NURSING LEADERSHIP BEHAVIORS IN DISTRESSED HOSPITALS.
Contributors: University Of Illinois At Chicago, Health Sciences Center.
Published: 1993
Number of pages: 165
Subjects: Health Sciences, Nursing.; Health Sciences, Health Care Management.
Description: A qualitative study of nursing leadership behaviors in distressed hospitals was carried out using a descriptive approach. Face-to-face interviews were conducted with nine chief nurse executives (CNEs) managing in distressed hospitals and a smaller comparison group of three chief nurse executives managing patient care divisions in nondistressed hospitals. Information on demographics, responses to distress, decision making, organizational power, and leadership was collected from both groups.

The CNEs in distressed hospitals had a greater number of and more severe environmental pressures and management difficulties than the CNEs in nondistressed hospitals. Pressures to manage effectively and efficiently with fewer resources existed with a decreased ability to recruit qualified nursing staff, inadequate information for decision making, an inability to maintain basic levels of patient care, and the need to plan and develop programs in a contingency mode.

The CNEs in nondistressed hospitals, while describing increasing attention to cost constraints in their facilities, had higher levels of organizational slack to manage their divisions. Nursing services at these facilities were described as adequate and high level in quality and scope. Information and financial systems were supports for decision-making and policy development. A long-term framework was used for planning and program development.
Notes: Source: Dissertation Abstracts International, Volume: 54-04, Section: B, page: 1892.

Thesis (PH.D.)--UNIVERSITY OF ILLINOIS AT CHICAGO, HEALTH SCIENCES CENTER, 1993.

School code: 0806.