Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Determining the Skills Required for Nurses by the Delphi Method and Comparing Them with the Skills: Mixed Method: Descriptive Research
Yönetici Hemşirelerde Olması Gereken Becerilerin Delphi Yöntemiyle Belirlenmesi ve Sahip Olunan Becerilerle Karşılaştırılması: Karma Yöntem: Tanımlayıcı Araştırma
Gülcan ÇİFTÇİOĞLU YALÇINa, Ülkü BAYKALb
aDepartment of Nursing, Mardin Artuklu University Faculty of Health Sciences, Mardin, Türkiye
bDepartment of Nursing, İstanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):153-61
doi: 10.5336/nurses.2022-89723
Article Language: EN
Full Text
ABSTRACT
 Objective: It was aimed to identify the skills that should senior- and lower-level manager nurses in Türkiye should possess, to compare the levels of presence of these skills in senior- and lower-level managers based on self-assessment the evaluations made by their subordinates. Material and Methods: The research was carried out in 2 stages, in which the Delphi method, one of the qualitative research methods. The universe of the first stage of the study consisted of executive nurses who are members of the Executive Nurses Association, included 57 administrators. The second phase of the research was composed of nurses, manager nurses working in 9 state hospitals and the sample of this stage consisted of a total of 442 nurses who volun- tarily agreed to participate in the study. Results: Skills were classified as: 'human relations and communication', 'nursing care management', 'human resource management', 'management and leadership', 'professionalism'. In study, a statistically significant difference was found between the self-evaluation of senior manager nurses and the assessment of mid-level manager nurses in all skills (p <0.05). There were statistically significant differences in the sub-dimensions of 'human relations and communication', 'management of nursing care', 'management and leadership', 'professionalism' in the evaluations of nurses, who are subordinates of low-level manager nurses (p<0.05). Conclusion: The skill list of senior, lower-level manager nurses were created under 5 main headings. When the status of possessing these skills was assessed by the subordinates of the superiors, it was found that the subordinates evaluated them significantly lower than their selfevaluations (p<0.05).

Keywords: Nursing; executive nurse skills; self-assessment; subordinate evaluation; Delphi technique
ÖZET
 Amaç: Türkiye'de üst ve alt düzey yönetici hemşirelerde olması gereken becerilerin oluşturularak, bu becerilerin üst ve alt düzey yöneticilerde bulunma düzeyinin öz değerlendirme ve astların değerlendirme sonuçlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Araştırma, nitel araştırma yöntemlerinden Delphi yöntemi ve nicel araştırma yöntemlerinin sıralı bir şekilde kullanıldığı 2 aşamada gerçekleştirilmiştir. Çalışmanın birinci aşamasının evrenini, Yönetici Hemşireler Derneğine üye yönetici hemşireler ile hemşirelikte yönetim eğitimi veren akademisyenler oluşturmuştur. Yönetici Hemşireler Derneğine üye olan, çalışmaya katılmayı kabul eden 57 yönetici ve akademisyen hemşire örneklemi oluşturmuştur. Araştırmanın ikinci aşamasının evrenini Mardin ili sınırlarında bulunan 9 devlet hastanesinde çalışan hemşireler ve yönetici hemşireler oluştururken, örneklemini çalışmaya gönüllü olarak katılmayı kabul eden toplam 442 hemşire (9 üst düzey yönetici hemşire, 39 orta düzey yönetici hemşire, 31 alt düzey yönetici hemşire ve 363 hemşire) oluşturmuştur. Bulgular: Beceriler 'insan ilişkileri ve iletişim', 'hemşirelik bakım yönetimi', 'insan kaynakları yönetimi', 'yönetim ve liderlik' ve 'profesyonellik' olmak üzere 5 ana başlıkta sınıflandırıldı. Araştırmanın ikinci aşamasında, üst düzey yönetici hemşirelerin öz değerlendirmeleri ile orta düzey yönetici hemşirelerin değerlendirilmeleri arasında tüm becerilerde istatistiksel olarak anlamlı bir fark bulundu (p <0,05). Alt düzey yönetici hemşirelerin astları konumundaki hemşirelerin değerlendirmelerinde ise 'insan ilişkileri ve iletişim', 'hemşirelik bakımının yönetimi', 'yönetim ve liderlik' ve 'profesyonellik' alt boyutlarında istatistiksel olarak klinik hemşireleri tarafından değerlendirildiklerinde anlamlı farklar olduğu bulundu (p<0,05). Sonuç: Çalışmada, üst ve alt düzey yönetici hemşirelerin beceri listesi 5 ana başlıkta oluşturuldu. Üstlerin astları tarafından becerilere sahip olma durumları incelendiğinde, kendi değerlendirmelerinden anlamlı fark yaratacak şekilde daha düşük değerlendirildikleri belirlendi (p<0,05).

