شناسایی مهارت‏های نرم مورد نیاز نیروی کار پرستاری بیمارستان در سلسه مراتب سازمانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، مدیریت، دانشکده علوم اداری و اقتصادی، دانشگاه فردوسی مشهد، مشهد، ایران.

2 استاد، مدیریت، دانشکده علوم اداری و اقتصادی، دانشگاه فردوسی مشهد، مشهد، ایران.

3 استادیار، مدیریت، دانشکده علوم اداری و اقتصادی، دانشگاه فردوسی مشهد، مشهد، ایران.

4 استادیار، علوم ریاضی، پژوهشگاه هواشناسی و علوم جو، مشهد، ایران.

چکیده

بسیاری از اقدامات مدیریت منابع انسانی مانند استخدام، انتخاب، برنامه‏ ریزی نیروی کار با روش‏ های مختلف بدون لحاظ معیارهای سرنوشت‏ سازی مانند مهارت‏ از واقعیت های سازمانی فاصله دارد. یقیناً سطوح مختلف سازمانی نیاز به مهارت‏های متنوعی دارند و آگاهی از این تفاوت و فصل مشترک این مهارت‏ها امکان برنامه ‏ریزی منعطف و سیال را در سازمان فراهم می ‏سازد. مهارت‌های سازمانی به دو دسته نرم و سخت شناخته می‌شوند، که در این بین مهارت‌های نرم به‌علت ماهیت آن بیش از دیگری مورد چالش است. این پژوهش با استراتژی پدیدارشناسی، مهارت‏های نرم مورد نیاز پرستاران بیمارستان خصوصی در فرایند مصاحبه نیمه ساختاریافته با خبرگان سازمانی، 5 مؤلفه مهارت‌های پایه/ عمومی، مهارت اجتماعی، مهارت حل مسئله، مهارت مرتبط با سیستم، مهارت مدیریت منابع و 20 زیرمؤلفه گوش دادن مؤثر، مهارت کلامی، خودبرانگیزی، فهم متون، بلوغ فکری سازمانی، نگارش، تفکر نقادانه، نظارت، درک اجتماعی، خدمت‌رسانی، آموزش، هماهنگ‌سازی، متقاعدسازی، حل مسئله در شرایط بحرانی، تصمیم‌گیری، درک و تحلیل سیستم‌، درک و ارزیابی سیستم‌، مدیریت زمان، مدیریت منابع انسانی، و مدیریت دارایی‌ها احصا نمود. مطالعات متعددی به شناسایی برخی مهارت ‏های نرم مورد نیاز نیروی کار پرستاران و تک سطحی پرداخته ‏اند اما این پژوهش به شناسایی مهارت ‏های نرم نیروی کار پرستاری در سلسله مراتب پرستاری در بخش‏های مختلف درمانی بیمارستان می‏ پردازد.

کلیدواژه‌ها


عنوان مقاله [English]

Identify the Soft Skills Required by the Hospital Nursing Workforce in the Organizational Hierarchy

نویسندگان [English]

  • Shila Monazam Ebrahimpour 1
  • Fariborz Rahimnia 2
  • Alireza Pooya 2
  • Mohamad Mahdi Farahi 3
  • Morteza Pakdaman 4
1 Ph.D. Candidate of Department of Management, Ferdowsi University of Mashhad, Mashhad, Iran.
2 Professor of Department of Management, Ferdowsi University of Mashhad, Mashhad, Iran.
3 Assistant Professor of Department of Management, Ferdowsi University of Mashhad, Mashhad, Iran.
4 Assistant Professor of Mathematics, Atmospheric Science and Meteorological Research Center (ASMERC), Climatological Research Institute (CRI), Mashhad, Iran.
چکیده [English]

