Dissertation/Thesis Abstract

Chief nursing officer sustainment in the continued practice of nursing leadership: A phenomenological inquiry
by Prestia, Angela S, Ph.D., Florida Atlantic University, 2014, 146; 3691821
Abstract (Summary)

The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare.

This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded.

Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.

The results of the research supported the three theories presented, as well as validated many of the concepts presented in the literature related to CNO success. Interestingly different however was the emphasis the research participants placed on purposeful optimistic reflection guiding their ability to maintain collegial relationships and strategic initiatives.

Recommendations included the need to incorporate education and competencies to include a broader scope of responsibility, conscious mindful reflection, strategic processing, and resiliency training in tandem with a working environment conducive to support and awareness of the importance of work/life balance.

Indexing (document details)
Advisor: Sherman, Rose O.
School: Florida Atlantic University
School Location: United States -- Florida
Source: DAI-B 76/08(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Chief nursing officers, Leadership, Resiliency, Sustainment
Publication Number: 3691821
ISBN: 9781321666038
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