Ontario Ministry of Health and Long-Term Care, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
J Nurs Manag. 2011 Jul;19(5):611-22. doi: 10.1111/j.1365-2834.2011.01260.x. Epub 2011 Jun 15.
To examine the influence of nurse manager span (number of direct report staff), time in staff contact, transformational leadership practices and operational hours on nurse supervision satisfaction.
Increasing role complexity has intensified the boundary spanning functions of managers. Because work demands and scope vary by management position, time in staff contact rather than span may better explain managers' capacity to support staff.
A descriptive, correlational design was used to collect cross-sectional survey and prospective work log and administrative data from a convenience sample of 558 nurses in 51 clinical areas and 31 front-line nurse managers from four acute care hospitals in 2007-2008. Data were analysed using hierarchical linear modelling.
Span, but not time in staff contact, interacted with leadership and operational hours to explain supervision satisfaction.
With compressed operational hours, supervision satisfaction was lower with highly transformational leadership in combination with wider spans. With extended operational hours, supervision satisfaction was higher with highly transformational leadership, and this effect was more pronounced under wider spans.
Operational hours, which influence the manager's daily span (average number of direct report staff working per weekday), should be factored into the design of front-line management positions.
考察护士长管理幅度（直接下属人数）、与员工接触时间、变革型领导实践和工作时间对护士监督满意度的影响。
角色复杂性的增加加剧了管理者的跨边界职能。由于管理职位的工作要求和范围不同，与员工接触的时间可能比管理幅度更能解释管理者支持员工的能力。
采用描述性、相关性设计，于 2007-2008 年从 4 家急性护理医院的 51 个临床科室的 558 名护士和 31 名一线护士管理者中，收集了方便样本的横断面调查和前瞻性工作记录及行政数据。采用分层线性模型进行数据分析。
管理幅度，而不是与员工接触的时间，与领导和工作时间相互作用，从而影响监督满意度。
在工作时间压缩的情况下，高度变革型领导与较宽的管理幅度相结合会降低监督满意度。在延长工作时间的情况下，高度变革型领导会提高监督满意度，而在较宽的管理幅度下，这种效果更为明显。
影响经理日常管理幅度（每个工作日直接下属人数的平均值）的工作时间，应纳入一线管理岗位的设计中。
