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Reshaping the practice environment: the importance of coherence.
Patricia Reid Ponte1, Nancy Kruger, Rosanna DeMarco
1Nursing and Clinical Services, Hematology/Oncology, BMT, and Patient Care Services Dana Farber Cancer Institute, Boston, MA 02115, USA. pat_reid_ponte@dfci.hardvard.edu
The Journal of Nursing Administration
|April 21, 2004
Summary
Nurse leaders can foster a positive practice environment by promoting coherence. A sense of coherence helps staff nurses feel supported, leading to confident patient care and organizational alignment.
Area of Science:
- Nursing Leadership
- Organizational Psychology
- Healthcare Management
Background:
- Nurse leaders face challenges in creating supportive practice environments.
- Fostering a sense of coherence among staff nurses is crucial for organizational integration and effective patient care.
- A strong sense of coherence enhances nurses' confidence in organizational support for their care delivery.
Purpose of the Study:
- To describe the concept of coherence in nursing.
- To present findings on attributes contributing to coherence in individual nurses.
- To outline systems and programs implemented to foster coherence at individual, departmental, and institutional levels.
Main Methods:
- Conceptual analysis of coherence.
- Preliminary study identifying attributes of nurse coherence.
- Description of implemented systems and programs in an academic medical center.
Main Results:
- Identified key attributes contributing to individual nurse coherence.
- Demonstrated the application of systems and programs to enhance coherence.
- Highlighted the importance of organizational context in fostering coherence.
Conclusions:
- Fostering coherence is essential for nurse leaders to build collaborative, safe practice environments.
- A sense of coherence empowers nurses and strengthens organizational support.
- The described initiatives offer a framework for enhancing coherence within healthcare institutions.