The perceptions of rural nurses towards role change within the context of organisational change

Article

McCarthy, Alexandra, Hegney, Desley and Pearson, Alan. 2000. "The perceptions of rural nurses towards role change within the context of organisational change." Australian Journal of Advanced Nursing. 17 (4), pp. 21-28.
Article Title

The perceptions of rural nurses towards role change within the context of organisational change

ERA Journal ID14058
Article CategoryArticle
AuthorsMcCarthy, Alexandra (Author), Hegney, Desley (Author) and Pearson, Alan (Author)
Journal TitleAustralian Journal of Advanced Nursing
Journal Citation17 (4), pp. 21-28
Number of Pages8
Year2000
PublisherAustralian Nursing and Midwifery Federation
Place of PublicationMelbourne, Australia
ISSN0813-0531
1447-4328
Abstract

This paper, derived from The role and function of the rural nurse in Australia study, describes the effects of organisational change upon the rural nurses participating in the study. It appears that whilst change is an inevitable and regular feature of rural health service delivery, it does not necessarily benefit rural nurses or communities for reasons unique to rural life. Nurses in the study responded positively to organisational change when it was congruent with the rural norms of community consultation and collaboration, or when it ensured the long-term viability of the health service. They responded negatively to organisational change that caused role overload, role conflict or role insecurity, particularly when they perceived they had little control over the change process. This paper emphasises the need for nurses to actively participate in the change processes affecting their livelihood and their communities.

