Title

Manager, clinician or both? Nurse managers' engagement in clinical care activities

Document Type

Journal Article

Publication Title

Journal of Nursing Management

ISSN

1365-2834

Volume

27

Issue

7

First Page

1538

Last Page

1545

PubMed ID

31419364

Publisher

Wiley

School

School of Nursing and Midwifery

RAS ID

29942

Funders

Australian Nursing and Midwifery Federation

Comments

Originally published as: Duffield, C., Gardner, G., Doubrovsky, A., & Wise, S. (2019). Manager, clinician or both? Nurse managers' engagement in clinical care activities. Journal of Nursing Management, 27(7), 1538-1545.

Original article available here.

Abstract

AIM: To explore the extent of Australian nurse managers' engagement in clinical care activities.

BACKGROUND: Hybrid nurse manager roles lack clarity in the optimal balance between the clinical and other activities, resulting in stress and challenges in recruiting and retaining nurse managers.

METHODS: In a national survey using the Advanced Practice Role Delineation tool, Australian nurses self-assessed their level of engagement in activities across five domains of nursing practice. The subset sample analysed comprised 2,758 registered nurses, 390 clinical (front-line) nurse managers and 43 organisational (middle) nurse managers. Median domain scores were compared with non-parametric tests of difference.

RESULTS: Clinical nurse managers were in a hybrid role, reporting high levels of engagement across the domains. Lower scores observed for organisational nurse managers highlight the shift to strategy-focussed activities that occurs as nurses up the management hierarchy.

CONCLUSIONS: By indicating their engagement in the clinical care domain, respondents demonstrated that clinically focused activities were not entirely lost from either front-line or middle-management roles.

IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers equipped with clinical and management skills, and allowed time to remain engage in clinical care activities are critical for patient-centred and cost-effective care in today's complex health care environments.

DOI

10.1111/jonm.12841

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