Abstract
Purpose
The purpose of this study was to investigate the relationship between nursing practice environment, resilience, job stress, communication skills, and managerial competence of frontline nurse managers and identify factors influencing their managerial competence.
Methods
A descriptive research was carried out with 148 frontline nurse managers in six general hospitals. From August 16 to October 7, 2016 data were collected using a questionnaire. Data were analyzed with descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression using IBM SPSS/WIN 22.0.
Results
Managerial competence of frontline nurse managers was positively correlated with nursing practice environment (r=.41 p<.001), resilience (r=.45, p<.001), communication skills (r=.38, p<.001) and was negatively correlated with job stress (r=−.27, p<.001). The factors influencing managerial competence were nursing practice environment (β=.29, p=.002) and resilience (β=.28, p=.007) in that order. The input variables explained 30.8% of managerial competence.
Conclusion
The results suggest that a policy guideline is needed to enhance managerial competence of frontline nurse managers. The policy guideline should include achieving an adequate level of nurse staffing to improve the nursing practice environment and providing frontline nurse managers with educational support and administrative assistance to increase their resilience.
References
1. Yu M, Kim KS. Influence of decentralization, participation in decision making, job satisfaction on nurse managers' organizational commitment. Journal of Korean Academy of Nursing Administration. 2011; 17(3):357–367. DOI: 10.11111/jkana.2011.17.3.357.
2. Gunawan J, Aungsuroch Y. Managerial competence of first line nurse managers: A concept analysis. International Journal of Nursing Practice. 2017; 23(1):e12502. DOI: 10.1111/ijn.12502.
3. Lorber M, Savič BS. Perceptions of managerial competencies, style, and characteristics among professionals in nursing. Croatian Medical Journal. 2011; 52(2):198–204. DOI: 10.3325/cmj.2011.52.198.
4. Kang C, Chiu H, Hu Y, Chen H, Lee P, Chang W. Comparisons of self-ratings on managerial competencies, research capability, time management, executive power, workload and work stress among nurse administrators. Journal of Nursing Management. 2012; 20(7):938–947. DOI: 10.1111/j.1365-2834.2012.01383.x.
5. Luo WY, Shen NP, Lou JH, He PP, Sun JW. Exploring competencies: A qualitative study of Chinese nurse managers. Journal of Nursing Management. 2016; 24(1):E87–E94. DOI: 10.1111/jonm.12295.
6. Kim SY, Kim JK. A study on the classification of nursing management competencies and development of related behavioral indicators in hospitals. Journal of Korean Academy of Nursing. 2016; 46(3):375–389. DOI: 10.4040/jkan.2016.46.3.375.
7. Burnett S, Mendel P, Nunes F, Wiig S, van den Bovenkamp H, Karltun A, et al. Using institutional theory to analyse hospital responses to external demands for finance and quality in five European countries. Journal of Health Services Research & Policy. 2016; 21(2):109–117. DOI: 10.1177/1355819615622655.
8. Kim YS, Eo YS, Lee NY. Effects of head nurses' managerial competencies and professional nurse autonomy in nursing performance. Journal of Korean Academy of Nursing Administration. 2014; 20(4):437–445. DOI: 10.11111/jkana.2014.20.4.437.
9. Baek HJ. Comparison of nurses' perception on nursing managerial competency [master's thesis]. Daejeon: Chungnam National University;2004. 1–82.
10. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the Practice Environment Scale of Nursing Work Index for Korean nurses. Journal of Korean Academy of Nursing. 2011; 41(3):325–332. DOI: 10.4040/jkan.2011.41.3.325.
11. Unruh L, Zhang NJ. The role of work environment in keeping newly licensed RNs in nursing: A questionnaire survey. International Journal of Nursing Studies. 2013; 50(12):1678–1688. DOI: 10.1016/j.ijnurstu.2013.04.002.
12. Marshall M, Pronovost P, Dixon-Woods M. Promotion of improvement as a science. Lancet. 2013; 381(9864):419–421. DOI: 10.1016/S0140-6736(12)61850-9.
