Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of the Nursing Services Controlling Process from the Viewpoint of the Nurses and Nurse Managers: A Qualitative Study
Hemşirelik Hizmetleri Denetim Sisteminin Hemşire ve Yönetici Hemşire Açısından Değerlendirilmesi: Niteliksel Bir Çalışma
Ebru ÖZEN BEKARa, Ülkü BAYKALb
aDüzce University Faculty of Health Sciences, Department of Nursing Management, Düzce, TURKEY
bİstanbul University Florence Nightingale Faculty of Nursing, Department of Nursing Management, İstanbul, TURKEY
Turkiye Klinikleri J Nurs Sci. 2020;12(1):83-92
doi: 10.5336/nurses.2019-66105
Article Language: EN
Full Text
ABSTRACT
 Objective: The objective was to present the viewpoints of nurses and nurse managers regarding the nursing services controlling process. Material and Methods: This qualitative study was conducted with 30 nurses and 30 nurse managers in three different hospitals. Individual in-depth interviews were employed to determine the views of the nurses and nurse managers, and the data were obtained were evaluated by thematic analysis. Themes and subthemes were generated based on the literature and the data obtained. Results: Four main themes emerged: the objective of the controlling process, its benefits, problems experienced during the controlling process and the effects of being controlled. In our study, it was found that the objectives of the controlling process were not adequately communicated with the nurses and that the controlling process was negatively perceived. In these hospitals, nurses and nurse managers stated different objectives for the controlling process. More than half of the nurses indicated that the controlling process provided no benefits for nursing services. Moreover, nurse managers as well as nurses declared that they experienced problems as well as stress during the controlling process. On the other hand, there were some nurses who indicated that the controlling process was beneficial for nursing services and that the interaction with their managers provided a positive contribution to their personal and Professional development. Conclusion: Opinions of the nurses and nurse managers differed regarding the controlling process, possibly creating negations during the execution of the process.

Keywords: Controlling; nurse manager; nurses
ÖZET
 Amaç: Bu çalışmanın amacı, hemşirelik hizmetleri denetim sürecine yönelik hemşire ve yönetici hemşire bakış açılarını ortaya koymaktır. Gereç ve Yöntemler: Araştırma, üç farklı hastanede 30 hemşire ve 30 yönetici hemşire ile nitel bir tasarımda yapılmıştır. Hemşire ve yönetici hemşirelerin bakış açıları bireysel derinlemesine görüşme yöntemiyle belirlenmiş ve elde edilen veriler tematik analiz ile değerlendirilmiştir. Literatür ve elde edilen verilere göre araştırmacılar tarafından tema ve alt temalar oluşturulmuştur. Bulgular: Araştırmada hemşire ve yönetici hemşire bakış açısı ele alınarak denetim sürecinin amacı, denetim sürecinin yararları, denetim sürecinde yaşanan sorunlar, denetim sürecinden etkileme durumu olmak üzere dört ana tema oluşturulmuştur. Çalışmamızda denetim sürecinin amaçlarının hemşirelere yeterince iletilmediği ve sürecin olumsuz algılandığı görülmüştür. Çalışmanın yapıldığı hastanelerde, hemşireler ve hemşire yöneticileri denetim sürecinin amaçlarını farklı olarak ifade etmişlerdir. Hemşirelerin yarısından fazlası denetim sürecinin hemşirelik hizmetleri için fayda sağlamadığını belirtmiştir. Ayrıca hemşirelerin yanı sıra hemşire yöneticileri de denetim sürecinde sorun yaşadıklarını ve stres algıladıklarını ifade etmişlerdir. Diğer taraftan, denetim sürecinin hemşirelik hizmetleri için yararlı olduğunu ve bu süreçte yöneticileriyle etkileşimlerinin kişisel ve mesleki gelişimlerine olumlu katkı sağladığını belirten hemşireler de vardı. Sonuç: Hemşire ve yönetici hemşirelerin denetim sürecine bakış açılarında farklılıklar olduğu ve bu farklılığın sürecin işleyişinde olumsuzluk yaratabileceği görülmüştür.

Anahtar Kelimeler: Denetim;yönetici hemşire; hemşire
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