Internal conditions pose challenge for strategic planning.
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Biomedical subjects
Publications and source records attributed to R E Gribbins.
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Nursing managers in neonatal intensive care units must cope with numerous stresses that arise in the context of managing a complex medical unit. Ten nurse managers were interviewed using a structured interview to determine the frequency of interaction and the sources of stress that occur in working with physicians, hospital administration, nursing administration, and staff nurses. Physicians are a major source of stress but the issues vary depending on the role held by the nurse manager. The unwillingness of the staff nurse to appreciate the time involved in implementing any change is another major source of stress. Numerous coping strategies are being implemented to address identified sources of stresses. The intent of these strategies is to reduce stress by increasing the flow of task-relevant communication to all parties.
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In the continuing development of clinical engineering, new problem areas are beginning to emerge. Issues related to career development are gaining prominence, and job satisfaction, career advancement, and "burnout" are becoming increasingly important. To address these issues, clinical engineers must assume personal responsibility for their own careers. They must broaden their perception of clinical engineering to include a managerial perspective. The extent to which they assume managerial responsibilities is a function of their personal interests and talents. This involvement can range from a consultative role in decisions involving high technology to a position in the institution's top management staff. This broader definition will significantly benefit not only the field of clinical engineering but individual practitioners as well.
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