New Graduate Nurses’ Experiences Of Engaging In A Leadership Role In Hospital Settings During The Covid-19 Pandemic, Justine Jeanelle Ting

Electronic Thesis and Dissertation Repository

New graduate registered nurses are often expected to assume leadership roles and responsibilities quickly upon entering practice. Since the emergence of the COVID-19 pandemic, new nurses may find their leadership capabilities tested even further as the demands of leadership have been made increasingly complex in the context of an infectious disease outbreak. The purpose of this interpretive descriptive study was to explore new graduate registered nurses’ experiences of engaging in frontline leadership roles in hospital settings during the COVID-19 pandemic. In-depth interviews were conducted with 14 participants across Ontario. Content analysis revealed four main themes: nominated and necessitated into leadership …

Reddit And Nursing During Covid-19: A Summative Content Analysis, Julia C. Savin

Electronic Thesis and Dissertation Repository

Purpose: The purpose of this thesis was to explore what self-identified nurses discussed on the nursing SubReddit during the Covid-19 pandemic between March 2020 to May 2020.

Methods: The Hsieh and Shannon (2005) summative content analysis with emergent categorical development was used to categorize the naturalistic data.

Findings: Through analysis, six content categories were identified from the nursing SubReddit: (a) employers’ approaches to the pandemic; (b) emergency preparedness in response to the pandemic; (c) shared experiences; (d) nursing students and new graduate nurses; (e) coping; and, (f) gratitude to nurses.

Implications: (a) Leadership that is communication-focused will improve the quality …

The Effect Of Authentic Leadership And New Graduate Support On New Graduate Nurses' Job Satisfaction, Stephanie H. Prtenjaca

Electronic Thesis and Dissertation Repository

The purpose of this study was to test a theoretical model linking authentic leadership to new graduate nurses’ job satisfaction through its effect on new graduate support. This study was a secondary analysis of Time 1 baseline data collected in a two-wave national study of Canadian new graduate nurses, which used a non-experimental, predictive survey design. A convenience sample of 215 new graduate nurses with less than two years of experience, working in direct care, was obtained through The College of Nurses of Ontario. Hayes’ PROCESS macro for SPSS, version 3 was used to test the hypothesized simple mediation model. …

Unit Managers’ Authentic Leadership, Staff Nurses’ Work Attitudes And Behaviours, And Outcomes Of Care: A Structural Equation Model, Lisa M. Giallonardo

Electronic Thesis and Dissertation Repository

Nursing leadership is fundamental in the development of positive work attitudes and behaviours among staff nurses, and the provision of high quality patient care. Although direct empirical links were well established, there was a lack of research testing the indirect effects of leadership on nurses and patients. As such, it was proposed that the concept of authentic leadership could help explain the complex psychological processes that mediated relationships between nurse managers’ leadership, staff nurses’ work attitudes and behaviours, and outcomes of care.

The purpose of the present study was to test a model of authentic leadership in a sample of …

A Study Of Job Satisfaction And Turnover Intention Among Acute Care Nurses Working In Rural And Urban Settings, Yasin Yasin

Electronic Thesis and Dissertation Repository

In Canada, a close look at the nursing workforce shows a decline due to limited supply and increasing demand resulting in a looming shortage in the near future. Retaining nurses’ is a key strategy to overcome the shortage by limiting nurses’ turnover. Nurses’ job dissatisfaction is the most significant predictor of turnover intention and is associated with undesired outcomes such as nurses’ absenteeism, burnout, low service quality, and patient dissatisfaction. The differences in factors affecting job satisfaction between rural and urban nurses have not been fully studied. This study aimed to identify the differences and similarities in the extrinsic and …

Exploring Mental Health, Physical Health, And Affective Commitment In Acute Care Oncology Nurses In Ontario, Lesley M. Smith

