@article{ref1,
title="To command is to serve: senior leadership and policy-making predict hospital ward functioning in emergency",
journal="Journal of Nursing Management",
year="2019",
author="Blayer, Yosi and Shaiman, Limor and Levi, Hezi and Kagan, Ilya and Melnikov, Semyon",
volume="27",
number="4",
pages="697-705",
abstract="AIM: To examine personal, ward, and organizational factors related to the functioning of general hospital staff under missile attack. <br><br>BACKGROUND: The summer of 2014 is remembered in Israel for missile attacks from the Gaza Strip targeting the civilian population of southern Israel. <br><br>METHODS: The study was carried out in two steps: (1) Qualitative - a focus group to identify the issues faced by the staff of a hospital under fire, (2) Quantitative - a cross-sectional study among 409 hospital workers to explore: a) personal involvement in decision-making, b) clarity of directives, c) coping with emergency on the ward and on d) the management level, e) personal professional functioning. <br><br>RESULTS: A statistically significant positive correlation was found between personal involvement in decision- and policy-making, the clarity of directives, and hospital ward functioning. A regression analysis demonstrated that executive management and leadership, clarity of directives, and workers' personal functioning statistically significantly explained 46.1% (R<sup>2</sup> =.461) of the variance in ward functioning during emergency. <br><br>CONCLUSION: Clarity of directives and executive management and leadership in emergency were positively associated with ward functioning and coping with emergency. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0966-0429",
doi="10.1111/jonm.12734",
url="http://dx.doi.org/10.1111/jonm.12734"
}