Abstract
Many human resource management practices such as hiring, selecting, and planning the workforce in different ways, regardless of skills, are far from organizational realities. Indeed, different levels of the organization need different skills, and awareness of this difference and the common denominator of these skills allows flexible and fluid planning in the organization. This study has identified the soft skills of the nursing workforce at three levels of nurse, head nurse, and supervisor for all wards of a private hospital using the lived experience of the nursing workforce. For this purpose, with the help of semi-structured interviews with organizational experts, five components of basic/general skills, social skills, problem-solving skills, system-related skills, resource management skills, and 20 sub-components of effective listening, verbal skills, self-motivation, text comprehension, maturity Organizational Thinking, Writing, Critical Thinking, Supervision, Social Perception, Service, Training, Coordination, Persuasion, Problem Solving in Crisis, Decision Making, System Understanding and Analysis, System Understanding and Evaluation, Time Management, Human Resource Management, and Asset Management The title of soft skills required by the nursing staff of this hospital was counted. Numerous studies have identified some of the soft skills required by nurses and the single-level workforce. However, this study identifies the skills of the nursing workforce in the nursing hierarchy in the hospital wards.
 
Introduction
Competence and skill are concepts that are hidden in various management topics, including human resource management. When it comes to strategic human resource management, creating equal or superior capabilities is through employees who are irreplaceable and unimaginable, which refers to the expertise and skills of individuals. The effective delivery of health services is seriously affected by human resources, and significant issues in this area include inadequate numbers, skills, distribution methods, and staff performance. Studies have not identified the skills of the nursing workforce concerning their different levels in all wards of the hospital, which leads to a variety of soft skills of the nursing workforce.
Case study
The study organization is a private hospital in Mashhad that has ten medical wards.
Materials and Methods
This study is from the perspective of the interpretive paradigm, and the dominant approach of this research is qualitative. The skills required by the nurses were identified based on the experience (lived experience) gained by the nursing workforce of the study hospital. Given what has been mentioned, the appropriate strategy for this important phenomenon is phenomenology. In this study, semi-structured interviews were used to collect data, and in order to analyze the collected data, the modified Colaizzi's seven-step method was adopted.
Discussion and Results
From the analysis of the collected data, five themes, "Basic/general skills, social skills, problem-solving skills, system-related skills, resource management skills" and 20 sub-components of effective listening, verbal skills, self-motivation, Comprehension of texts, organizational intellectual maturity, writing, critical thinking, supervision, social understanding, service, education, coordination, persuasion, problem-solving in critical situations, decision making, system understanding and analysis, system understanding and evaluation, time management, human resource management, and asset management were counted as human skills required by the nursing workforce of the hospital.
Conclusion
General / basic skills, social skills and problem solving skills are common to all nurses in hospital wards. The reason can be considered in the nature of the nursing job, the patients’ type of nurses and the difficulties and hardships of this job. For example, unlike the two wards of eight and the ICU, in the social skills set, the need of NICU nurses for training skills was identified, the reason being the need for care training for the baby's parents. Persuasion skills were not mentioned in the interview process due to the type of patients in this ward (infants). Meanwhile, critical thinking and monitoring skills were not identified as the skills required by nurses in the interview process.
The skills identified in the nurses of all wards of the hospital are common and in the interview process, they expressed the required skills with a supervisory and managerial perspective. The skills identified in hospital supervisors differed in basic / general skills. For example, in the post of clinical supervisor, only writing skills, critical thinking and supervision were identified, and the reason for this can be found in the nature of this post, which is in this way the head of nursing in this hospital and the deputy director of nursing services. For this reason, unlike other supervisor posts, this post must also have the skill of managing hospital assets in medical treatment. Writing and supervision skills were identified in the subspecies of basic / general skills of Post-Supervisor Infection Control, which plays a key role in establishing information communication between different departments and developing guidelines for infection control in hospitals. The training supervisor, who is in charge of conducting the training course in coordination with other departments, saw a greater need to discuss basic / general skills in this post.

کلیدواژه‌ها [English]

