Complémentarité des rôles des infirmières-chefs d'unité et de leurs assistantes pour assurer des soins sécuritaires et de qualité

Authors: Bérubé, Andrée-Anne
Advisor: Roch, Geneviève
Abstract: The roles of head nurse (HN) and assistant head nurse (AHN) in a hospital care unit are ambiguous. Studying the complementarity of these roles provides a new perspective. Indeed, such an approach represents a new and unique way to address roles that has not been used in any of the studies reviewed. Aim: To describe and explain the circumstances in which the complementary roles and responsibilities assumed by HNs and AHNs affect quality of care in a hospital setting. Method: Single case study with overlapping analysis levels, combining documentary sources (n = 80) and individual interviews (n = 9). Results: Eight distinct role components for HNs and seven for AHNs emerged from the study results. Of these components, ten are interdependent with potential for complementarity and five are independent. Three possible explanations for the complementarity of roles are presented: 1) From an AHN’s fragmented view to the HN’s overall view; 2) Two-way communication taking multiple forms; and 3) Common objectives and the need for whole-team engagement. HN and AHN roles affect quality of care in five areas. HNs and AHNs contribute in a distinct, but especially complementary, way by monitoring quality indicators within the unit, communicating optimally, and creating an atmosphere conducive to teamwork that facilitates retention and employee engagement. Conclusion: Studying complementarity is an innovative approach that provides an understanding of the work of both HNs and AHNs, as well as of how they complement each other and how one’s work increases the value of the other’s and vice-versa, resulting in improved quality of care.
Document Type: Mémoire de maîtrise
Issue Date: 2016
Open Access Date: 24 April 2018
Grantor: Université Laval
Collection:Thèses et mémoires

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