Y�netici Hem�irelerin Hem�irelik �al��ma Ortam�na �li�kin G�r��leri: Kalitatif �al��ma

¹Ko� �niversitesi Hem�irelik Fak�ltesi
²Sa�l�k Bilimleri �niversitesi T�p Fak�ltesi T�p Tarihi ve Etik Anabilim Dal�
³�stanbul �l Sa�l�k M�d�rl��, E�itim Birimi
⁴Ac�badem Mehmet Ali Ayd�nlar �niversitesi Sa�l�k Bilimleri Fak�ltesi Hem�irelik B�l�m�
⁵TEV Ezel G�len K�ray Mesleki ve Teknik Anadolu Lisesi

G�R�� ve AMA�:
G�R��: �al��malar, hem�irelik �al��ma ortam�n�n sa�l�k kurulu�lar�nda hasta ve hem�ire sonu�lar�n� iyile�tirmede �ok �nemli oldu�unu g�stermi�tir. Y�netici hem�irelerin sa�l�kl� �al��ma ortam� yaratmada �ok �nemli sorumluluklar� vard�r.
AMA�: Bu �al��ma, �st d�zey y�netici hem�irelerin hastanelerde hem�irelik �al��ma ortam� hakk�ndaki g�r�� ve deneyimlerini ortaya koymak amac�yla yap�lm��t�r.

Y�NTEM ve GERE�LER: Y�NTEM: Bu tan�mlay�c� ve nitel �al��ma �stanbul'da ger�ekle�tirilmi�tir. �zel hastanelerde veya devlet hastanelerinde �al��an 18 �st d�zey y�netici hem�ire ile yar� yap�land�r�lm�� bireysel derinlemesine g�r��me yap�lm��t�r. Veriler kay�t cihaz� ile kaydedilmi� ve tematik olarak i�erik analizi yap�lm��t�r.

BULGULAR:
BULGULAR: Liderlik ve y�netim uygulamalar�, hem�ire insan kayna�� ve y�netimi, ileti�im ve ili�ki y�netimi olmak �zere �� ana tema belirlenmi�tir. Y�netici hem�irelerin �zerkli�inin d��k oldu�u, hastane y�netim kararlar�na kat�l�m�n�n yetersiz oldu�u ve y�netici hem�irelerin temizlik faaliyetleri gibi hem�irelik d�� destek hizmetlerle ilgili koordinasyonu sa�lad�klar� saptanm��t�r. Y�netici hem�ireler, hastanelerde e�itim-geli�tirme faaliyetleri ve terfi imkanlar� olmakla birlikte, hem�irelerin nitelik ve niceliklerinin �ok yetersiz oldu�unu, i� y�k� ve devir h�zlar�n�n �ok y�ksek oldu�unu, �al��ma ko�ullar�n�n iyi olmad��n� ve �zellikle ku�aklar� y�netmede �ok zorland�klar�n� belirtmi�lerdir. Ayr�ca hem�ire-hekim ve hem�ire-hem�ire aras�ndaki i�birli�i ve ileti�imde sorunlar ya�and��n� bildirmi�lerdir.

TARTI�MA ve SONU�: Bireysel derinlemesine g�r��melerden elde edilen sonu�lar, y�netici hem�irelerin hem�irelik �al��ma ortam� ile ilgili pek�ok sorun ya�ad��n� g�stermektedir. Y�netici hem�irelerin sa�l�kl� �al��ma ortam� standartlar�n� hayata ge�irebilmeleri i�in kendi ekipleri, birlikte �al��t�klar� y�neticiler ve politika yap�c�lar ile ileti�im ve i�birliklerini g��lendirmeleri �nerilir.
Anahtar kelimeler: Hastane, hem�irelik �al��ma ortam�, y�netici hem�ire.

Anahtar Kelimeler:

Executive Nurses� Views about Nursing Work Environment: A Qualitative Study

¹Ko� University School of Nursing
²University of Health Sciences, Faculty of Medicine
³Istanbul Provincial Health Directorate
⁴Ac�badem Mehmet Ali Ayd�nlar �niversitesi Sa�l�k Bilimleri Fak�ltesi Hem�irelik B�l�m�
⁵TEV. Ezel G�len K�ray Mesleki ve Teknik Anadolu Lisesi

INTRODUCTION: INTRODUCTION: Studies showed that the nursing work environment is crucial to improve patient and nurse outcomes in healthcare organizations. Executive nurses have important responsibilities in creating a healthy work environment.
AIM: This study was conducted to evaluate executive nurses� views and experiences about nursing work environment at hospitals.

METHODS: METHODS: This descriptive and qualitative study was conducted in Istanbul. There were 18 semi-structured and directed interviews with executive nurses who are working in private and public hospitals. Data were collected by tape recorder and were analyzed thematically.
RESULTS: RESULTS: There were three main themes: leadership and management practices, nursing staffing and management, and management of relationship and collaboration. It was revealed that the executive nurses� autonomy is low and participation to hospital executive decisions are inadequate, and they provide coordination of non-nursing activities such as housekeeping activities. Executive nurses stated that although there are training and development activities and promotional opportunities in hospitals, the quality, and quantity of nurses are very inadequate. Additionally, they specified that nurses� workload, turnover rate are very high, working conditions are not good, and they had difficulty in generation management. It was also stated that there are problems in cooperation and communication between nurse-physician and nurse-nurse.
DISCUSSION AND CONCLUSION: CONCLUSION: Results from individual in-depth interviews, show that executive nurses have many managerial problems in terms of nursing work environment. It is recommended that executive nurses strengthen their communication and collaboration with their teams, managers and policy makers in order to implement healthy workplace standards.
Keywords: Hospital, nursing work environment, executive nurse.

Keywords:

Nilg�n G�ktepe, Emine T�rkmen, Ayda Kebap��, Selvinaz Albayrak, �brahim Top�u, Mukaddes Turan Miral, �ehriban Serbest, Duygu �zcan. Executive Nurses� Views about Nursing Work Environment: A Qualitative Study. Journal of Health and Nursing Management. 2020; 7(1): 17-30

Sorumlu Yazar: Nilg�n G�ktepe, T�rkiye