Kirchhoff Jörg W, Karlsson Jan Ch
Faculty of Health and Welfare Studies, Østfold University College , Halden, Norway.
Faculty of Business, Languages and Social Sciences, Østfold University College , Halden, Norway.
Leadersh Health Serv (Bradf Engl). 2019 Jun 28;32(3):405-418. doi: 10.1108/LHS-11-2017-0067. Epub 2018 Jun 8.
First-line nurse managers are frequently torn between conflicting demands from management and employees, and previous research suggests that nurse managers use a variety of responses to cope with these demands. The purpose of this paper is to explore the influence of social support on nurse managers' responses to role-conflict.
DESIGN/METHODOLOGY/APPROACH: Two focused ethnographic studies involving participant observation and interviews with seven first-line nurse managers were completed. One study included first-line nurse managers from four units in two municipalities (2005), while the second included three first-line nurse managers from a hospital in Norway (2015-2016).
Three types of responses were identified: the embracing managerialism career, the emphasising managerialism career and the emphasising professionalism career. Emphasising managerialism was associated with role distance from the role of nurse, whereas emphasising professionalism involved role distance from the managerial role.
ORIGINALITY/VALUE: This study provides insights into first-line nurse managers' responses to role conflict, by identifying the mechanisms involved and an opportunity to develop a theoretical framework for future studies among nurse managers.
一线护士长常常在管理层和员工的相互冲突的要求之间左右为难，先前的研究表明护士长会采用多种应对方式来处理这些要求。本文旨在探讨社会支持对护士长应对角色冲突的影响。
设计/方法/途径：完成了两项聚焦民族志研究，包括参与观察以及对七位一线护士长的访谈。一项研究涵盖了来自两个城市四个科室的一线护士长（2005年），另一项研究包括来自挪威一家医院的三位一线护士长（2015 - 2016年）。
确定了三种应对类型：拥护管理主义职业、强调管理主义职业和强调专业主义职业。强调管理主义与与护士角色的角色距离相关，而强调专业主义涉及与管理角色的角色距离。
原创性/价值：本研究通过识别其中涉及的机制以及为未来护士长研究构建理论框架的机会，深入了解了一线护士长对角色冲突的应对方式。