Keywordscommunity health nursing; health personnel attitude; nursing staff; psychological aspect; rural health care
ANZSRC Field of Research 2020350711. Organisational planning and management
420599. Nursing not elsewhere classified
350503. Human resources management
Byline AffiliationsCentre for Rural and Remote Area Health
La Trobe University
Institution of OriginUniversity of Southern Queensland
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Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are attracted to rural and remote practice." Australian Journal of Rural Health. 10 (3), pp. 178-186.
Why nurses are resigning from rural and remote Queensland health facilities
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Why nurses are resigning from rural and remote Queensland health facilities." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 9 (2), pp. 33-39.
Retaining rural and remote area nurses: the Queensland Australia experience
Hegney, Desley, McCarthy, Alexandra, Rogers-Clark, Cath and Gorman, Don. 2002. "Retaining rural and remote area nurses: the Queensland Australia experience." Journal of Nursing Administration. 32 (3), pp. 128-135.
Mental health nursing standards and practice indicators for Australia: a review of current literature
Neville, Christine, Eley, Diann, Quinn, John, Weir, Jim, Hegney, Desley, Hangan, Catherine and Grasby, David. 2006. Mental health nursing standards and practice indicators for Australia: a review of current literature. Toowoomba, Australia. University of Southern Queensland.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002
Hegney, Desley, Eley, Robert and Buikstra, Elizabeth. 2005. Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002. Toowoomba, Australia. University of Southern Queensland.
An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas
Eley, Diann, Hegney, Desley and Boyes, Joanne. 2006. An analysis of accommodation needs of adults with an intellectual disability in Toowoomba and surrounding areas. Toowoomba, Australia. University of Southern Queensland.
The Toowoomba adult trauma triage tool
Hegney, Desley, Wollaston, Anthony, Fahey, Paul, McKay, Michelle, Miller, Peter and Wollaston, James. 2003. The Toowoomba adult trauma triage tool. Toowoomba, Australia. University of Southern Queensland.
Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties
Hegney, Desley, Fallon, Tony, Crepinsek, Maree, O'Brien, Maxine and Doolan, Jackie. 2005. Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties. Toowoomba, Australia. University of Southern Queensland.
The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland.
Hegney, Desley, McKeon, Christine, Plank, Ashley, Raith, Lisa and Watson, Jennifer. 2003. The administration and supply of controlled and restricted medication by nurses in rural and remote Queensland. Toowoomba, Australia. University of Southern Queensland.
Aged care nursing in Queensland - the nurses' view
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Fallon, Anthony Bruce, Plank, Ashley and Parker, Victoria. 2007. "Aged care nursing in Queensland - the nurses' view ." Journal of Clinical Nursing. 16 (5), pp. 860-872. https://doi.org/10.1111/j.1365-2702.2006.01696.x
Key issues in rural health: perspectives of health service providers in Queensland
Eley, Robert, Fallon, Anthony Bruce, Gorman, Don, Fahey, Paul P., Rogers-Clark, Cath and Hegney, Desley. 2006. Key issues in rural health: perspectives of health service providers in Queensland. Toowoomba, Australia. University of Southern Queensland.
Workplace violence in Queensland, Australia: the results of a comparative study
Hegney, Desley, Eley, Robert, Plank, Ashley, Buikstra, Elizabeth and Parker, Victoria. 2006. "Workplace violence in Queensland, Australia: the results of a comparative study." International Journal of Nursing Practice. 12 (4), pp. 220-231. https://doi.org/10.1111/j.1440-172X.2006.00571.x
Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Plank, Ashley and Parker, Victoria. 2007. "Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004 ." Journal of Nursing Management. 15 (3), pp. 285-293.
Dealing with distance: rural and remote area nursing
Hegney, Desley. 2006. "Dealing with distance: rural and remote area nursing." Daly, John, Speedy, Sandra and Jackson, Debra (ed.) Contexts of nursing: an introduction. Marrickville, NSW. Elsevier. pp. 213-228
SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned
Buikstra, Elizabeth, Pearce, Susanne, Hegney, Desley and Fallon, Tony. 2006. "SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned ." Rural and Remote Health. 6 (1), pp. 1-10.
Planning research in rural and remote areas
Baker, P. G., Hegney, D., Rogers-Clark, C., Fahey, P., Gorman, D. and Mitchell, G.. 2004. "Planning research in rural and remote areas." Rural and Remote Health. 4 (266), pp. 1-11.
The interface of acute and aged care: the role of the nurse in a provincial area
Hegney, Desley, McCarthy, Alexandra, De La Rue, Mary Beth, Gorman, Don, Martin-McDonald, Kris, Fahey, Paul and Pretty, Grace. 2003. "The interface of acute and aged care: the role of the nurse in a provincial area." Australasian Journal on Ageing. 22 (2), pp. 85-90. https://doi.org/10.1111/j.1741-6612.2003.tb00472.x
General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study
Hegney, Desley, Fahey, Paul P. and Nanka, Annette. 2004. "General practitioners' perceptions of after hours primary medical care services: a Toowoomba, Queensland, Australia study." Rural and Remote Health. 4 (287).
Primary health care and general practice nurses: what is the nexus?
Patterson, Elizabeth, Price, Kay and Hegney, Desley. 2005. "Primary health care and general practice nurses: what is the nexus?" Australian Journal of Primary Health. 11 (1), pp. 47-54. https://doi.org/10.1071/PY05007
Risk reduction in general practice and the role of the receptionist
Patterson, Elizabeth, Forrester, Kim, Price, Kay and Hegney, Desley. 2005. "Risk reduction in general practice and the role of the receptionist." Journal of Law and Medicine. 12 (3), pp. 340-347.
The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context
Fallon, Anthony Bruce, Crepinsek, Maree, Hegney, Desley and O'Brien, Maxine. 2005. "The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context." Birth Issues. 14 (3), pp. 90-95.
Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses
Hegney, Desley, Plank, Ashley, Watson, Jennifer, Raith, Lisa and McKeon, Christine. 2005. "Patient education and consumer medicine information: a study of provision by Queensland rural and remote area registered nurses." Journal of Clinical Nursing. 14 (7), pp. 855-862. https://doi.org/10.1111/j.1365-2702.2005.01203.x
Separation of conjoined twins: experiences of perioperative nurses and their recommendations
Martin-McDonald, K., McIntyre, P. and Hegney, D.. 2005. "Separation of conjoined twins: experiences of perioperative nurses and their recommendations." International Nursing Review. 52 (1), pp. 52-59. https://doi.org/10.1111/j.1466-7657.2004.00239.x
Attitudes of Australian nurses to information technology in the workplace: A national survey
Eley, Robert, Soar, Jeffrey, Buikstra, Elizabeth, Fallon, Tony and Hegney, Desley. 2009. "Attitudes of Australian nurses to information technology in the workplace: A national survey." CIN: Computers, Informatics, Nursing. 27 (2), pp. 114-121. https://doi.org/10.1097/NCN.0b013e318197557e