Gunawan Joko, Aungsuroch Yupin
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Int J Nurs Pract. 2017 Feb;23(1). doi: 10.1111/ijn.12502. Epub 2017 Jan 3.
A variety of terms are used interchangeably to define managerial competence of first-line nurse managers. This has resulted in a degree of ambiguity in the way managerial competence is described. The aim of this concept analysis is to clarify what is meant by managerial competence of first-line nurse managers internationally, what attributes signify it, and what its antecedents and consequences are. The Walker and Avant concept analysis approach was applied. The attributes of managerial competence include developing self, planning, organizing, leading, managing legal and ethical issues, and delivering health care. Antecedents to managerial competence include internal and external factors. Consequences include nurse performances, nurse and patient outcomes, intention to stay of nurses, and nurse and patient satisfaction. This analysis helps first-line nurse managers to understand the concept and determine where the responsibility lies in establishing a definition of managerial competence. It is recommended that middle and top managers should be aware of the internal and external factors as antecedents of the concept. Further research is needed to illuminate the attributes of managerial competence in relation to antecedents and the potential effect upon the consequences, and the need to establish managerial competence evaluation.
人们使用各种术语来交替定义一线护士长的管理能力。这导致在描述管理能力的方式上存在一定程度的模糊性。本概念分析的目的是阐明国际上一线护士长的管理能力意味着什么，哪些属性表示该能力，以及其前因和后果是什么。采用了沃克和阿万特的概念分析方法。管理能力的属性包括自我发展、规划、组织、领导、处理法律和道德问题以及提供医疗保健。管理能力的前因包括内部和外部因素。后果包括护士绩效、护士和患者的结果、护士的留任意向以及护士和患者的满意度。该分析有助于一线护士长理解这一概念，并确定在建立管理能力定义方面责任所在。建议中层和高层管理人员应了解作为该概念前因的内部和外部因素。需要进一步研究以阐明与前因相关的管理能力属性以及对后果的潜在影响，以及建立管理能力评估的必要性。
