The Influence of Management on the Educational and Research Activity of Nurses
DOI:
https://doi.org/10.55707/ds-po.v40i3-4.191Keywords:
nursing professionalization, nurse education, nursing research, management support, public hospitals, barriers , opportunitiesAbstract
The study examines the role of educational and research activities in the strategic perspectives of directors and nursing assistants in Slovenian public hospitals, which is crucial for professionalising nursing and improving the quality of care. The results of a descriptive quantitative study (N = 34) indicate that most of the top management in Slovenian hospitals recognizes the importance of these activities; however, the strategies often remain only partially effective. The study reveals statistically significant differences in the perception of the importance of research activities between directors and their assistants, highlighting the need to align priorities and develop research competencies. Identifying key barriers, such as lack of time, knowledge, and motivation, alongside key opportunities, such as better work organization and increased financial resources, sheds light on the complexity of challenges in this area. Despite limitations, such as the small sample size and focus on Slovenia, the study provides valuable insights and foundations for developing policies that would systematically support education and research in nursing, contributing to the sustainable development of this field.
References
1. Abelsson, T., Morténius, H., Karlsson, A. K., Bergman, S. in Baigi, A. (2021). Evidence-based practice in primary healthcare from the managerial point of view – A national survey. BMC Health Services Research, 21(1014), 2–10. https://doi.org/10.1186/s12913-021-07023-w
2. AbuRuz, M. E., Hayeah, H. A., Al-Dweik, G. in Al-Akash, H. Y. (2017). Knowledge, attitudes, and practice about evidence-based practice: A Jordanian study. Health Science Journal, 11(2), 1–8. https://doi.org/10.21767/1791-809X.1000489
3. Al-Busaidi, I. S., Al Suleimani, S. Z., Dupo, J. U., Al Sulaimi, N. K. in Nair, V. G. (2019). Nurses’ knowledge, attitudes, and implementation of evidence-based practice in Oman: A multi-institutional, cross-sectional study. Oman Medical Journal, 34(6), 521–527. https://doi.org/10.5001/omj.2019.95
4. Aydin, A. in Hicdurmaz, D. (2019). Holistic nursing competence scale: Turkish translation and psychometric testing. International Nursing Review, 66(3), 425–433. https://doi.org/10.1111/inr.12514
5. Belita, E., Squires, J. E., Yost, J., Ganann, R., Burnett, T. in Dobbins, M. (2020). Measures of evidence-informed decision-making competence attributes: A psychometric systematic review. BMC Nursing, 19(1), 1–28. https://doi.org/10.1186/s12912-020-00406-1
6. Berthelsen, C. in Hølge-Hazelton, B. (2021). The importance of context and organizational culture in the understanding of nurses’ barriers against research utilization: A systematic review. Worldviews on Evidence-Based Nursing, 18(2), 111–117. https://doi.org/10.1111/wvn.12488
7. Bole, U. in Skela-Savič, B. (2018). Odnos in znanje medicinskih sester ter ovire pri implementaciji na dokazih temelječe prakse: Integrativni pregled literature. Obzornik zdravstvene nege, 52(3), 177–185.
