), 44–46. doi: 10.15406/ncoaj.2017.02.00031.
29. Drake, K. The motivation to stay motivated. Nursing Management, 48(12), 56. doi: 10.1097/01.NUMA.0000526921.77464.16.
30. Adjei, K., Emmanuel, O., & Forster, O.M. The impact of motivation on the work performance of health workers [Korle Bu Teaching Hospital]: Evidence from Ghana. Hospital Practices and Research, 1(2), 47–52. doi: 10.20286/hpr-010245.
31. Boafo, I.M., & Hancock, P. Workplace violence against nurses: A cross-sectional descriptive study of Ghanaian nurses. SAGE Open, 1–9. doi: 10.1177/2158244017701187.
32. Monanyi, N.B., & Kaimenyi, C.K. An investigation into factors causing high nurse turnover in Mission Hospitals in Kenya: A case for PCEA Chogoria Hospital. International Journal of Advanced Research in Business and Social Sciences, 5(3), 55–86. doi: 10.6007/IJARBSS/v5-i3/1499.
2. Kanwal, N., Riaz, G., Riaz, M.S., & Safdar, S. Identifying the causes of absenteeism in nurses at Mayo Hospital, Lahore, Pakistan. International Journal of Social Sciences and Management, 4(2), 110–114. doi: 10.3126/ijssm.v4i2.17171.
3. Olayinka, A.O., Osamudiamen, O.S., & Ojoadeleke, A. Occupational stress management among nurses in selected hospitals in Benin City, Edo State, Nigeria. European Journal of Experimental Biology, 3, 473–481.
4. Fassier, T., & Azoulay, E. Conflicts and communication gaps in the intensive care unit. Current Opinion in Critical Care, 16(6), 654–665. doi: 10.1097/MCC.0b013e32834044f0.
5. Smith, N.J. Nursing and change: Is it time to revisit empowerment? International Journal of Nursing Sciences, 1(2), 134–136. doi: 10.1016/j.ijnss.2014.05.011.
6. Tan, C.C. Occupational health problems among nurses. Scandinavian Journal of Work, Environment & Health, 17(4), 221–230.
7. Roche, M., Diers, D., Duffield, C., & Paul, C. Violence towards nurses, the work environment, and patient outcomes. Journal of Nursing Scholarship, 42(1), 13–22. doi: 10.1111/j.1547-5069.2009.01321.x.
8. Shukri, R., Bakkar, S., El-Damen, M.A., & Ahmed, S.M. Attitudes of students at Sultan Qaboos University towards the nursing profession. Sultan Qaboos University Medical Journal, 13(4), 539–544.
9. Mahran, G.S., Taher, A.A., & Saleh, N.M. Challenges and work crisis facing critical care nurses. Egypt Nursing Journal, 14, 235–241. doi: 10.4103/ENJ.ENJ_27_17.
10. Schmalenberg, C., & Kramer, M. Nurse manager support: How do staff nurses define it? Critical Care Nurse, 29(4), 61–69. doi: 10.4037/ccn2009366.
11. Marquis, B., & Huston, C. Leadership roles and management functions in nursing: Theory and application (9th ed.). Lippincott Williams & Wilkins.
12. American Association of Critical-Care Nurses. (2019). AACN standards for establishing and sustaining healthy work environments: A journey to excellence.
13. Hsu, C.C., & Sandford, B.A. The Delphi technique: Making sense of consensus. Practical Assessment, Research & Evaluation Journal, 12(10), 1–8. doi: 10.7275/pdz9-th90.
14. Rani, D., & Thyagarajan, V. Influence of workplace stress on the well-being of nursing staff. International Journal of Advanced Scientific Research and Development, 4(7), 50–58. doi: 10.26836/ijasrd/2017/v4/i7/4706.
15. Godwin, A., Suuk, L.A., & Selorm, F.H. Occupational stress and its management among nurses at St. Dominic Hospital, Akwatia, Ghana. Health Science Journal, 10(6), 467. doi: 10.21767/1791-809X.1000467.
16. Vernekar, S., & Shah, H. A study of work-related stress among nurses in a tertiary care hospital in Goa. International Journal of Community Medicine and Public Health, 5(2), 657–661. doi: 10.18203/2394-6040.ijcmph20180246.
17. Madadzadeh, M., Barati, H., & Asour, A.A. The association between workload and job stress among nurses in Vasei Hospital, Sabzevar City, Iran, in 2016. Journal of Occupational Health and Epidemiology, 7(2), 83–89. doi: 10.29252/johe.7.2.83.
