Alex G. McKenna School of Business, Government, and Economics, Saint Vincent College, Latrobe, PA 15650-2690, USA.
J Nurs Manag. 2010 Mar;18(2):134-44. doi: 10.1111/j.1365-2834.2010.01063.x.
To identify competencies important for effective nursing management and to assess managers' proficiency therein.
A lack of management capacity has been identified as the key stumbling block to health delivery in South Africa. Despite nursing managers being central to overcoming the challenges facing health care, there has been a paucity of research that empirically evaluates their skill levels.
A survey was conducted among 171 senior nursing managers in South Africa using a self-administered questionnaire.
Public sector managers assessed themselves as being relatively less competent than private sector managers. The largest skill gaps for public sector managers were for 'ethico-legal', 'task-related' and 'controlling' skills whereas those for private sector managers were for 'ethico-legal', 'health-related ' and 'task-related' skills.
This research confirmed the lack of management capacity within the health sector and identified areas in which the skills deficit was most significant for both the public and private sectors.
These findings reflect the needs of nursing managers and will be useful in the conceptualization, design and delivery of health management programmes aimed at enhancing management and leadership capacity in the health sector in South Africa.
确定对有效护理管理至关重要的能力，并评估管理人员在这些能力方面的熟练程度。
南非的卫生服务提供面临着管理能力不足的问题，这已成为主要障碍。尽管护理管理人员是克服医疗保健面临的挑战的核心力量，但缺乏实证评估他们技能水平的研究。
对南非的 171 名高级护理管理人员进行了一项调查，采用自我管理问卷进行。
公共部门管理人员认为自己的能力相对不如私营部门管理人员。公共部门管理人员最大的技能差距是在“伦理法律”、“任务相关”和“控制”技能方面，而私营部门管理人员则在“伦理法律”、“健康相关”和“任务相关”技能方面存在差距。
这项研究证实了卫生部门管理能力的不足，并确定了公共和私营部门技能差距最显著的领域。
这些发现反映了护理管理人员的需求，将有助于在南非卫生部门管理和领导能力的概念化、设计和提供健康管理方案方面发挥作用。