8. Brysiewicz, P. in Oyegbile, Y. O. (2021). Addressing “research-phobia” among nurses in the clinical area. Professional Nursing Today, 25(1), 21–23. http://www.pntonline.co.za/index.php/PNT/article/view/1087
9. Carvalho, T. (2014). Changing connections between professionalism and managerialism: A case study of nursing in Portugal. Journal of Professions and Organization, 1(2), 176–190. https://doi.org/10.1093/jpo/jou004
10. Chen, Q., Li, Z., Tang, S., Zhou, C., Castro, A. R., Jiang, S., Huang, C. in Xiao, J. (2022). Development of a blended emergent research training program for clinical nurses. BMC Nursing, 21(1), članek 2. https://doi.org/10.1186/s12912-021-00786-x
16. Christman, L. P. (1986). Professionalization of nursing. Nursing Administration Quarterly, 10(4), 86. https://doi.org/10.1097/00006216-198601040-00011
11. Cleary-Holdforth, J., O’Mathúna, D. in Fineout-Overholt, E. (2021). Evidence-based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the Republic of Ireland. Worldviews on Evidence-Based Nursing, 18(6), 379–388. https://doi.org/10.1111/wvn.12543
12. Cusack, L., Drioli-Phillips, P. G., Brown, J. A. in Hunter, S. (2019). Re-engaging concepts of professionalism to inform regulatory practices in nursing. Journal of Nursing Regulation, 10(3), 21–27. https://doi.org/10.1016/S2155-8256(19)30144-9
17. Doe, M. J. (2024). Nursing knowledge for advanced practice nursing. Nursing Science Quarterly, 37(3), 299–300. https://doi.org/10.1177/08943184241246998
18. Evans, C., Poku, B., Pearce, R., Eldridge, J., Hendrick, P., Knaggs, R., McLuskey, J., Tomczak, P., Thow, R., Harris, P., Conway, J. in Collier, R. (2020). Characterising the evidence base for advanced clinical practice in the UK: A scoping review protocol. BMJ Open, 10(5), članek e036192. https://doi.org/10.1136/bmjopen-2019-036192
13. Fryatt, R., Bennett, S., & Soucat, A. (2017). Health sector governance: Should we be investing more? BMJ Global Health, 2(2), članek e000343. https://doi.org/10.1136/bmjgh-2017-000343
14. Gifford, W. A., Squires, J. E., Angus, D. E., Ashley, L. A., Brosseau, L., Craik, J. M., Domecq, M. C., Egan, M., Holyoke, P., Juergensen, L., Wallin, L., Wazni, L. in Graham, I. D. (2018). Managerial leadership for research use in nursing and allied health care professions: A systematic review. Implementation Science, 13(127), 1–23. https://doi.org/10.1186/s13012-018-0817-7
15. Hasanpoor, E., Hajebrahimi, S., Janati, A., Abedini, Z. in Haghgoshayie, E. (2018). Barriers, facilitators, process and sources of evidence for evidence-based management among health care managers: A qualitative systematic review. Ethiopian Journal of Health Sciences, 28(5), 665–680. https://doi.org/10.4314/ejhs.v28i5.18
19. Hines, S., Ramsbotham, J. in Coyer, F. (2022). A theory-based research literacy intervention for nurses: A pilot study. Nursing Forum, 5(7), 1052–1058. https://doi.org/10.1111/nuf.12780
20. Janati, A., Hasanpoor, E., Hajebrahimi, S. in Sadeghi-Bazargani, H. (2017). Health care managers’ perspectives on the sources of evidence in evidence-based hospital management: A qualitative study in Iran. Ethiopian Journal of Health Sciences, 27(6), 659–668. https://doi.org/10.4314/ejhs.v27i6.11
21. Jonker, L. in Fisher, S. J. (2018). The correlation between National Health Service trusts' clinical trial activity and both mortality rates and care quality commission ratings: A retrospective cross-sectional study. Public Health, 157, 1–6. https://doi.org/10.1016/j.puhe.2017.12.022
22. Karakoc-Kumsar, A., Polat, S. in Afsar-Dogrusoz, L. (2020). Determining attitudes of nurses toward evidence-based nursing in a university hospital sample. Florence Nightingale Journal of Nursing, 28(3), 268–275. https://doi.org/10.5152/FNJN.2020.19022
23. Kilicli, A. B., Kelber, S. T., Akyar, I. in Litwack, K. (2019). Attitude, source of knowledge, and supporting factors on evidence-based nursing among cardiovascular nurses: A cross-sectional descriptive study in Turkey. Journal of Evaluation in Clinical Practice, 25(3), 498–506. https://doi.org/10.1111/jep.13132
