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Revista Iberoamericana de Educación e Investigación en Enfermería

Revista Iberoamericana de Educación e Investigación en Enfermería

ENERO 2012 N° 1 Volumen 2

Validation of a scale of leadership and management in nursing at Hospital Dr. Hernán Henríquez Aravena, Temuco, years 2011-2012

Section: Originals

How to quote

Rivas Riveros E. Validación de escala de liderazgo y gestión en enfermeros del hospital Dr. Hernán Henríquez Aravena, Temuco, años 2011-2012. Rev. iberoam. Educ. investi. Enferm. 2012; 2(1):27-36.

Authors

Edith Rivas Riveros

Position

Enfermera. Doctora en Enfermería. Universidad de La Frontera, Temuco

Abstract

Introduction: Leadership in health is understood as the basis for developing Clinical Management Model, which facilitates the achievement of the mission, vision and values development, allowing professionals to take actions and behaviors that lead to ensure sustainable management system of the organization.
Objectives: To validate scale nursing leadership and management of Hospital Dr. HHA, Temuco 2011-2012.
Methodology: Cross-sectional study, which determines the validity and reliability of psychometric scales of Leadership and Management Inventory. The unit of analysis is constituted by the items and tasks organization, information and communication, development and support of subordinates, and co-decision analysis. The sample is not random, intentional. The data collection was done through the “Inventory Scale Psychometric Leadership and Management”. The research met the ethical requirements of Ezekiel Emmanuel.
Results: Cultural adaptation back-translation method, there was equivalence with the original version. In facade valid agreement was reached close to 100%. The profile of the sample, the average age was 34.5 years, standard deviation 0.316 and 9.1 average working years. The 90.90% were women, 72.72% single, worked in shifts in 63.63% and 72.72% had management courses. In percentage distribution of the items of the scale the item “you describe and explain the decisions taken at the level of the organization in the hospital” met 45.45%, and the item “you describe and explain the consequences of policy decisions” 90.90% in the categories lesser extent and no action. The item “you know to ask the questions in clinical management in the levels of Hospital and how to impact” 74.34% and “has brought knowledge of the laws, agreements and directives affecting Hospital staff” 63.63% in the categories in very minor as a lesser extent and in any action.
Discussion and conclusions: We show deficits in decision making, conflict resolution, implying limitations in clinical management (delegation) and legislation. They are also poor information and communication. So to evaluate the management of the units described, validated instruments are needed to estimate the human resource decision making and communication aspects involved in effective management.

Keywords:

leadership; nursing; scales; validity (DECS)

Versión en Español

Título:

Validación de escala de liderazgo y gestión en enfermeros del hospital Dr. HERNÁN HENRÍQUEZ ARAVENA, Temuco, años 2011-2012