Anahtar Kelimeler: Hemşirelik; yönetici hemşire becerileri; öz değerlendirme; astın değerlendirmesi; Delphi yöntemi
REFERENCES:
  1. Ahani A. Nilashi M, Ahmadi H. Evaluating the barriers of hospital information system implementation using analytic network processes (ANP) method. Journal of Soft Computing and Decision Support Systems. 2016;3(4):30-8. [Link] 
  2. Al-Moosa NH, Sharts-Hopko N. Using change management to redesign oman's health professions education sector. Health Professions Education. 2017;3(2):108-12. [Crossref] 
  3. Nilsson J, Engström M, Florin J, Gardulf A, Carlsson M. A short version of the nurse professional competence scale for measuring nurses' self-reported competence. Nurse Educ Today. 2018;71:233-9. [Crossref]  [PubMed] 
  4. Zuriguel-Pérez E, Lluch-Canut MT, Agustino-Rodríguez S, Gómez-Martín MDC, Roldán-Merino J, Falcó-Pegueroles A. Critical thinking: A comparative analysis between nurse managers and registered nurses. J Nurs Manag. 2018;26(8):1083-90. [Crossref]  [PubMed] 
  5. Ayuso-Murillo D, Colomer-Sánchez A, Herrera-Peco I. Communication skills in ICU and adult hospitalisation unit nursing staff. Enferm Intensiva. 2017;28(3):105-13. English, Spanish. [Crossref]  [PubMed] 
  6. Kavuncubaşı Ş, Yıldırım S. Hastane ve Sağlık Kurumları Yönetimi. Hastane Organizasyonu. Kavuncubaşı Ş. 5. Baskı. Ankara: Siyasal Kitabevi; 2018. p.111-3.
  7. Buchbinder S, Shanks N. An overview of health care management. Introduction to Health Care Management. 2nd ed. UK: Jones & Bartlett Publishers; 2011. p.28-81.
  8. Groves KS. Talent management best practices: how exemplary health care organizations create value in a down economy. Health Care Manage Rev. 2011;36(3):227-40. [Crossref]  [PubMed] 
  9. Lambeth JM. Research foci for career and technical education: Findings from a national Delphi study [Doctoral dissertation]. Texas A&M University; 2008. Erişim Tarihi: 09.06.2020. Retrieved from [Link] 
  10. Guo KL. A study of the skills and roles of senior-level health care managers. Health Care Manag (Frederick). 2003;22(2):152-8. [Crossref]  [PubMed] 
  11. Pillay R. Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors. Hum Resour Health. 2008;6:4. [Crossref]  [PubMed]  [PMC] 
  12. Toygar SA, Akbulut Y. Managerial skills of hospital administrators case study of Turkey. Journal of Health Management. 2013;15(4):579-94. [Crossref] 
  13. Thrall TH. Nurturing your nurse managers. Hosp Health Netw. 2006;80(4):71-2, 74, 2. [PubMed] 
  14. AONE, Nurse Executive Competencies. Supports the ınstitute of medicine's recommendations on the future of nursing. Nurse Leader. 2011;9(6):17-22. Erişim Tarihi: 07.08.2020. [Crossref] 
  15. Cathcart EB, Greenspan M. The role of practical wisdom in nurse manager practice: why experience matters. J Nurs Manag. 2013;21(7):964-70. [Crossref]  [PubMed] 
  16. Spence Laschinger HK, Wong CA, Grau AL, Read EA, Pineau Stam LM. The influence of leadership practices and empowerment on Canadian nurse manager outcomes. J Nurs Manag. 2012;20(7):877-88. [Crossref]  [PubMed] 
  17. Hong Q, Pluye P, Fàbregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed Methods Appraisal Tool (MMAT) Version 2018. User guide. McGill. 2018;1-11. [Link] 
  18. Patton MQ, ed. Bütün M, Demir SB, çeviri editörleri. Nitel Araştırma ve Değerlendirme Yöntemleri. 2. Baskı. Ankara: Pegem Akademi; 2014.
