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To command is to serve: Senior leadership and policy‐making predict hospital ward functioning in emergency
Author(s) -
Melnikov Semyon,
Blaer Yosi,
Shaiman Limor,
Levi Hezi,
Kagan Ilya
Publication year - 2019
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12734
Subject(s) - clarity , coping (psychology) , nursing , nursing management , focus group , medicine , nurse administrator , psychology , medline , clinical psychology , political science , chemistry , marketing , law , business , biochemistry
Aim To examine personal, ward and organisational factors related to the functioning of general hospital staff under missile attack. Background The summer of 2014 is remembered in Israel for missile attacks from the Gaza Strip targeting the civilian population of southern Israel. Methods The study was carried out in two steps: (1) Qualitative—a focus group to identify the issues faced by the staff of a hospital under fire, (2) Quantitative—a cross‐sectional study among 409 hospital workers to explore: (a) personal involvement in decision‐making, (b) clarity of directives, (c) coping with emergency on the ward and on (d) the management level, (e) personal professional functioning. Results A statistically significant positive correlation was found between personal involvement in decision‐ and policy‐making, the clarity of directives and hospital ward functioning. A regression analysis demonstrated that executive management and leadership, clarity of directives and workers’ personal functioning statistically significantly explained 46.1% ( R 2 = 0.461) of the variance in ward functioning during emergency. Conclusion Clarity of directives and executive management and leadership in emergency were positively associated with ward functioning and coping with emergency. Implications for Nursing Management To ensure proper hospital functioning during emergency, managers must demonstrate personal involvement and leadership, providing clear directives.