24. Kramar Zupan, M. in Erjavec, K. (2020). Kompetence in potrebe po izobraževanju direktorjev slovenskih bolnišnic. Didactica Slovenica – Pedagoška obzorja, 35(1), 114–131. https://www.dspo.si/index.php/dspo/article/view/16
25. Liu, Y. in Aungsuroch, Y. (2018). Current literature review of registered nurses’ competency in the global community. Journal of Nursing Scholarship, 50(2), 181–189. https://doi.org/10.1111/jnu.12361
26. Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T. in Tan, A. (2018). The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16–25. https://doi.org/10.1111/wvn.12269
27. Nkrumah, I., Atuhaire, C., Priebe, G. in Nambile Cumber, S. (2018). Barriers for nurses’ participation in and utilization of clinical research in three hospitals within the Kumasi metropolis, Ghana. African Medical Journal, 30, 24. https://doi.org/10.11604/pamj.2018.30.24.15230
28. Pereira, F., Pellaux, V. in Verloo, H. (2018). Beliefs and implementation of evidence-based practice among community health nurses: A cross-sectional descriptive study. Journal of Clinical Nursing, 27(9–10), 2052–2060. https://doi.org/10.1111/jocn.14363
29. Perić Prkosovački, B., Popović Stijačić, M. in Brkić Jovanović, N. (2020). Educational workshops: Positive impact on teaching and learning. Didactica Slovenica – Pedagoška obzorja, 35(1), 42–55. https://www.dspo.si/index.php/dspo/article/view/11/14
30. Purtle, J., Elizabeth, A. D. in Ross, C. B. (2022). Policy dissemination research. V C. Ross, G. A. Brownson, Colditz in E. K. Proctor (ur.), Dissemination and implementation research in health: Translating science to practice (2. izd.). https://doi.org/10.1093/oso/9780190683214.003.0026
31. Razlag Kolar, T. in Kaučič, M. B. (2021). Koncept naprednih znanj v zdravstveni negi – Pregled literature. https://www.researchgate.net/publication/351730728_Koncept_naprednih_znanj_v_zdravstveni_negi_-_pregled_literature
32. Sirili, N., Kiwara, A., Gasto, F., Goicolea, I. in Hurtig, A. K. (2017). Training and deployment of medical doctors in Tanzania post 1990s health sector reforms: Assessing the achievements. Human Resources for Health, 15(1), članek 27. https://doi.org/10.1186/s12960-017-0202-7
33. Skela-Savič, B. (2017a). Razvoj elementov profesionalizacije v slovenski zdravstveni negi: tehnika skupinskih intervjujev. Obzornik zdravstvene nege, 51(4), 274–297. https://doi.org/10.14528/snr.2017.51.4.199
34. Skela-Savič, B., Hvalič-Touzery, S. in Pesjak, K. (2017b). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(1), 1910–1923. https://doi.org/10.1111/jan.13280
35. Skela-Savič, B., Pesjak, K. in Lobe, B. (2016). Evidence-based practice among nurses in Slovenian hospitals: A national survey. International Nursing Review, 63(1), 122–131. https://doi.org/10.1111/inr.12233
36. Skinder Savić, K. in Skela-Savič, B. (2014). Organizacijska kultura v splošnih bolnišnicah in njena povezanost z zadovoljstvom zaposlenih. Obzornik zdravstvene nege, 48(2), 88–103. https://doi.org/10.14528/snr.2014.48.2.20
37. Smythe, A., Carter, V., Dube, A. in Cannaby, A. M. (2022). How a better understanding of nursing research roles may help to embed research into clinical structures. British Journal of Nursing, 31(17), 902–906. https://doi.org/10.12968/bjon.2022.31.17.902
38. Starc, A. (2016). Professionalization in healthcare chain. Journal of Applied Health Sciences, 2(2), 69–86. https://doi.org/10.24141/2/2/1
39. Teresa-Morales, C., Pérez, M. R., Hernández, M. A. in Feria-Ramírez, C. (2022). Current stereotypes associated with nursing and nursing professionals: An integrative review. International Journal of Environmental Research and Public Health, 19(13), 7640. https://doi.org/10.3390/ijerph19137640
40. Yilmaz, M. C., Uysal, N. in Pirhan, H. (2022). Does attitude towards evidence-based nursing affect holistic nursing competence? International Journal of Caring Sciences, 15(1), 371–380.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Milena Kramar Zupan, Karmen Erjavec
This work is licensed under a Creative Commons Attribution 4.0 International License.
