Adatara Peter, Asamani James, Nyefene Martin, Nyande Felix, Kuug Anthony, Atakro Alorse
University of Health and Allied Sciences, Ho, Ghana.
Ghana Health Service, Accra, Ghana.
Nurs Manag (Harrow). 2018 Nov 30;25(5):35-42. doi: 10.7748/nm.2018.e1773. Epub 2018 Nov 22.
To explore the challenges facing hospital nurse managers (HNMs) in selected hospitals in the Volta region of Ghana.
The study, which had an exploratory qualitative design, involved the recruitment of 12 HNMs from six public hospitals in the Volta region of Ghana. Purposive sampling was used and data were collected through semi-structured interviews. The conventional content analysis approach was adopted for data analysis.
The study revealed several managerial challenges of being HNMs in performing their roles. These include: a lack of managerial preparedness, clear job descriptions and support; interference by other managers; and inadequate nursing staff and material resources. All these compromised the quality of nursing care. Participants found their role tedious and stressful, but also regard it as an opportunity to learn new ideas.
HNMs face several challenges that negatively affect their performance. There is a need for succession planning, career development and mentoring programmes to strengthen HNMs' leadership and management skills to help them provide high-quality nursing care.
探讨加纳沃尔特地区部分医院的医院护士管理者（HNMs）所面临的挑战。
本研究采用探索性定性设计，从加纳沃尔特地区的六所公立医院招募了12名医院护士管理者。采用目的抽样法，通过半结构化访谈收集数据。数据分析采用传统内容分析法。
该研究揭示了医院护士管理者在履行职责时面临的若干管理挑战。这些挑战包括：缺乏管理准备、明确的工作描述和支持；受到其他管理者的干扰；护理人员和物资资源不足。所有这些都损害了护理质量。参与者发现他们的工作乏味且压力大，但也将其视为学习新思想的机会。
医院护士管理者面临若干对其绩效产生负面影响的挑战。需要进行继任规划、职业发展和指导计划，以加强医院护士管理者的领导和管理技能，帮助他们提供高质量的护理服务。
