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dc.contributor.advisorTourangeau, Ann E.en
dc.contributor.advisorMallette, Claireen
dc.contributor.advisorMuntaner, Carlesen
dc.contributor.authorWilson-Keates, Barbara Joyen
dc.date.accessioned2017-07-12T17:54:27Z
dc.date.available2017-07-12T17:54:27Z
dc.date.issued2017-07-12
dc.identifier.urihttp://hdl.handle.net/10755/621804
dc.description<p>This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: RN97225; ProQuest document ID: 1346221134. The author still retains copyright.</p>en
dc.description.abstract<p>A nurse-manager relationship plays a key role in a nurse&rsquo;s practice environment. A nurse&rsquo;s trust in one&rsquo;s&nbsp;manager is the foundation for a supportive nurse-manager relationship and has crucial bearing upon the&nbsp;professional and personal lives of the nurse. However due to health care restructuring, nurses expressed little trust&nbsp;towards their leaders. To develop and implement strategies to help build healthy nurse-manager relationships,&nbsp;research is needed to more fully understand the factors that establish and enhance a nurse&rsquo;s trust in one&rsquo;s manager.&nbsp;</p> <p>This study tested a theoretical model that examined potential individual, managerial, relational and environmental&nbsp;attributes that impact a nurse&rsquo;s degree of managerial trust.&nbsp;Employing a cross-sectional, descriptive design, a self-administered survey was completed by a random&nbsp;sample of 342 Registered Nurses employed in Ontario emergency departments. Structural equation modeling&nbsp;techniques tested and refined the hypothesized model. Final analysis showed adequate fit of data to theoretical&nbsp;model (&chi; 2 = 78.86, df = 20, SRMR = .02, CFI = .98, RMSEA = .09). In the final model, a manager&rsquo;s perceived&nbsp;ability, benevolence, integrity and procedural justice had a strong, direct impact on managerial trust. Trust in&nbsp;one&rsquo;s manager was indirectly influenced by procedural justice and ability as well as a manager&rsquo;s facilitation of&nbsp;team work, communication accuracy, emotional availability and interaction frequency. Attributes of the individual&nbsp;RN, specifically job tenure and propensity to trust as well as self-determination, access to support and resources&nbsp;and span of control did not affect trust in one&rsquo;s manager. Study findings suggest that creation and preservation of&nbsp;a nurse&rsquo;s managerial trust is a complex process affected by manager&rsquo;s competence and character as well as a fair&nbsp;decision-making process. Education programs that contribute to a manager&rsquo;s ability, benevolence, integrity and&nbsp;procedural justice may help build and sustain nurses&rsquo; trust and healthy nurse-manager relationships.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectNurse-Manager Relationshipsen
dc.subjectHealthy Work Environmentsen
dc.titleExploring determinants of registered nurses' trust in their managersen
dc.typeDissertationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.</p>en
thesis.degree.grantorUniversity of Torontoen
thesis.degree.levelPhDen
dc.primary-author.detailsBarbara Joy Wilson-Keates, PhDen
thesis.degree.year2012
dc.type.categoryFull-texten
dc.evidence.levelCross-Sectionalen
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlInterprofessional Relationsen
dc.subject.cinahlInterprofessional Relations--Evaluationen
dc.subject.cinahlNursing Managementen
dc.subject.cinahlPersonnel Managementen
dc.subject.cinahlPersonnel Management--Evaluationen
dc.subject.cinahlRegistered Nursesen
dc.author.detailsBarbara Joy Wilson-Keates, PhDen
dc.description.reviewtypeNone: Degree-based Submissionen
dc.description.acquisitionProxy-submissionen


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