IMPLEMENTATION OF CNA STANDARDS FOR NURSING ADMINISTRATION (CANADA).
Contributors: University of Alberta.
Published: 1990
Number of pages: 347
Subjects: Health Sciences, Nursing.; Health Sciences, Health Care Management.
Description: The purpose of this study was to examine the process of policy implementation through the identification of factors influencing an organization and strategies for nurse administrators to consider in order to implement a position paper articulating the role of and standards for nurse administrators. Data were collected through the use of a policy Delphi methodology. Study participants consisted of an advisory panel of nurse administrators in acute care and long-term care, urban and rural settings in Alberta and a reaction panel of senior nurse administrators from teaching hospitals across Canada. The advisory panel provided data for three-rounds of questionnaires which identified factors expected to influence an implementing organization; rated the factors regarding their degree of influence, importance and impact, and recommended strategies for implementation. The reaction panel provided data regarding the degree of impact of the factors and also recommended strategies for implementation.

The major findings of this study suggested that governance factors were considered to have the highest degree of influence on the implementation process followed closely by political, implementor, economic and regulatory factors. The chief nurse administrator was considered to be the primary factor in the implementation process. Two major influences of process and issues were identified as well as ten areas of influence requiring action or resolution to initiate the implementation process. The greatest area of influence in relation to the chief nurse administrator was perceived to be professional domain, followed by creative resource priority setting and health consumer expectations.

Study participants recommended 302 implementation strategies which addressed each major influence and area of influence. The study findings also suggested that nurse administrators from both the advisory and reaction panel demonstrated a high degree of agreement while rating major factors for their degree of impact on the chief nurse administrator.

Conclusions were drawn regarding the organizational setting, the conceptual framework utilized in the study and the efficacy of the policy Delphi. Implications were proposed in the form of ten propositions with specific strategies for action. Implications for nursing colleagues were presented and future research suggested.
Notes: Source: Dissertation Abstracts International, Volume: 53-01, Section: B, page: 0201.

Thesis (PH.D.)--UNIVERSITY OF ALBERTA (CANADA), 1990.

School code: 0351.