  19. Toma C, Picioreanu I. The Delphi technique: Methodological considerations and the need for reporting guidelines in medical journals. International Journal of Public Health Research. 2016;4(6):47-59. [Link] 
  20. McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, et al. Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. Health Technol Assess. 2001;5(31):1-256. [Crossref]  [PubMed] 
  21. Boynton PM. Administering, analysing, and reporting your questionnaire. BMJ. 2004;328(7452):1372-5. Erratum in: BMJ. 2004;329(7461):323. [Crossref]  [PubMed]  [PMC] 
  22. Keeney S, Hasson F, McKenna HP. The Delphi Technique in Nursing and Health Research. 1st ed. Chichester, West Sussex: Wiley-Blackwell; 2011. [Crossref] 
  23. Williams PL, Webb C. The Delphi technique: A methodological discussion. Journal of Advanced Nursing. 1994;19(1):180-6. [Crossref]  [PubMed] 
  24. Vernon W. The Delphi technique: A review. International Journal of Therapy and Rehabilitation. 2009;16(2):69-76. [Crossref] 
  25. Chase LK. Nurse manager competencies, doctor of philosophy degree in nursing in the graduate college of the University of Iowa, 30-60. Research Online. 2010. Erişim tarihi: 04.05.2020 [Link] 
  26. Corning SP. Profiling and developing nursing leaders. J Nurs Adm. 2002;32(7-8):373-5. [Crossref]  [PubMed] 
  27. Management Study Guide [Internet]. Copyright © Management Study Guide 2022. Levels of Management - Top, Middle and Lower. Erişim tarihi: 06.05.2020. Available from: [Link] 
  28. Mathena KA. Nursing manager leadership skills. J Nurs Adm. 2002;32(3):136-42. [Crossref]  [PubMed] 
  29. Anderson OR. Assessing nurse manager competencies in military hospital [Doctoral thesis]. Minnesota: Walden University; 2016. Erişim tarihi: 08.05.2020. [Link] 
  30. Hewitt P. Nurses' perceptions of the causes of medication errors: an integrative literature review. Medsurg Nursing. 2010;19(3):159-67. [Link] 
  31. Rouse RA, Al-Maqbali M. Identifying nurse managers' essential communication skills: an analysis of nurses' perceptions in Oman. J Nurs Manag. 2014;22(2):192-200. [Crossref]  [PubMed] 
  32. Chong E. Managerial competency appraisal: a cross-cultural study of American and East Asian managers. Journal of Business Research. 2008;61(3):191-200. [Crossref] 
  33. Fennimore L, Wolf G. Nurse manager leadership development: leveraging the evidence and system-level support. J Nurs Adm. 2011;41(5):204-10. [Crossref]  [PubMed] 
  34. Baxter C, Warshawsky N. Exploring the acquisition of nurse manager competence. Nurse Leader. 2014;12(1):46-59. [Crossref] 
  35. Jennings BM, Scalzi CC, Rodgers JD 3rd, Keane A. Differentiating nursing leadership and management competencies. Nurs Outlook. 2007;55(4):169-75. [Crossref]  [PubMed] 

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