Canadian journal of nursing administration 

About: Canadian journal of nursing administration is an academic journal. The journal publishes majorly in the area(s): Health care & Nurse Administrator. It has an ISSN identifier of 0838-2948. Over the lifetime, 158 publications have been published receiving 2014 citations.

Overcoming resistance to change.

Abstract: The pace of change in health care organizations challenges nursing administrators at all levels of management to be effective change agents. As resistance is an inevitable element in the process of planned change, inclusion of interventions to overcome resistance is critical to the change agent role. The author presents five theoretically-based strategies for reducing the levels of resistance to planned change.

The Delphi methodology (Part Two): A useful administrative approach.

Abstract: The Delphi methodology can provide nurse administrators with relevant and accurate information to facilitate decision making. This paper, the second of a two part series, familiarizes nurse administrators with the application of the Delphi methodology in needs assessments, priority setting, changes in nursing practice, identification of cost containment approaches, development of effectiveness indicators, values clarification, and forecasting. Examples from the health sciences literature and our experiences in administration are presented to outline appropriate approaches for nurse administrators planning similar applications.

Staff nurses' perceptions of job empowerment and level of burnout: a test of Kanter's theory of structural power in organizations.

Abstract: Kanter's structural theory of organizational behavior was used as framework to explore the relationship between perceptions of power and opportunity and level of burnout in a sample of 87 hospital staff nurses. Data were collected using a modified version of the Conditions for Work Effectiveness Questionnaire (Chandler, 1986) and the Human Services Survey (Maslach & Jackson, 1986). Consistent with Kanter's theory, perceived access to power and opportunity was significantly related to the three aspects of burnout: level of emotional exhaustion and depersonalization (r = -.3419, p = .004; r = -.2931, p = .02), and personal accomplishments (r = .3630, p = .002). The results of this study are useful for nurse administrators positioned to create organizational structures than empower staff nurses and subsequently decrease burnout.

The impact of organizational downsizing on the job satisfaction of nurses.

Abstract: Professional nurses across Canada are being affected by health reform initiatives designed to deinstitutionalize the health care system This panel study examined the impact this restructuring has had on nurses' overall job satisfaction as well as their satisfaction with various aspects of their job and work environment The participants consisted of 345 nurses employed in 3 community hospitals in southwestern Ontario Hospital downsizing had relatively little effect on overall job satisfaction, satisfaction with kind of work, amount of work, and physical work conditions However, compared to before the downsizing, nurses reported a significant deterioration in satisfaction with their career future, hospital identification, supervision, and co-workers following the implementation of restructuring initiatives We discuss the organizational and management implications of these findings and suggest ways that hospital administrators can minimize the negative effects of downsizing on nursing professionals

Job satisfaction, propensity to leave and burnout in RNs and RNAs: a multivariate perspective.

Abstract: This investigation used a multivariate approach to examine similarities and differences between the job satisfaction, propensity to leave, and burnout of registered nurses (RNs) (n = 623) and registered nursing assistants (RNAs) (n = 231). At best, both groups were only moderately satisfied with their jobs, and there were no significant differences between the groups on the outcome measures of satisfaction, burnout or propensity to leave. However, RNs with more years of work experience reported highest job satisfaction, lowest levels of burnout, and were less likely to leave their positions. None of these variables were related to the length of time RNAs were employed. When comparative analyses were conducted by unit types, RNs in psychiatric settings were least satisfied with their jobs, more likely to leave their positions, and reported more burnout than did RNs in other settings. Implications of the study for interventions and future research are discussed.