ABSTRACT
Increasingly complex environments in which nurse educators must function create distinct challenges for leaders in nursing education. Complexity is found in the presence of knowledge-driven economies, advancements in technology, and the blurring of campus boundaries created by online learning versus traditional classroom education. A dual bureaucracy of faculty and administration coexists in nursing education. The transformation of bureaucratic culture is a strategic challenge for academic leaders who strive to move dichotomous groups toward a collective vision of a preferred future. This article advocates for the affirmative administrative process of appreciative inquiry for academic nursing leadership, in nudging the dual bureaucracy toward transformational change. The intent and characteristics of appreciative inquiry are discussed, appreciative leadership strategies and actions are explained, methods for leading cultural paradigm shift are outlined, and an exemplar of the actualization of appreciative inquiry is presented.
Subject(s)
Education, Nursing, Baccalaureate/organization & administration , Education, Nursing, Graduate/organization & administration , Faculty, Nursing/organization & administration , Leadership , Nurse's Role/psychology , Philosophy, Nursing , Attitude of Health Personnel , Decision Making, Organizational , Health Knowledge, Attitudes, Practice , Humanism , Humans , Indiana , Knowledge , Nursing Research/organization & administration , Organizational Culture , Organizational Innovation , Organizational Objectives , Professional Competence , Semantics , Social Support , Social ValuesABSTRACT
PURPOSE: The purpose of this research is to describe a model of nurses' work motivation relevant to the human caring stance of professional nursing work. DESIGN/METHODOLOGY/APPROACH: The model was derived from selected theories of behavioral motivation and work motivation. Evidence-based theory addressing nurses' work motivation and nurses' motivational states and traits in relation to characteristics of organizational culture and patient health outcomes is suggested in an effort to make a distinct contribution to health services research. An integrated review of selected theories of motivation is presented, including conceptual analyses, theory-building techniques, and the evidence supporting the theoretical propositions and linkages among variables intrinsic to nurses' work motivation. FINDINGS: The model of the Motivation to Care for Professional Nursing Work is a framework intended for empirical testing and theory building. The model proposes specific leadership and management strategies to support a culture of motivational caring and competence in health care organizations. ORIGINALITY/VALUE: Attention to motivation theory and research provides insights and suggests relationships among nurses' motivation to care, motivational states and traits, individual differences that influence nurses' work motivation, and the special effects of nurses' work motivation on patient care outcomes. Suggestions for nursing administrative direction and research are proposed.
Subject(s)
Motivation , Nursing Care , Health Services , Humans , Leadership , United StatesABSTRACT
The concept and measurement of nurses' productivity ranges from traditional economic interpretation of nurses as labor costs to human capital theory interpretation of nurses as intellectual capital assets.
