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The expanded role nurse. Part II. Role implementation strategies
Canadian Journal of Nursing Administration
|October 1, 1988
Summary
Implementing Expanded Role Nurse (ERN) positions can cause role stress when expectations aren't met. Proactive strategies during development are crucial to prevent and minimize these role problems for ERN success.
Area of Science:
- Nursing Practice
- Healthcare Management
- Organizational Psychology
Background:
- This article is the second in a series on implementing Expanded Role Nurse (ERN) positions.
- It addresses challenges encountered in integrating advanced nursing roles within a hospital setting.
Purpose of the Study:
- To identify sources of role stress and strain experienced by nurses in Expanded Role Nurse positions.
- To present strategies for preventing or minimizing role problems during the implementation of these advanced nursing roles.
Main Methods:
- The study discusses the theoretical underpinnings of role stress in organizational contexts.
- It analyzes the relationship between role expectations and the incumbent's ability to meet them.
- Strategies are presented based on the analysis of role development and implementation.
Main Results:
- Role stress arises when a nurse in an expanded role cannot meet the social structure's expectations.
- This incongruence impairs goal attainment and disrupts professional relationships.
- Specific sources of stress related to the ERN role were identified.
Conclusions:
- Proactive identification and implementation of strategies are essential during the role development phase.
- Minimizing role stress is critical for the successful integration and sustainability of Expanded Role Nurse positions.
- Effective role development supports both the nurse and the healthcare organization.