2015 Volume 16 Issue 1 Pages 28-33
The present study was conducted to understand policies on nursing administration implemented by nursing administrators working in health care facilities in which a large proportion of nurses were satisfied with work, and to examine common nursing administration factors identified in these nursing administrators. The subjects were five nursing administrators working at hospitals in Prefecture A in which the job satisfaction level among nurses was high. Semi-structured interviews with nursing administrators were conducted to investigate their nursing administration policies, and the results were analyzed qualitatively and inductively. Common administrative policies implemented by those administrators included：[strategies to assure the quality of nursing care], [a variety of information sources and the importance of listening], [fulfilling educational systems], [empowerment and support systems], and [work environments with an emphasis on work-life balance]. In addition to these, [the organization of the hospital based on good relationships and mutual understanding with the Department of Nursing] was extracted as a foundation for nursing administrators to implement their administrative policies. As common backgrounds, nursing administrators had at least 30 years of experience as nurses and were certified nursing administrators. Based on their policies as top managers, nursing administrators exercised their leadership to revise routines performed in the Department of Nursing and the current systems to develop “a hospital more attractive to nurses.” They played a pioneering role as leaders to continuously discuss nursing care that responds to social needs and execute improvement.
