بررسي انتقال پرستاران به نقش سرپرستاري و عوامل مرتبط با آن در بيمارستان هاي استان مازندران در سال 1389

Role Transition from Nurse to Head Nurse and the Related Factors in the Hospitals of Mazandaran Province in 2010

Background and purpose: The role of head nurses in delivering health care is important and training and making them physically and mentally (attitude and belief) ready to accept the role is also important, so the researchers aimed at identifying and explaining the factors influencing the formation and the maintenance of the nursesʹ commitment to clinical nursing identity. Materials and methods: The participants in this cross-sectional study were 123 male and female head nurses (based on Morgan Table) working in Mazandaran hospitals. The participants were randomly selected and were asked to fill in a questionnaire. For data analysis, Spearman correlation coefficient was used to measure the amount of correlation among variables and multiple regression analysis was employed to determine the variables related to commitment to clinical nursing identity. Results: There was a significant positive relationship between "self-efficacy" and "attitudes toward the nurse to head nurse role transition" (r = 0.438), the same relationship was found between "social norms" and "attitudes toward the nurse to head nurse role transition" (r= 0.627). On the other hand, there was no meaningful relationship between "attitudes toward the nurse to head nurse role transition" and "behavioral beliefs" (r= 0.437). Contrary to the expectations, there was a positive relationship between "attitudes toward the nurse to head nurse role transition" and "commitment to clinical nursing identity" (r= 0.369). Conclusion: According to the aforementioned findings, nurses should be informed of the effectiveness of the managerial roles in the hospitals and in the clinical improvement of the patients so that the head nurses are provided with their colleaguesʹ support.