Electronic Thesis and Dissertation Repository

With reports of a steady increase in cancer risk as the present population ages (Canadian Cancer Society’s Advisory Committee on Cancer Statistics, 2017; Statistics Canada, 2017), and little knowledge of a definitive cure, ensuring cancer sufferers and their families are adequately supported is increasingly essential. Oncology nurses must therefore be the focus of current and future research, as their front-line presence in the lives of those afflicted, is quite substantial. Further, oncology nurses report the most physical symptoms and second highest levels of emotional distress among cancer care health professionals (Jones, Wells, Gao, Cassidy, & Davie, 2013; Kash et al., …

Exploring The Relationships Among New Graduate Nurses’ Structural Empowerment, Psychological Empowerment, Work Engagement, And Clinical Nurse Educator Leadership In Acute Care Settings, Carly Blair

Electronic Thesis and Dissertation Repository

Background: This study aimed to examine relationships and to gain further knowledge into the significance of the leadership role of acute care clinical nurse educators and the relationship with structural empowerment, psychological empowerment, and work engagement amongst new graduate nurses working in acute care settings.

Methods: 83 participants, registered with the College of Nurses of Ontario (CNO), responded to a mail-out survey package containing four instruments corresponding to each study variable, along with a demographic questionnaire. The analysis includes study descriptives, correlations of total and subscales, and moderation analysis of structural empowerment, psychological empowerment and clinical nurse educator leadership

Results: …

Leader Empowering Behaviour As A Predictor Of Nurse And Patient Outcomes, Karen Cziraki

Electronic Thesis and Dissertation Repository

Nursing leadership remains a critical factor during healthcare transformation. Nurse leaders who promote healthy working conditions have been associated with positive nurse and unit outcomes. However, mechanisms to explain how they influence outcomes are not understood (Cummings et al., 2018). Conger and Kanungo’s (1988) Process Model of Empowerment provided a framework to examine how leader empowering behaviour (LEB) influenced experienced nurses’ self-efficacy (SE), interprofessional collaboration (IPC), job turnover intentions (JTI) and nurse-assessed adverse patient outcomes (NAAE).

A non-experimental predictive design and structural equation modelling techniques in Mplus were used to conduct a secondary analysis of experienced registered nurses’ data ( …

Registered Nurses’ Perceptions Of The Electronic Canadian Triage And Acuity Scale In A Community Hospital, Andrea De Jong

Electronic Thesis and Dissertation Repository

In 2017, several hospitals in Ontario implemented the Electronic Canadian Triage and Acuity Scale (eCTAS). This new technology affects a critical area of the Emergency Department: triage. There is no research on Registered Nurses’ (RNs) perceptions of eCTAS. A quantitative non-experimental descriptive survey obtained and quantified RN perceptions of eCTAS at a hospital with a 23 bed Emergency Department. The Diffusion of Innovation Theory was used as the theoretical framework to help guide study development. Results indicate both positive and negative perceptions of eCTAS and that younger RNs are more likely to think eCTAS cues them to collect the relevant …

Examining The Relationships Among Authentic Leadership, Interprofessional Collaboration, And Nurse Assessed Adverse Events: A Mediation Model, Vanessa Safian

Electronic Thesis and Dissertation Repository

Adverse events that occur in healthcare settings may have serious negative implications for patients, families, health care providers, and healthcare organizations. There is a need for strong leadership to prevent and mitigate the damaging effects of adverse events. Authentic leaders have been shown to enhance interprofessional collaboration among healthcare providers and reduce the frequency of adverse events. The purpose of this study was to test the relationships among authentic leadership, interprofessional collaboration, and nurse assessed adverse events in a mediation model. A secondary analysis of 269 experienced registered nurses randomly selected from three provinces (Alberta, Nova Scotia, and Ontario) were …

Explaining Collaboration In Nursing Education Programs, Jason Powell

Electronic Thesis and Dissertation Repository

Abstract

As a result of 2000 legislation changes regarding entry-to-practice for nurses, collaborative nursing education programs were formed in Ontario. These legislative changes required Colleges of Applied Arts and Technology (CAATs) to find university partners to enter into collaborative arrangements in order to continue delivering nursing education, due to their inability to confer university baccalaureate degrees independently. Subsequently, 21 CAATs in Ontario merged with 13 university nursing programs and entered into an education partnership in order for their graduates to meet an entry-to-practice requirement of a university baccalaureate degree. These newly formed collaborative nursing education programs varied in delivery formats …

Relationships Among Authentic Leadership, Manager Incivility And Trust In The Manager, Ohood Ali Alkaabi

Electronic Thesis and Dissertation Repository

There have been growing concerns about manager incivility toward new graduate nurses which hinders their adaptation to the workplace environment. Manager incivility impairs the relationship between managers and their staff. Furthermore, nursing managers have a significant responsibility to facilitate new graduate nurses' transition into the nursing profession. The purpose of this secondary analysis was to examine the relationships among authentic leadership of managers and new graduate nurses’ experience of manager incivility and their subsequent degree of trust in their managers. Secondary analysis of the baseline data using a non-experimental, correlational design was conducted. A random sample of 1020 new graduate …

Authentic Leadership And Workplace Bullying Among Experienced Registered Nurses: Testing A Double Mediation Model, Edmund J. Walsh

Electronic Thesis and Dissertation Repository

The aims of this study were to assess the relationship between managers’ authentic leadership and workplace bullying among experienced registered nurses and examine whether this relationship is mediated by psychological capital and professional practice environment. This study was a secondary analysis of baseline survey data using a non-experimental, correlational design. A random sample of 478 nurses was obtained from Alberta, Nova Scotia, and Ontario. The hypothesized double mediation model was tested using PROCESS for SPSS. Overall, the model accounted for 23.2% of the variance in bullying. Significant direct effects were found between authentic leadership and psychological capital, professional practice environment, …

The Effects Of Authentic Leadership And Organizational Commitment On Job Turnover Intentions Of Experienced Nurses, Alexis E. Smith

Electronic Thesis and Dissertation Repository

High levels of turnover continue to pose a challenge to the nursing workforce amidst growing patient acuity and budget constraints. The presence of strong nursing leadership may address the need for healthy work environments that contribute to retention outcomes. The purpose of this study was to examine the effect of authentic leadership of managers, on experienced nurses’ affective, normative, and continuance organizational commitment, and ultimately job turnover intentions. This study used secondary analysis of data collected in a non-experimental survey of 478 registered nurses in Canada. Hayes’ PROCESS version 3 SPSS macro for mediation analysis was used to test the …

Fall Prevention In An Acute Care Hospital: The Challenges Encountered By Patients, Staff And Administrators, Barbara J. Watson

Electronic Thesis and Dissertation Repository

Abstract

Falls are frequent and often serious events that take place in hospitals. Healthcare providers find it challenging to minimize fall risk factors. In fact, just being in a hospital is a risk factor in itself! The aim of this thesis was to investigate the reasons behind patient falls, identify gaps in prevention strategies and suggest additional recommendations to improve patient safety. A mixed method approach was used to interpret the data and uncover the reasons for falls.

The first study was a secondary data analysis where 7,721 patient falls were examined. The data were taken from the hospital’s central …

The Influence Of Transformational Leadership On Nurse-Reported Patient Safety Outcomes, Sheila A. Boamah

Electronic Thesis and Dissertation Repository

Leadership is widely believed to be pivotal to providing high quality patient care and ensuring favourable organizational outcomes. To understand how nursing leadership affects patient outcomes, it is important to explore the mechanisms/ processes through which leaders produce desired patient outcomes. The purpose of this study was to examine how nurse manager use of transformational leadership behaviours creates empowering work environments that foster clinical leadership practices at the bedside, and ultimately, improve nurse and patient safety outcomes.

