Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
J Nurs Manag. 2019 Oct;27(7):1538-1545. doi: 10.1111/jonm.12841. Epub 2019 Sep 5.
To explore the extent of Australian nurse managers' engagement in clinical care activities.
Hybrid nurse manager roles lack clarity in the optimal balance between the clinical and other activities, resulting in stress and challenges in recruiting and retaining nurse managers.
In a national survey using the Advanced Practice Role Delineation tool, Australian nurses self-assessed their level of engagement in activities across five domains of nursing practice. The subset sample analysed comprised 2,758 registered nurses, 390 clinical (front-line) nurse managers and 43 organisational (middle) nurse managers. Median domain scores were compared with non-parametric tests of difference.
Clinical nurse managers were in a hybrid role, reporting high levels of engagement across the domains. Lower scores observed for organisational nurse managers highlight the shift to strategy-focussed activities that occurs as nurses up the management hierarchy.
By indicating their engagement in the clinical care domain, respondents demonstrated that clinically focused activities were not entirely lost from either front-line or middle-management roles.
Nurse managers equipped with clinical and management skills, and allowed time to remain engage in clinical care activities are critical for patient-centred and cost-effective care in today's complex health care environments.
探讨澳大利亚护士长参与临床护理活动的程度。
混合式护士长角色在临床和其他活动之间的最佳平衡方面缺乏明确性，导致在招聘和留住护士长方面存在压力和挑战。
在一项使用高级实践角色描述工具的全国性调查中，澳大利亚护士根据五项护理实践领域自我评估其参与活动的程度。对分析的子样本包括 2758 名注册护士、390 名临床（一线）护士长和 43 名组织（中层）护士长。使用非参数检验比较中位数域得分。
临床护士长处于混合角色，报告在所有领域都有很高的参与度。组织护士长的得分较低，突出了随着护士在管理层次上升，向以战略为重点的活动的转变。
通过表明他们在临床护理领域的参与度，受访者表明，无论是一线还是中层管理角色，临床为重点的活动都没有完全消失。
配备临床和管理技能并允许参与临床护理活动的护士长对于在当今复杂的医疗保健环境中提供以患者为中心和具有成本效益的护理至关重要。
