First-line nurse managers in NSW: Perceived role competencies
Christine Duffield
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Sydney NSW
Judith Donoghue
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Sydney NSW
Dianne Pelletier
Centre for Graduate Nursing Studies, University of Technology, Sydney NSW
Anne Adams
Centre for Graduate Nursing Studies, University of Technology, Sydney NSW
PP: 110 - 117
Abstract
A survey of 412 first-line nurse managers employed in hospitals in New South Wales, Australia was undertaken to determine the competencies they believed an individual should possess to fulfil that managerial role. Factor analyses identified both significant functions of the role as well as areas of role conflict and confusion. 13 factors were identified from 4 major scales indicating that first-line nurse managers perceived their role to be extremely comprehensive in terms of managerial knowledge and skills.
The analyses clearly indicate that competencies related to staffing and financial issues are perceived to be essential to role performance. However, the correlation coefficient (factor loadings) indicate that ambiguity exists with competencies concerning patient care, perhaps as the remnants of the charge nurses role are discarded.
The findings in this study have been presented in two parts: Part 1 discussed the factors identified in two scales, Functional Management and Patient Care Management; Part 11 discusses the factors identified in the remaining two scales, Staff Management and Leadership (subdivided into two sub-scales for analysis).
References
Byron PD and Johnson A (1990) Impact of the change in educational preparation on clinical practice and recruitment patterns. Proceedings from the Western Sydney Area Health Service Nursing Colloquium. Menzies Foundation, Sydney, pp.49-62.
Cameron RK (1982) Wanted: mentor relationships within nursing administration. Nursing Leadership 5: 18-22.
Carr EM (1986) Organizational politics, learning to play the corporate game. AORN Journal 44: 947-957.
Chenoweth L (1991) 'The role of the nursing unit manager in shaping the performance of nurses in the nursing home environment', unpublished doctoral thesis. University of Sydney.
Duffield C (1989a) The role of nursing unit managers in New South Wales - a Delphi survey. Australian Health Review 12: 14-32.
Duffield C (1989b) The competencies expected of first-line nursing managers - an Australian context. Journal of Advanced Nursing 14: 997-1001.
Harris M and Bleakley M (1991) Competencies required of health service managers in the 1990s. Australian Health Review 14: 363-379.
Henry BM and Moody LE (1986) Nursing administration in small rural hospitals. Journal of Nursing Administration 16: 8, 38-39.
Hines N (1987) 'Management education for senior nurse managers', paper presented at the New South Wales College of Nursing Oration: Conference Standards of excellence: Can we meet them? September 10, 11, Sydney 32-38.
Lumby J (1989) The new graduate's experience. 1989 Oration Conference: Management and the nurse clinician. The New South Wales College of Nursing, Sydney.
McCloskey JC and McCain B (1987) Satisfaction, commitment and professionalism of newly employed nurses. Image: Journal of Nursing Scholarship 19: 20-24.
Menzies IEP (1961) The functioning of social systems as a defence against anxiety. Tavistock Publications, London.
Meppem J (1990) Issues and strategies in the Western Sydney area health service. What, if anything, ails nurses? Western Sydney Area Health Service Nursing Colloquium. Menzies Foundation, Sydney, pp.1-33.
Mills DS (1990) A nurturing work environment in philosophy and practice. Cancer Nursing 9: 117-119.
Nie N, Hull H and Jenkins JG (1986) SPSSx User's Guide 2nd edn. SPSS Inc, Chicago.
Pembrey SEM (1980) The ward sister - key to nursing. Whitefriars Press, London.
Rawson G (1986) Senior health service managers: Characteristics and educational needs. Australian Studies in Health Service Administration, School of Health Administration, Sydney.
Rawson GK (1988) Directors of nursing in Australia: A profile, Nursing Outlook 36: 198-202.
Report to the Australasian Nurse Registering Authorities' Conference (1990 ) ANRAC. Nursing Competencies Assessment Project Volume 1 - the Project Report. Assessment and Evaluation Research Unit, Education Department, University of Queensland.

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