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
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