Cynthia Caroselli

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Assessing the culture, or shared norms, of an institution to learn about its values, beliefs, and practices can be very useful in determining one's "fit" within an organization. It can also be helpful to those engineering change and to those interested in shaping an institutional image that attracts and retains qualified staff. This article discusses the(More)
In the 15 years since the introduction of Barrett's theory of power as knowing participation in change and its accompanying measurement instrument, a rapidly growing number of research studies have been conducted using the theory and instrument. This article presents a critical review of this literature, as well as recommendations for further research.
Based on 15 years of research using the Power as Knowing Participation in Change Tool, the authors summarize tool development, including reliability and validity, and discuss specific methodological issues and insights. These include clarity of instructions and complexity of language used in the PKPCT along with response set, norms, and sensitivity of the(More)
The role of the healthcare system chief nurse executive is complex, daunting, risk-laden, and exciting, and provides unprecedented opportunities to influence the care of patients in a very broad context. Creating a unified vision, mission, and culture is a challenging task that can be personally and professionally rewarding. At first glance, the role can(More)
Nurse executives are in an influential position to engineer health care reform and service delivery if their resources are fully maximized. Derived from Rogers' science and Barrett's power theory, this exploratory study demonstrated a weak relationship between power and feminism in female nurse executives, yet showed a modest correlation between feminism(More)
Even under optimal conditions, assisting patients and families in making ethical decisions is difficult at best. Often these decisions revolve around the end-of-life issues that require acknowledgement that the patient is unlikely to survive, which may be perceived as a failure to both the family and the staff. At the very least, it can be a sad time,(More)
Cost savings, a goal in most health care settings, could be achieved by strategies leading to greater economic awareness. Nurse manager participation in budgeting, staff nurse awareness, and costs relative to linen and supply use were evaluated in this study. Staff who are aware of and use information about the relationship between their clinical behavior(More)