Volume 27, Issue 1 (10-2024)
jha 2024, 27(1): 99-113 |
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Eftekhari A, Sharifi T, Dehghani F, Borghian S, Baghian N. Evaluation of managerial competencies of head nurses in public sector hospitals: evidence from educational centers at Shahid Sadoughi university of medical sciences, Yazd (2023). jha 2024; 27 (1) :99-113
URL: http://jha.iums.ac.ir/article-1-4499-en.html
URL: http://jha.iums.ac.ir/article-1-4499-en.html
1- Department of Nursing, Meybod School of Nursing, Shahid Sadoughi University of Medical Sciences, Yazd
2- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan
3- Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd
4- Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd ,n.baghian@yhoo.com
2- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan
3- Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd
4- Clinical Research Development Center, Shahid Rahnemoon Hospital, Shahid Sadoughi University of Medical Sciences, Yazd ,
Abstract: (131 Views)
Introduction: Management competencies are essential principles for nursing supervisors in clinical departments to provide quality service to patients and create a healthy work environment for staff. This study aims to evaluate the managerial competencies of head nurses in educational hospitals in Yazd in 2023.
Methods: This cross-sectional and analytical study was conducted in the educational hospitals affiliated with Shahid Sadoughi University of Medical Sciences, Yazd, in 2023. We employed a random sampling method to select two groups: 174 nurses and a census of 49 hospital managers and head nurses. Data were collected using a questionnaire designed to assess the managerial competencies of head nurses, which had confirmed in a study by Markazimoghadam. Data analysis was performed using SPSS 16, utilizing descriptive and analytical statistical tests, including Mann-Whitney test and Cohen's d effect size.
Results: The mean competency score of head nurses, as perceived by both managers and nurses, was 65.08, indicating a good level of competency. Both groups identified “customer commitment” as the area with the highest competency score (75.33 ± 27.41), while “problem-solving” received the lowest score. Among the competency components, "atmosphere and organizational culture management" (d=0.762) and "trust and credibility" (d=0.750) were found to have the most significant impact on head nurses' competencies.
Conclusion: Problem-solving skills emerged as the weakest area, highlighting the need for targeted empowerment through training and effective experiences. Additionally, enhancing skills in organizational culture management, effective communication, and building trust and credibility will significantly strengthen the managerial competencies of head nurses.
Methods: This cross-sectional and analytical study was conducted in the educational hospitals affiliated with Shahid Sadoughi University of Medical Sciences, Yazd, in 2023. We employed a random sampling method to select two groups: 174 nurses and a census of 49 hospital managers and head nurses. Data were collected using a questionnaire designed to assess the managerial competencies of head nurses, which had confirmed in a study by Markazimoghadam. Data analysis was performed using SPSS 16, utilizing descriptive and analytical statistical tests, including Mann-Whitney test and Cohen's d effect size.
Results: The mean competency score of head nurses, as perceived by both managers and nurses, was 65.08, indicating a good level of competency. Both groups identified “customer commitment” as the area with the highest competency score (75.33 ± 27.41), while “problem-solving” received the lowest score. Among the competency components, "atmosphere and organizational culture management" (d=0.762) and "trust and credibility" (d=0.750) were found to have the most significant impact on head nurses' competencies.
Conclusion: Problem-solving skills emerged as the weakest area, highlighting the need for targeted empowerment through training and effective experiences. Additionally, enhancing skills in organizational culture management, effective communication, and building trust and credibility will significantly strengthen the managerial competencies of head nurses.
Type of Study: Research |
Subject:
Health Services Management
Received: 2024/03/21 | Accepted: 2024/06/19 | Published: 2024/12/15
Received: 2024/03/21 | Accepted: 2024/06/19 | Published: 2024/12/15
References
1. Purfarzad Z, Vanaki Z, Ghamari Zare Z, Farmahini Farahani M, Ghorbani M. Assessment charge nurses' managerial self-efficacy. Quarterly Journal of Nursing Management. 2014;2(4):8-16. Available from: http://ijnv.ir/article-1-162-en.html. [In Persian]
2. Chouhan VS, Srivastava S. Understanding competencies and competency modeling-A literature survey. IOSR Journal of Business and Management. 2014;16(1):14-22. doi: 10.9790/487X-16111422 [DOI:10.9790/487X-16111422]
3. Sandehang PM, Muthmainnah, editors. Improving nurse managers' competencies: A systematic Review; 2018; In Proceedings of the 1st International Conference of Indonesian National Nurses Association (ICINNA 2018). doi: 10.5220/0008201300570066 [DOI:10.5220/0008201300570066]
4. Bekar EÖ, Baykal Ü. Investigation of the control process in nursing care management: A qualitative study. Florence Nightingale J Nurs. 2020;28(1):61-70. doi: 10.5152/FNJN.2020.18033 [DOI:10.5152/FNJN.2020.18033]
5. Jankelová N, Joniaková Z. Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. Healthcare (Basel). 2021;9(3):346. doi: 10.3390/healthcare9030346 [DOI:10.3390/healthcare9030346]
