The Relationship between Nurse Manager Leadership Attributes and Nurse Clinical Autonomy: Magnet Versus Non-Magnet Hospitals

Purpose: This research evaluated relationships among hospital types (Magnet versus non-Magnet), nurse manger leadership attributes, and staff registered nurse autonomy. Hypothesis: Magnet hospital status would be related to positive nurse manager leadership attributes which would be related to greater clinical nurse autonomy and nurse manager leadership would mediate relationships between hospital status and clinical nurse autonomy. Conceptual Basis and Background: Structural Contingency Theory modified in the Nursing Systems Outcomes Research model was the research model for conceptualizing the structure-environment-effectiveness relationship. Critical Social Theory (CST) provided the conceptual/motivational basis for this study, a lens through which to frame the question. Clinical nurse autonomy is characteristic of hospitals noted for good patient outcomes and excellent nursing care. Research demonstrates that leadership attributes of nurse managers are related to increased nurse autonomy and positive patient outcomes. Magnet hospitals have been found to have superior nurse executive attributes, greater nurse autonomy, and high-quality nursing care and to generate better patient care outcomes than non-Magnet hospitals. Design and Methods: This study employed a pre-experimental, cross-sectional correlational design. Two groups (nursing managers and staff registered nurses) represented Magnet and non-Magnet hospitals. These two types of hospitals were matched on 12 criteria for a total of 388 hospitals. Statistical power analyses demonstrated sufficient power for detecting down to between medium effects and large effects for the 104 units included. Chief Nursing Officers, nursing managers and staff registered nurses were contacted via email addresses or phone numbers. Measurements were demographic questions, and assessments for leadership actions (Nurse Managers\u27 Actions Scale, Mrayyan, 2004) and clinical autonomy (Autonomy Scale developed by Blegen, Goode, Johnson, Maas, Chen & Moorhead, 1993). Results: There were no mean differences between hospital types. There was a relationship between manager leadership attributes and nurse clinical autonomy and this relationship was dependent on Magnet status. Implication: This type of research will help identify leadership traits and attributes that empower nurse autonomy, which is related to better nurse recruitment, nurse job satisfaction, nurse retention, and patient outcomes, and it will evaluate the role of Magnet hospital status in these relationships. It may also enable developing alternative praxis-based approaches

Handboek Ouderenpsychiatrie. Utrecht, de Tijdstroom, derde, gewijzigde en uitgebreide druk, 2010

Boekbespreking Roos van der Mast, Thea Heeren, Martin Kat, Max Stek, Mathieu Vandenbulcke en Frans Verhey (red.) Handboek Ouderenpsychiatrie. Utrecht, de Tijdstroom, derde, gewijzigde en uitgebreide druk, 2010; 660 pag. met CD-rom, 49 3

Three Styles in the Study of Violence

This is a postprint (accepted manuscript) version of the article published in Reviews in Anthropology 37:1-19. The final version of the article can be found at http://dx.doi.org/10.1080/00938150701829525 (login required to access content). The version made available in Digital Common was supplied by the author.Accepted Manuscripttru

Gods huis in de steigers

In this book three anthropologists explore contemporary religious architecture and they develop an original vision on the religious landscape in the Netherlands and Europe. Mosques, synagogues and churches do not only facilitate and symbolize religion, the intimate relationship we have with these buildings touches the essence of what religion is today - in both a positive and a negative sense

The Politics of Pleasure: Promenading on the Corniche and Beachgoing

Can the pleasures of young Palestinian women from refugee camps in promenading on the Beirut seaside Corniche on a warm summer evening be political? Or days spent at women-only beaches? If so, how do we understand such pleasure as everyday practices, as a politics of the present moment, or conversely (or simultaneously) as mechanisms of being co-opted into a broader apparatus of consumerist ideology and capitalist complacency? Drawing on ethnographic research over 2 years I argue that these moments of pleasure are caesuras in the massive apparatus of power – welded from strands of work, neoliberal practice, nationalist certitudes and political exclusion – which binds these women. These acts of pleasure cannot easily be categorised as ‘resistance’ but I argue that they should not facilely be considered reinforcements of hegemonic control either. They are momentary and ephemeral recognitions of ordinary life lived in hard times, attempts at clawing back an instant of joy from the drudgery of the everyday, and a surrender to the enjoyment of conviviality in public and urban spaces. If they are at all political, they are so because such conviviality is ever harder to sustain in the calamity of hopelessness that characterises so much politics today