Bass’s (1985) transformational leadership theory provided the theoretical framework for the research. Transformational leadership behaviour was hypothesized to have positive effects on workplace …

Nurses' Workplace Social Capital: Development And Validation Of A Self-Report Questionnaire, Emily A. Read

Electronic Thesis and Dissertation Repository

Background: Social capital refers to resources created by and embedded in social relationships and has been identified as an important aspect of nurses’ work life. There is limited empirical evidence regarding its role and currently no valid and reliable self-report instruments to measure workplace social capital comprehensively.

Purpose: This study aimed to develop and test a self-report questionnaire to measure nurses’ workplace social capital and examine the nomologicial network of the concept including authentic leadership and structural empowerment as precursors of social capital and team effectiveness and patient care quality as outcomes.

Methods: A cross-sectional survey of 1,000 Registered Nurses …

Exploring The Career Pathways, Professional Integration And Lived Experiences Of Regulated Nurses In Ontario, Canada, Godfred O. Boateng

Electronic Thesis and Dissertation Repository

In the context of an enduring shortage of nurses, this study explores the career pathways and experiences of immigrant and Canadian-born nurses in two Ontario cities utilizing a qualitative research design consisting of 70 in-depth interviews. Differences in career entry and experiences of workplace conflict across immigration status and race are explored.

First, I explore successful immigrants’ pathways into the nursing profession and their social and economic integration into the Canadian economy in light of the traditional assimilation and segmented assimilation theories. The study reveals distinct career pathways taken by foreign-born nurses and Canadian born nurses. While Canadian-born nurses have …

The Relationship Between Inter-Professional Collaboration, Job Satisfaction, And Patient Safety Climate For Nurses In A Tertiary-Level Acute Care Hospital, Noha Mohammedali Hamlan

Electronic Thesis and Dissertation Repository

ABSTRACT

The purpose of this secondary data analysis study was to examine nurses’ perceptions about inter-professional collaboration (IPC), job satisfaction and patient safety climate and the possible relationship between them in a large tertiary care hospital in Ontario, Canada. The data used for this study came from a large quasi-experimental study to evaluate the impact of introducing a new model of IPC. D’Amour’s Inter-professional Collaboration, Hackman & Oldham’s Global Job Satisfaction, and Sexton’s Patient Safety Climate were the main instruments used in this study. Study results showed that nurses reported moderate levels of IPC (M= 3.56, SD= .65) as measured …

Organizational Support And Job Satisfaction Of Frontline Clinical Managers: The Mediating Role Of Work Engagement, Alexandra Peterson

Electronic Thesis and Dissertation Repository

Effective frontline clinical managers (FLM’s) strongly influence the safe and optimal delivery of healthcare. However, the motivational potential of FLMs working with limited job resources can be hindered, affecting healthcare unit staff morale and adversely impacting organizational performance and patient outcomes. Since managers act as role models for employees, it is crucial for organizations to understand the positive influence of job resources on motivation in order to foster positive FLM working conditions and promote their effectiveness. The purpose of this study was to test propositions drawn from the Job Demands Resources Model, specifically the motivational pathway, to examine the relationships …

The Influence Of Nurse Manager Transformational Leadership On Nurse And Patient Outcomes: Mediating Effects Of Supportive Practice Environments, Organizational Citizenship Behaviours, Patient Safety Culture And Nurse Job Satisfaction, Elizabeth A. Higgins

Electronic Thesis and Dissertation Repository

The Canadian Adverse Events Study (Baker, et al., 2004) revealed that the rate of adverse events in Canadian hospitals is 7.5% and almost 37% of these are preventable. Given these statistics, it is essential that healthcare organizations develop strategies and engage in leadership practices, which will address the complexity of healthcare processes and ensure that care is provided in a consistent, reliable manner in order to achieve the desired outcomes (Frankel, Gandhi & Bates, 2003). It is equally vital that leaders create supportive practice environments that promote a non-punitive culture of learning, continuous improvement, inter professional collaboration, and professional autonomy, …

Understanding Nurses' Knowledge Work, Heidi M. Siu

Electronic Thesis and Dissertation Repository

Hospitals are increasingly investing in technologies and electronic knowledge management systems to improve patient care outcomes. Yet, effective implementation of these initiatives has been difficult with questionable return on investment outcomes (Ontario Hospital Association [OHA], 2007, 2008). Paton (2009) argues that understanding how employees put their knowledge into action at work is essential to successful knowledge management for organizations. Thus, strategies that target nurses’ knowledge work may be more effective for hospitals; particularly in times of mounting fiscal deficits and demands for health services.

