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Susan H. Weaver, PhD, RN, CRNI, NEA-BC

Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

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Page 1: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Susan H. Weaver, PhD, RN, CRNI, NEA-BC

Page 2: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

OutlineI. The administrative supervisor roleII. Regional research study

A. Research QuestionB. MethodologyC. ResultsD. Discussion

Page 3: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

DefinitionThe Administrative Supervisor is the nurse leader present on the evening, night, weekend and holiday shifts when the unit managers, directors, and hospital administrators are not in the hospital.

Page 4: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

FALL BACK CELEBRATION –November 3, 2019 2AMCelebrate when the clocks fall back and the night staff works an extra hour with half-moon cookies, stars and moon cookies, or awake chocolates.

Page 5: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

“They divide the responsibility up among

them during the day,” she thought with a note of

bitterness, “but at night it is mine alone.”

In Defence of the Night Supervisor. (1937). American Journal of Nursing, 37(3), p. 266.

Page 6: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Nationwide Study

OVERALL THEME: Shift Leader with the goal - Do “Everything” to get patients, staff and hospital safely through the shift.

Page 7: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

In Nationwide Qualitative Study Administrative

Supervisors talked about stress and job engagement

Administrative Supervisor Job Stressors, Work

Engagement, and Job Satisfaction

Page 8: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Descriptive Correlational Study

What is the relationship between administrative supervisor work stressors (job demands) and their work engagement and job satisfaction?

Page 9: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Descriptive Correlational StudyThe purpose of this study was to obtain a better understanding of the administrative supervisor role, by exploring:

1. Challenge-Hindrance Stressor Scalea. Challenge stressors – “Having to use a broad set of skills and

abilities.” and “Having higher levels of responsibility.”b. Hindrance stressors – “Conflicting instructions and expectations

from your boss or bosses.”2. Utrecht Work Engagement Scale (UWES) –

a. Vigor b. Dedication c. Absorption

3. Job satisfaction4. Intent to Leave5. Demographic Data

Page 10: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research
Page 11: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Participants182 Administrative Supervisors

104 Conference attendees78 Survey Monkey respondents

44 Hospitals

Page 12: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Results

*Determined with Fisher’s Exact test due to small sample size. Bold value is significant at p < 0.005.

Page 13: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research
Page 14: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research
Page 15: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research
Page 16: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

At non-Magnet hospitals Administrative supervisors had higher hindrance stressor scores (p = 0.005) and

had greater intent to leave (p = 0.046) than supervisors at Magnet hospitals.

Page 17: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Work Engagement (r = (-) .179, p < .05),

Job Satisfaction (r = (-) .486, p < .01)

and greater intent to leave their positions (r = 0.396, p < .01).

Increased Hindrance Stressors =

Page 18: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Administrative supervisors who had High Work Engagement had Increased job satisfaction

(r=.415, p<.01) and Less intent to leave their positions

(r= (-).448, p<.01)

Page 19: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Recommendations

Higher (formal) Education Role specific Education Promote Work

Engagement Manage Stressors Additional Research

Page 20: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research
Page 21: Susan H. Weaver, PhD, RN, CRNI, NEA -BC · 2019. 6. 26. · Susan H. Weaver, PhD, RN, CRNI, NEA -BC. Outline I. The administrative supervisor role II. Regional research study A. Research

Sue [email protected]@hackensackmeridian.org

Nurse ScientistAnn May Center for NursingHackensack Meridian HealthNeptune, New Jersey