  • Soft Skills
  • Different Levels of Nursing Hierarchy
  • Phenomenology
منابع فارسی
آصف‏زاده، س.، فاتحی، ف. و محمدی، م. (1396). رابطه مهارت­های ارتباطی با ویژگی­های جمعیت شناختی سرپرستاران در بیمارستان­های آموزشی شهر سنندج: یک مطالعه مقطعی. مجله علوم پزشکی زانکو/ دانشگاه علوم پزشکی کردستان. دوره 18. شماره 59. ص­ص 48-56
اکبری، ز. (1397). ضرورت تهیه و تدوین و گنجاندن واحد درسی مهارت‏های نرم یا عمومی لازم برای دانشجویان علوم پزشکی در برنامه درسی آنها. مجله مرکز مطالعات و توسعه آموزش علوم پزشکی یزد. دوره 13. شماره 2. ص‏ص 139-114
بابایی پور دیوشلی، م.، امرالهی میشوان، ف.، و فیروزکوهی، م. ر. (1394). ارزیابی مهارت‏های مدیریتی و تعیین موانع عملکردی سرپرستاران بر اساس الگوی ارزشیابی عملکرد بارس در رشت سال 1390. مجله بالینی پرستاری و مامایی. دوره 4. شماره ۲. ص­ص 1-7
بودلایی، ح. (1398). روش تحقیق پدیدارشناسی (چاپ اول). تهران: اندیشه احسان
حکیم‏زاده، ر.، جوادی‏پور، م.، قربانی، ح.، فلاح مهرجردی، م. و غفاریان، م. (1392). بررسی نیازهای آموزشی پرستاران با روش دیکوم: یک مطالعه موردی. فصلنامه مدیریت پرستاری. سال سوم. دوره دوم. شماره اول. ص­ص 45-54
صفوی، م.، قاسمی پنچاه، س. فشارکی، م. و اسماعیل­پور بندبنی، م. (1395). مهارت‏های ارتباطی و عوامل مرتبط آن در پرستاران بیمارستان‏های آموزشی گیلان سال 94. مجله علمی دانشکده پرستاری و مامائی همدان. دوره 24. شماره 1. ص­ص 50-57
عبدالوهابی، م.، رومیانی، ی. و ظریف، س. (1392). بررسی مهارت‏های اساسی دانشجویان در عصر جهانی شدن. فصلنامه تحقیق و برنامه‏ریزی در آموزش عالی. شماره 4. ص­ص 51-74
محمدپور، الف. (1398). فراروش: بنیان­های فلسفی و عملی روش تحقیق ترکیبی در علوم اجتماعی و رفتاری (چاپ اول). تهران: نشر لوگوس
 