6. Allah ARG, Elshrief HA, Ageiz MH. Developing strategy: A guide for nurse managers to manage nursing staff's work-related problems. Asian Nursing Research. 2020;14(3):178-87.doi: 10.1016/j.anr.2020.07.004 [DOI:10.1016/j.anr.2020.07.004]
7. Moghaddam NM, Jame SZB, Rafiei S, Sarem AA, Ghamchili A, Shafii M. Managerial competencies of head nurses: A model and assessment tool. British Journal of Nursing. 2019;28(1):30-7. doi: 10.12968/bjon.2019.28.1.30 [DOI:10.12968/bjon.2019.28.1.30]
8. Galleryzki AR, Hariyati RTS, Kuntarti. Overview of nurses' perceptions of the headroom management function in hospitals during the Covid-19 pandemic. Journal of Global Research in Public Health. 2021;6(2):136-42. doi: 10.30994/jgrph.v6i2.342
9. Gunawan J, Aungsuroch Y, Fisher ML, McDaniel AM, Marzilli C. Managerial competence of first-line
10. nurse managers in public hospitals in indonesia. Journal of Multidisciplinary Healthcare. 2020;13(null):1017-25. doi: 10.2147/JMDH.S269150 [DOI:10.2147/JMDH.S269150]
11. Hawkins N, Jeong SYS, Smith T, Sim J. A conflicted tribe under pressure: A qualitative study of negative workplace behaviour in nursing. Journal of Advanced Nursing. 2023;79(2):711-26. doi: 10.1111/jan.15491 [DOI:10.1111/jan.15491]
12. Choi PP, Lee WM, Wong SS, Tiu MH. Competencies of nurse managers as predictors of staff nurses' job satisfaction and turnover intention. International Journal of Environmental Research and Public Health. 2022;19(18):11461. doi: 10.3390/ijerph191811461 [DOI:10.3390/ijerph191811461]
13. Lehtonen MR, Roos M, Kantanen K, Suominen T. International nursing: Nurse managers' leadership and management competencies assessed by nursing personnel in a finnish hospital. Nursing Administration Quarterly. 2018;42(2):164-74. doi: 10.1097/NAQ.0000000000000279 [DOI:10.1097/NAQ.0000000000000279]
14. Kantanen K, Kaunonen M, Helminen M, Suominen T. Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. Journal of Research in Nursing. 2017;22(3):228-44.doi: 10.1177/1744987117702692 [DOI:10.1177/1744987117702692]
15. Javadyar K, Saki R, Jafari P. A comparative study of succession system of educational leaders in japan, singapore, finland and the united states of America: Providing guidelines for iran's educational system. Iranian Journal of Comparative Education. 2022;5(3):2045-65. doi: 10.22034/IJCE.2022.330387.1395. [In Persian]
16. Yousefinezhadi T, Tabibi S, Riahi L. Evaluation of managers based on 360-degree feedback in teaching hospitals of tehran university of medical sciences. Journal of Rafsanjan University of Medical Sciences. 2013;12(9):709-18 doi: 0.1001.1.17353165.1392.12.9.2.2. [In Persian]
17. Ansah Ofei AM, Paarima Y, Barnes T, Kwashie AA. Staffing the unit with nurses: The role of nurse managers. Journal of Health Organization and Management. 2021;35(5):614-27 .doi: 10.1108/JHOM-04-2020-0134 [DOI:10.1108/JHOM-04-2020-0134]
18. Gunawan J, Aungsuroch Y, Fisher ML. Factors contributing to managerial competence of first‐line nurse managers: A systematic review. International Journal of Nursing Practice. 2018;24(1):e12611.doi: 10.1111/ijn.12611 [DOI:10.1111/ijn.12611]
19. Maleki Lootaki S. Relationship between personality types and the ability of problem-solving among nurse managers. Quarterly Journal of Nursing Management. 2018;7(3):9-16[In Persian]
20. González García A, Pinto-Carral A, Sanz Villorejo J, Marqués-Sánchez P. Nurse manager core competencies: A proposal in the spanish health system. International Journal of Environmental Research and Public Health. 2020;17(9):3173 .doi: 10.3390/ijerph17093173 [DOI:10.3390/ijerph17093173]
21. Saridi M, Panagiotidou A, Toska A, Panagiotidou M, Sarafis P. Workplace interpersonal conflicts among healthcare professionals: A survey on conflict solution approach at a General Hospital. International Journal of Healthcare Management. 2021;14(2):468-77. doi: 10.1080/20479700.2019.1661114 [DOI:10.1080/20479700.2019.1661114]
22. Koivunen K, Kaakinen P, Paeaetalo K, Mattila O, Oikarinen A, Jansson M, et al. Frontline nurse leaders' competences in evidence‐based healthcare: A scoping review. Journal of Advanced Nursing. 2024;80(4):1314-34. doi: 10.1111/jan.15920 [DOI:10.1111/jan.15920]
23. Durrah O, Allil K, Gharib M, Alhamoud A. How different styles of conflict management determine creativity? exploring petrochemical companies in oman. Journal of Economics and Business.2018;1:455-63.doi: 10.31014/aior.1992.01.04.41 [DOI:10.31014/aior.1992.01.04.41]
24. Gunawan J, Aungsuroch Y, Fisher ML, McDaniel AM, Marzilli C. Managerial competence of first-line nurse managers in public hospitals in indonesia. Journal of Multidisciplinary Healthcare. 2020:1017-25. doi: 10.2147/JMDH.S269150 [DOI:10.2147/JMDH.S269150]
25. Sugianto KMS, Hariyati RTS, Pujasari H, Novieastari E, Handiyani H. Nurse workforce scheduling: A qualitative study of Indonesian nurse managers' experiences during the COVID-19 pandemic. Belitung Nursing Journal. 2022;8(1):53. doi: 10.33546/bnj.1735 [DOI:10.33546/bnj.1735]
26. Fowler KR, Robbins LK, Lucero A. Nurse manager communication and outcomes for nursing: An integrative review. Journal of Nursing Management. 2021;29(6):1486-95. doi: 10.1111/jonm.13324 [DOI:10.1111/jonm.13324]
27. Liou Y-F, Lin P-F, Chang Y-C, Liaw J-J. Perceived importance of competencies by nurse managers at all levels: A cross-sectional study. Journal of Nursing Management. 2022;30(3):633-42. doi: 10.1111/jonm.13545 [DOI:10.1111/jonm.13545]
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