TY  - JOUR
PY  - 2019//
TI  - To command is to serve: senior leadership and policy-making predict hospital ward functioning in emergency
JO  - Journal of Nursing Management
A1  - Blayer, Yosi
A1  - Shaiman, Limor
A1  - Levi, Hezi
A1  - Kagan, Ilya
A1  - Melnikov, Semyon
SP  - 697
EP  - 705
VL  - 27
IS  - 4
N2  - 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>
LA  - en
SN  - 0966-0429
UR  - http://dx.doi.org/10.1111/jonm.12734
ID  - ref1
ER  -