This study examined the behaviors, influences, and outcomes of nurses’ knowledge work. The hypothesized model was …

Comparison Of Housed And Homeless Patients With An Orthopedic Diagnosis, Susan M. Williams

Electronic Thesis and Dissertation Repository

Studies on homelessness have shown that people who are homeless are admitted to hospital more frequently, for longer periods of time, and at a younger age than people who are housed. Once admitted to hospital, discharge planning is difficult and resource intensive, often leading to discharge back to the streets or a shelter. This puts this population at risk for complications and readmission. Although people who are homeless are prone to orthopedic injuries, there is no research on the outcomes of patients who are homeless with orthopedic injuries. This retrospective, case control study, based on the social determinants of health, …

The Influence Of Resonant Leadership And Structural Empowerment On The Job Satisfaction Of Registered Nurses, Eunice Bawafaa

Electronic Thesis and Dissertation Repository

Abstract

There are longstanding and growing concerns about the demanding nature of work environments that affect nurses’ health, job satisfaction and provision of quality care. Specifically in healthcare settings, there is the need for leaders to create supportive work environments to avert these negative trends and increase nurse job satisfaction. The purpose of this study was to examine the influence of managers’ resonant leadership and nurses’ structural empowerment on their job satisfaction. A secondary analysis of data collected from a non-experimental survey design using a sample of 1216 registered nurses from nine provinces in Canada was conducted. Structural empowerment partially …

Re-Cognizing Power In The Culture Of Dementia Care Knowledge, Ryan T. Deforge

Electronic Thesis and Dissertation Repository

In light of increasing system demands, system regulations, and constrained resources, those living and working with dementia in the long-term care sector are vulnerable to oppressive care practices. This is true so long as our understanding of how social power affects the ways in which dementia care knowledge is created, shared, and enacted remains limited. Based on prolonged field observations and on informal and formal interviews with care recipients, family members, and staff, the aim of this critical qualitative research was to examine the culture of dementia care knowledge in two sites: a specialized dementia care unit in a long-term …

New Graduate Nurses' Structural Empowerment And Their Experience Of Co-Worker Incivility And Burnout, Pamela Bushell

Electronic Thesis and Dissertation Repository

Burnout among new graduate nurses [NGNs] is a risk to workplace retention and commitment to the nursing profession. With threats of nursing shortages, safeguarding and supporting NGN to maintain workplace allegiance and professional commitment is paramount. Research has highlighted the harmful effects of uncivil working environments and the deleterious effects it can have on working relationships. In this secondary analysis, Kanter’s (1977) theory of structural empowerment was tested using a predictive, non-experimental design in a sample of NGN working in acute care hospitals in Ontario. Two hypothesized models predicted that high levels of structural empowerment and low levels of coworker …

Effects Of Work Environments On Nursing And Patient Outcomes, Nancy M. Purdy

Electronic Thesis and Dissertation Repository

Nurses are leaving the profession due to high levels of job dissatisfaction arising from current working conditions characterized by heavy workloads, limited participation in decision making and lack of development opportunities (Canadian Health Services Research Foundation [CHSRF], 2006a). To gain organizational support for workplace improvements and thereby improve nursing retention, evidence is needed to demonstrate the impact of the work environment on patient care. The purpose of this study was to determine the relationship between nurses' perceptions of their work environment and the quality and risk outcomes for both the patient and the nurse. Kanter's (1977, 1993) theory of structural …