References
Abbott, M. & Esposto, A. (2021). The future growth of the healthcare and social assistance workforce and its skills base: the case of Gippsland in Australia. Australasian Journal of Regional Studies, 27(2), pp. 202-220.
Abdolvahabi, M. Romiani. U. & Zarif, S. (2014). Examining Students' Basic Skill Significant Difference in the Era of Globalization: Shahid Chamran University Case. Quarterly Journal of Research and Planning in Higher Education; 19 (4), pp. 51-74. (In Persian)
Akbari, Z. (2018). The Need to Develop and Incorporate the Soft Skills (General) Courses into the Educational Curriculum of Medical Sciences' students. Journal of Medical Education and Development,13(2),114-139.
Andrews, Y. (1988). The Personnel Function, Pretoria: Haum
Asefzadeh, S., Fatehi, F. & Mohammadi, M. (2018). The relationship between Head-nurses’ communication skills and demographic characteristics in educational hospoitals of sanandaj: A Cross Sectional study. Zanko J Med Sci.; 18 (59), pp. 48-56. URL: http://zanko.muk.ac.ir/article-1-212-fa.html
Attewell, P. (1990). What Is Skill?. Work and Occupations, 17(4), pp. 422-448
Babaeipour-Divshali, M., Amrollahi-Mishavan, F., Firouzkouhi, M. R. (2015). Evaluation of scales and barriers of managerial performance of head nurses based on BARS performance evaluation model in Rasht, 2011. Journal of Clinical Nursing and Midwifery; 4 (1), pp. 1-7. URL: http://jcnm.skums.ac.ir/article-1-157-fa.html. (In Persian)
Benner, P. (2004). Designing formal classification systems to better articulate knowledge, skills, and meanings in nursing practice. Am J Crit Care; 13(5). pp.426-30. PMID: 15470860
Boudlaie, H. (2020). Research method of Phenomenology (1st Ed.). Tehran: Andishe Ehsan
Currie, V., Harvey, G., West, E., McKenna, H. & Keeney, S. (2005). Relationship between quality of care, staffing levels, skill mix and nurse autonomy: literature review. Journal of Advanced Nursing; 51(1). pp. 73–82
De Bruecker, P., Van den Bergh, J., Beliën, J. & Demeulemeester, E. (2014). Workforce planning incorporating skills: State of the art. European Journal of Operational; 000, pp. 1-16
Dewson, S., Eccles, J., Tackey, D.N. & Jackson, A. (1987). Measuring soft outcomes and distance travelled: a review of current practice. The Institute for Employment Studies for DfEE (RR219)
Hakimzadeh, R., Javadipour, M., Mansoubi, S. Ghorbani, H., Fallahi Mehjordi, M. & Ghafariyan, M. (2014). Nurses' educational needs assessment by DACUM method: a case study. Quarterly Journal of Nursing Management; 3(1), pp. 45-54. URL: http://ijnv.ir/article-1-184-fa.html. (In Persian)
Kirca, N. & Bademli, K. (2019). Relationship between communication skills and care behaviors of nurses. Perspectives in Psychiatric Care (PPC); 55(4), Special Issue: Sexual and Gender Minority Health Disparities, pp. 624-631
Lent, B. (2012). Soft skills needed in the ICT project management –classification and maturity level assessment. Int. J. Applied Systemic Studies; 4(3), 168-185
Markowitsch, J. & Plaimauer, C. (2009). Descriptors for competence: towards an international standard classification for skills and competences. Journal of European Industrial Training; 33(8/9), 817-837
Mohammadpur, A. (2020). Meta Method: Philosophical and practical Foundations of Mixed research methods (2nd Ed.). Tehran: Logos Publication. (In Persian)
Motah, M. (2008). The influence of intelligence and personality on the use of soft skills in research projects among final year university students: a case study. Proceedings of the Unforming Science and IT Education Conference. Informing Science Institute, pp.219–230.
Narasimhan, V., Brown, H., Pablos-Mendez, A., Adams, O., Dussault, G., Elzinga, G., Nordstrom, A., Habte, D., Jacobs, M., Solimano, G., Sewankambo, N., Wibulpolprasert, S., Evans, T. & Chen, L., (2004). Responding to the global human resources crisis. The Lancet; 363 (9419), pp.1469-1472.
Patacsil, F. F. & Tablatin, Ch. L. S. (2017). Exploring the importance of soft and hard skills as perceived by it internship students and industry: A gap analysis. Journal of Technology and Science Education; 7(3), pp. 347-368. doi:10.1108/jkm-01-2018-0030
Safavi, M., Ghasemi Panjah, S., Fesharaki, M., Esmaeilpour & Band-boni, M. (2016). Communication Skills and Its Related Factors in Guilans Teaching Hospitals' Nurses 94. Sci J Hamadan Nurs Midwifery Fac.; 24(1), pp.50-57. DOI: 10.20286/nmj-24017. (In Persian)
Schrimmer, K., Williams, N., Mercado, S., Pitts, J. and Polancich, Sh. (2019). Workforce Competencies for Healthcare Quality Professionals: Leading Quality-Driven Healthcare, Journal for Healthcare Quality; 41 (4), pp. 259-265 doi: 10.1097/JHQ.0000000000000212
Staggs, V. S., Olds, D. M., Cramer, E. & Shorr, R. I. (2016). Nursing Skill Mix, Nurse Staffing Level, and Physical Restraint Use in US Hospitals: A Longitudinal Study. J Gen Intern Med; 32(1), pp.35–41
Tan, Ch. Y., Abdullah. A. Gh. K. & Ali, A. J. (2021). Soft Skill Integration for Inspiring Critical Employability Skills in Private Higher Education. Eurasian Journal of Educational Research; 92, pp. 23-40.
Triwidyati, E. & Pangastuti, R. L. (2021). Mediation Effect of Work Motivation on Relationship of Soft Skill and Hard Skill on Employee Performance in Denpasar Marthalia Skincare Clinical. Jurnal Ekonomi dan Bisnis Jagaditha; 8(2), pp. 136-145. doi: https://doi.org/10.22225/jj.8.2.2021.136-145
Weber, M. (2017). General economic history (1st. ed.). United Kingdom: Routledge
Wohlin, C. & Ahlgren, M. (2005). Soft factors and their impact on time to market. Software Quality Journal; 4(3), pp.189–205