13. Rouse RA, Al Maqbali M. Identifying nurse managers' essential communication skills: An analysis of nurses' perceptions in Oman. Journal of Nursing Management. 2014; 22(2):192–200. DOI: 10.1111/jonm.12222.
14. Kim MS. A study on the relationships among general hospital chief nurses' communication skills, job stress and nursing management competence [master's thesis]. Seoul: Yonsei University;2016. 1–73.
15. Lewis PS, Malecha A. The impact of workplace incivility on the work environment, manager skill, and productivity. Journal of Nursing Administration. 2011; 41(1):41–47. DOI: 10.1097/NNA.0b013e3182002a4c.
16. Luan X, Wang P, Hou W, Chen L, Lou F. Job stress and burnout: A comparative study of senior and head nurses in China. Nursing & Health Sciences. 2017; 19(2):163–169. DOI: 10.1111/nhs.12328.
17. Kath LM, Stichler JF, Ehrhart MG, Sievers A. Predictors of nurse manager stress: A dominance analysis of potential work environment stressors. International Journal of Nursing Studies. 2013; 50(11):1474–1480. DOI: 10.1016/j.ijnurstu.2013.02.011.
18. Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review. Journal of Advanced Nursing. 2007; 60(1):1–9. DOI: 10.1111/j.1365-2648.2007.04412.x.
19. Grafton E, Gillespie B, Henderson S. Resilience: The power within. Oncology Nursing Forum. 2010; 37(6):698–705. DOI: 10.1188/10.ONF.698-705.
20. Hudgins TA. Resilience, job satisfaction and anticipated turnover in nurse leaders. Journal of Nursing Management. 2016; 24(1):E62–E69. DOI: 10.1111/jonm.12289.
21. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002; 25(3):176–188. DOI: 10.1002/nur.10032.
22. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18(2):76–82. DOI: 10.1002/da.10113.
23. Lee JH, Park SY, Uhm JH, Lee JH, Lee JH, Lee CY, et al. Construct validity of the resilience scale: Connor-Davidson Resilience Scale. The Korean Journal of Counseling & Psychotherapy. 2012; 24(3):555–571.
24. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an Occupational Stress Scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005; 17(4):297–317.
25. Hur GH. Construction and validation of a global interpersonal communication competence scale. Korean Journal of Journalism & Communication Studies. 2003; 47(6):380–408.
26. Cho SW. Development of performance evaluation indicators for nurse manager in general ward: Based on job description [master's thesis]. Seoul: Sungkyunkwan University;2011. 1–90.
27. Lake ET, Friese CR. Variations in nursing practice environments: Relation to staffing and hospital characteristics. Nursing Research. 2006; 55(1):1–9. DOI: 10.1097/00006199-200601000-00001.
28. Park JH, Chung SK. Influence of emotional labor, communication competence and resilience on nursing performance in university hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2016; 17(10):236–244. DOI: 10.5762/KAIS.2016.17.10.236.
29. Shirey MR, McDaniel AM, Ebright PR, Fisher ML, Doebbeling BN. Understanding nurse manager stress and work complexity: Factors that make a difference. Journal of Nursing Administration. 2010; 40(2):82–91. DOI: 10.1097/NNA.0b013e3181cb9f88.
30. Choi AL, Kim M, Choi S, Koo CM. Span of control in front-line nurse managers. Journal of Korean Academy of Nursing Administration. 2017; 23(4):373–384. DOI: 10.11111/jkana.2017.23.4.373.
31. Skytt B, Ljunggren B, Carlsson M. Reasons to leave: The motives of first-line nurse managers' for leaving their posts. Journal of Nursing Management. 2007; 15(3):294–302. DOI: 10.1111/j.1365-2834.2007.00651.x.
32. Herzberg F, Mausner B, Snydeman BB. The motivation to work. New York: John Wiley & Sons;1959.