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. ANDE. Gestión clínica de los cuidados de enfermería. [En línea] [fecha de acceso: 18 de diciembre de 2011]. URL disponible en: http://www.ande.org/descargables/GestionClinica.pdf
  2. Milos P, Bórquez B, Larraín AI. La gestión del cuidado en la legislación chilena: interpretación y alcance. Cienc. enferm. 2010; 16(1):17-29.
  3. Del Castillo A, Khosravi P. Reingeniería en el proceso de gestión e innovación de la asistencia médica hospitalaria. Anales de medicina interna 2005; 22(11):509-510.
  4. Duffield C. First-line nurse managers: issues in the literature. Journal of Advanced Nursing 1991; 16(10):1247-53.
  5. Everson-Bates S. Ethnography of Hospital Based First-Line Nurse Managers Practicing in an Expanded Role. The Nurse Manager 1990. [En línea] [fecha de acceso: 11 de diciembre de 2011]. URL disponible en: http://books.google.com/books/about/The_nurse_manager.html?id=S6Y3cAAACAAJ
  6. Fullerton M. The changing role and educational requirements of the first-line nurse manager. Can J Nurs Adm. 1997; 10(2):14-39.
  7. Nicklin WM. Transition from the traditional head nurse to the nurse manager of the 90. Can J Nurs Adm.1995; 8(3):96-114.
  8. Zarate R. La Gestión del Cuidado de Enfermería. Index Enferm. 2004; 13(44-45):42-46.
  9. Oteo LA, Silva D, Garrido J. Desarrollo de los criterios del modelo europeo de gestión de calidad en hospitales públicos. Gestión Hospitalaria 2000; 11:127-143.
  10. Robbins S. Comportamiento Organizacional. Teoría y Práctica. 7ª ed. México: Prentice Hall; 1996.
  11. Marriner A. Guía de Gestión y Dirección de Enfermería. 6ª ed. Madrid: Harcourt-Mosby; 2001.
  12. Huber D. Liderazgo y Administración en Enfermería. México: McGraw-Hill Interamericana; 1996.
  13. Ugboro IO. Loyalty, value congruency and affective organizational commitment: an empirical study. Mid American Journal of Business 1993; 8(2):29-36.
  14. Feldman H, Jaffe-Ruiz M, McClure M, Greenberg M, Smith T, Nelson M, et ál. Nursing Leadership. New York: Springer; 2008.
  15. Bratt MM, Broome M, Kelber S, Lostocco L. Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses. American Journal of Critical Care 2000; 9(5):307-317.
  16. Upenieks y Valda V. The Interrelationship of Organizational Characteristics of Magnet Hospitals, Nursing Leadership, and Nursing Job Satisfaction. Health Care Manager Journal 2003; 22(2):83-98.
  17. Tapp D, Stansfield K, Stewart J. La autonomía profesional en la práctica de la enfermería. AQUICHAN 2005; 5(1):114-127.
  18. ANDE. Gestión del producto enfermero. MINSAL 2007. Norma general administrativa nº 19. Gestión del cuidado de enfermería para la atención cerrada. (RES EXENTA Nº 1127). [En línea] [fecha de acceso: 11 de noviembre de 2011]. URL disponible en: http://www.minsal.cl/juridico/RESOLUCION_1127_07.doc
  19. Skytt B, Carlsson M, Ljunggren B, Engstrã M. Psychometric testing of the Leadership and Management Inventory: a tool to measure the skills and abilities of first-line nurse managers. Journal of Nursing Management 2008; 16(7):784–794.
  20. Streiner D, Norman G. Health Measurement Scales: a Practical Guide to their Development and Use. 3rd ed. Oxford: Oxford University Press; 2003.
  21. Ezequiel E. Requisitos. [En línea] [fecha de acceso: 11 de noviembre de 2011]. URL disponible en: http://www.bioeticachile.cl/html/documentos/ceic/Emanuel7requisitos.doc
  22. Guba E, Lincoln Y. Effective evaluation: improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass; 1981.
  23. Stewart R, Liddell JM. Comparison of personal characteristics: high and low ability student nurses and year of training in New Zealand. Social Behavior and Personality Research 1976; 4(2):161-169.
  24. Garrido J. Enfermería: un análisis sobre la tríada creencias, actitudes y valores. Actas de las XVI Sesiones de Trabajo de la AEED. Ante los problemas de marginación: las enfermeras responden. Madrid: AEED; 1996.
  25. Pérez A, Tirado A, Pérez Minayo MT, Jara FJ, Cuadri MJ, Cuadrado A, et ál. Escuela Universitaria de Enfermería Virgen del Rocío, nuestro perfil de valores. Salud y Cuidados 2002; 0(3).
  26. Aguila Luzón MA, Calvo Salguero A, García Hita M. Valores laborales y percepción del estilo de liderazgo en personal de enfermería. Salud pública Méx. 2007; 49(6):401-407.
  27. Evans MG. The effects of supervisory behavior on the path-goal relationship. Organ Behav Hum Perform 1970; 5:277-298.
  28. House RJ. A path-goal theory of leader effectiveness. Adm Sci Q 1971; 16:321-338.