The effect of mushroom management style and perceived supervisor support on employee performance: 'An application with university hospital employees'.

OBJECTIVES: Mushroom management, which has entered the management literature using the metaphor of growing mushrooms, is a management style in which managers generally keep their power and knowledge in one centre and do not like to be questioned and criticized. This study conducted to determine the effect of the mushroom management style of administrative staff working in the healthcare sector and perceived supervisor support on job performance. METHODS: A total of 234 healthcare professionals included in the study. To achieve the purpose of the study, the 'Mushroom Management Scale', the 'Perceived Supervisor Support Scale' and the 'Job Performance Scale' were used. Multivariate linear regression analyses were performed to analyse. RESULTS: When the effect of mushroom management style on job performance was examined, it was found that inadequate information sharing, the anxiety of power loss, inadequate communication and lack of participatory management did not have a significant effect on job performance alone. According to the regression analysis, perceived supervisor supports have a significant effect on a job performance. This effect explains 0.045 of the total variance. The fact that employees received tangible support from their managers increased their performance levels positively (t = 2.945; p < 0.05). Finally, employee performance had a significant effect on perceived supervisor support. This effect explains 0.513 of the total variance. CONCLUSIONS: As a result of this study, it was found that mushroom management style had no effect on job performance, but had a significant effect on perceived supervisor support.

Patients' readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death.

AIM: To determine the variables that affect patients' perceptions about their readiness for discharge and to elucidate the effects of these perceptions on patient outcomes such as unplanned readmission to the hospital, emergency department visits and death within 30 days after discharge. BACKGROUND: In recent years, it has become even more important to assess patients' readiness for discharge as patients tend to be discharged more quickly. METHODS: For the determination of patients' self-assessment, the Readiness for Hospital Discharge Scale/Short Form was utilized. This 1-year prospective cohort study included 1,601 patients. Data were analysed using a chi-square test, Mann-Whitney U test, univariate logistic regression analysis and multiple logistic regression analysis. RESULTS: The results of multiple logistic regression analysis revealed that age, sex, marital status, educational status, presence of someone to help at home after discharge and length of stay were predictors of patients' readiness for hospital discharge. Furthermore, being unready for discharge increased the risk of 30 day unplanned readmission and 30 day death. CONCLUSIONS: Considering these predictors, patients' perceptions of readiness for discharge must be assessed before deciding to discharge them. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers can consider the predictors of patients' readiness for discharge, thus the risk of unplanned readmission and death may be reduced.

Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form.

AIM: The aim of this study is to test the validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form. BACKGROUND: Assessment of readiness for discharge from the patient's perspective is becoming increasingly important for patient safety, satisfaction and various patient outcomes such as readmission, health service utilization and mortality. The readiness for hospital discharge scale/short form allows health care providers to determine patients' discharge readiness. METHODS: Participants were 1,579 inpatients from internal medicine departments. The readiness for hospital discharge scale/short form was translated into Turkish via back-translation. We analyzed its reliability and validity via item analyses, an expert panel (content validity) and exploratory and confirmatory factor analyses (construct validity). RESULTS: The Cronbach's alpha of the whole scale was .74 and those for the subscales ranged from .79 to .93. The Spearman-Brown reliability coefficient was .92. The confirmatory factor analysis revealed good fit indices (χ2 /df = 2.6; RMSEA = .03; CFI = 1; GFI and AGFI = .99). The mean total score was 7.27 ± 1.85, while the subscale means ranged from 6.62 ± 3.41 to 7.69 ± 2.24. CONCLUSION: The Turkish version of the readiness for hospital discharge scale/short form is a valid and reliable tool for assessing discharge readiness. The subscales with low means suggest opportunities for improvement. IMPLICATIONS FOR NURSING MANAGEMENT: If readiness for hospital discharge scale/short form is valid and reliable, patients who are unready for discharge can be determined with this scale. Thus, nurse managers can determine what kind of measures should be taken for patients who are not ready for discharge, can control nursing practices related to these patients and can provide cooperation between the nurses and other health professionals.