A study of chief nursing officers as the lead voice for the professional nurse : a phenomenological inquiry

Material Information

Title:
A study of chief nursing officers as the lead voice for the professional nurse : a phenomenological inquiry
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Ingwell, Charlene M.
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xiv, 179 leaves ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Notes

Abstract:
Background: Studies have shown job dissatisfaction, increased workload demands, poor working conditions and high patient acuity (overload) are among the challenges facing the registered nurse (RN) today. These challenges are also being faced by the Chief Nursing Officer (CNO), the lead voice for the professional nurse, in advancing the RN into a highly functioning professional practice guaranteeing, daily, the delivery of quality patient care. Today’s CNO must think differently to remove the barriers in the acute care setting, providing effective practice at the point of care. Purpose: The purpose of this study was to explore the lived experience of the CNO as the lead voice for the professional nurse in the acute care setting. This information may help determine how future CNOs will be even more successful as an effective advocate for the professional nurse and help identify the scope of the CNOs’ contribution to the nursing profession. Philosophical Underpinnings: Guided by the naturalistic inquiry paradigm, this qualitative, transcendental phenomenological inquiry (Moustakas’, 1994) yielded an understanding of the human experience of the CNO as the lead voice for the RN, within their context. Methods: This qualitative, transcendental phenomenology inquiry determined textural structural, composite descriptions through the lens of the participants to convey an overall essence of the CNOs’ lived experience as the lead voice for the RN. Results: CNOs experience bullying and unwritten hierarchy in the Corporate Suite. They are mostly unprepared to fully communicate in financial, business terms. CNOs rose through the ranks as a result of their clinical expertise and ability to meet challenges. Their primary focus is patient care, while the nursing workforce is essentially managed. This does not facilitate the development, growth and positive work environment for the professional nurse. Therefore, quality patient care is stymied. Conclusions: From this study of the lived experience of the CNO as the lead voice for the professional nurse, four themes emerged. The primary theme is challenging; with three essential themes of battling, morphing and relating. The demanding workday of the CNO does not leave time for strategizing or growth. CNOs realize their tenure is probably limited.
Thesis:
Thesis (Ph.D.)--Barry University, 2013.
Bibliography:
Includes bibliographical references (leaves 161-169).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Charlene M. Ingwell. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RT89.I64 2013_IngwellCharlene ( BU-Local )
Classification:
RT89.I64 2013 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations