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academies
March 04-05, 2019 | London, UK
European Nursing Congress
Journal of Intensive and Critical Care Nursing | Volume 2
Relationships among five categories of front-line nurse managers visions discovered through their
narratives
Tamaki Isobe, Keiko Kunie, Yukie Takemura
and
Mari Ikeda
University of Tokyo, Japan
Background:
For effective unit management, front-line nurse
managers (FLMs) must imagine and share their visions.
Previously, we found that despite difficulties in verbalizing their
visions, FLMs could explain actual cases where they felt those
visions had come closer to realization; qualitative inductive
analysis of their narratives about the actual cases revealed
five categories (18 subcategories), common to all participants,
comprising the contents of FLMs’ visions. However, how these
categories relate to each other remained unanalyzed.
Objective:
To elucidate relationships among the above-
mentioned five categories by analyzing the narrative data and
employing a novel point of view. Methods: Using a qualitative
inductive approach, we analyzed the same interview data from
the previous study (from 12 FLMs in two university hospitals).
We focused on the narrative contexts, which indicated
relationships among the categories.
Results:
FLMs envisioned five common categories that
they aimed to realize simultaneously and perceived mutual
interactions among these categories. FLMs recognized that
the category of 1. Provide excellent care to ensure patient
recovery based on reliable knowledge and skills” is the essential
foundation. They simultaneously tried to realize “2. Make
effort to broaden patients’ future.” “3. Create a climate for
pursuing better practice” and “4. All staff continuously pursue
development as a nurse” were closely related categories. FLMs
perceived that promoting categories 3 and 4 led to realizations
of the first and the second categories, and vice versa. “5. Provide
nursing care that responds to external changes” was perceived
as a category that, in addition to the external environment,
could change the contents of the other categories. Therefore,
FLMs aimed to realize their visions by changing actual specific
details of categories 1, 2, 3, and 4.
Conclusion:
The five categories of FLMs’ visions can be
considered inseparable and articulating them collectively will
be helpful for FLMs.
Speaker Biography
Tamaki Isobe, RN, MHS, is a doctoral course student of Nursing Administration at
Graduate School of Medicine, the University of Tokyo. Over the course of seven years
of clinical experience as an RN at university hospitals in Tokyo, she become interested
in workplaces that can effectively motivate nurses. Her research interest is sharing of
visions between front-line nurse managers and staff nurses. Her dissertation for her
MHS addressed elucidating front-line nurse managers’ visions.
e:
tamakiisobe-tky@umin.ac.jp