18. Kurcgant, P., Passos, A.R., Oliveira, J.M., Pereira, I.M., & Costa, T.F. Absenteeism of nursing staff: Decisions and actions of nurse managers. Journal of School Nursing, 49.
19. Jerng, J.S., Huang, S.F., Liang, H.W., Chen, L.C., Lin, C.K., & Huang, H.F. Workplace interpersonal conflicts among health care workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center. PLOS ONE, 12(2). doi: 10.1371/journal.pone.0171696.
20. Al-Dweik, G., Al-Daken, L.I., Abu-Snieneh, H., & Ahmad, M.M. Work-related empowerment among nurses: Literature review. International Journal of Product Quality Management, 19(2), 168. doi: 10.1504/IJPQM.2016.078885.
21. Weldegebriel, Z., Ejigu, Y., Weldegebreal, F., & Woldie, M. Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia. Dovepress, 10, 159–169. doi: 10.2147/PPA.S90323.
22. Fute, M., Mengesha, Z.B., Wakgari, N., & Tessema, G.A. High prevalence of workplace violence among nurses working at public health facilities in Southern Ethiopia. BMC Nursing, 14, 9. doi: 10.1186/s12912-015-0062-1.
23. Abdellah, R.F., & Salama, K.M. Prevalence and risk factors of workplace violence against health care workers in the emergency department in Ismailia, Egypt. Pan African Medical Journal, 26, 21. doi: 10.11604/pamj.2017.26.21.10837.
24. Sulaiman, E. Tarek, M. “Doctors” are calling on Parliament for a deterrent law to stop attacks on its members in hospitals. Retrieved from El-watan News (Egyptian).
25. Sim, J., Crookes, P., Walsh, K., & Halcomb, E. Measuring the outcomes of nursing practice: A Delphi study. Journal of Clinical Nursing, 27(1-2), e368–e378. doi: 10.1111/jocn.13971.
26. Bjorkman, A., Engstrom, M., Olsson, A., & Wahlberg, A. Identified obstacles and prerequisites in tele-nurses' work environment–a modified Delphi study. BMC Health Services Research, 17, 357. doi: 10.1186/s12913-017-2296-y.
27. Munro, C.L., & Hope, A.A. Healthy work environment: Resolutions for 2020. American Journal of Critical Care, 29(1), 4–6. doi: 10.4037/ajcc2020940.
28. Shah, M. Impact of interpersonal conflict in the health care setting on patient care; the role of nursing leadership style in resolving the conflict. Nursing and Care Open Access Journal, 2(2), 44–46. doi: 10.15406/ncoaj.2017.02.00031.
29. Drake, K. The motivation to stay motivated. Nursing Management, 48(12), 56. doi: 10.1097/01.NUMA.0000526921.77464.16.
30. Adjei, K., Emmanuel, O., & Forster, O.M. The impact of motivation on the work performance of health workers [Korle Bu Teaching Hospital]: Evidence from Ghana. Hospital Practices and Research, 1(2), 47–52. doi: 10.20286/hpr-010245.
31. Boafo, I.M., & Hancock, P. Workplace violence against nurses: A cross-sectional descriptive study of Ghanaian nurses. SAGE Open, 1–9. doi: 10.1177/2158244017701187.
32. Monanyi, N.B., & Kaimenyi, C.K. An investigation into factors causing high nurse turnover in Mission Hospitals in Kenya: A case for PCEA Chogoria Hospital. International Journal of Advanced Research in Business and Social Sciences, 5(3), 55–86. doi: 10.6007/IJARBSS/v5-i3/1499.
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Published
Dec 19, 2022
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How to Cite
Essa Turqi Ghunaim Aldhafeeri, Sadoun Tarqi Ghanem Aldhafeeri, Mutar Awaid Asaim Aldhafeeri, Ghanem Turki Ghanem Aldhafeeri, Hani Tarqi Ghanem Aldhafeeri, Huda Salman Jamaan Aldhafeeri, Mohammad Affat Raja Alshammari. (2022). Developing Strategy: A Guide for Nurse Managers to Manage Nursing Staff’s Work-Related Problems. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1016-1022. https://doi.org/10.53555/jptcp.v29i04.5644
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Essa Turqi Ghunaim Aldhafeeri, Sadoun Tarqi Ghanem Aldhafeeri, Mutar Awaid Asaim Aldhafeeri, Ghanem Turki Ghanem Aldhafeeri, Hani Tarqi Ghanem Aldhafeeri, Huda Salman Jamaan Aldhafeeri, Mohammad Affat Raja Alshammari. (2022). Developing Strategy: A Guide for Nurse Managers to Manage Nursing Staff’s Work-Related Problems. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1016-1022. https://doi.org/10.53555/jptcp.v29i04.5644