Schlotzhauer Ann E, Cramer Emily, Grandfield Elizabeth M, Warshawsky Nora E
Author Affiliations: Doctoral Candidate (Schlotzhauer), Department of Psychology, University of Central Florida, Orlando; Research Faculty (Dr Cramer), Health Services and Outcomes Research, Children's Mercy Kansas City, Missouri; Associate Professor (Dr Cramer), School of Medicine, University of Missouri-Kansas City; Assistant Professor (Dr Grandfield), Department of Methodology and Statistics, Utrecht University, the Netherlands; and Nurse Scientist (Dr Warshawsky), Press Ganey Associates, South Bend, Indiana.
J Nurs Adm. 2023;53(7-8):392-398. doi: 10.1097/NNA.0000000000001305.
The aim of this study was to synthesize previous findings and provide practical guidance for maximizing nurse manager and nurse performance.
Two recent studies have linked nurse manager job design factors and individual differences to a variety of valued outcomes, but practical implications remain unclear.
A large US sample of nurse managers was divided on the basis of nurse and patient outcomes. Various characteristics are compared across the highest and lowest performers.
Wider nurse manager span of control is associated with negative outcomes; the availability of support positions does not fully alleviate the consequences of wide spans. Nurse managers with fewer subordinates can effectively manage multiple units. Nurse manager experience is critical for success and cannot be fully replaced by leadership training programs.
Staffing and job design decisions have critical downstream implications. The present research provides guidance for effective staffing and job design.
本研究旨在综合以往研究结果,为最大限度提高护士长及护士的绩效提供实用指导。
最近的两项研究将护士长的工作设计因素和个体差异与多种有价值的结果联系起来,但实际意义仍不明确。
根据护士和患者的结果,对美国大量护士长样本进行划分。比较表现最佳和最差的护士长的各种特征。
护士长更宽的控制范围与负面结果相关;支持岗位的存在并不能完全减轻宽控制范围的后果。下属较少的护士长能够有效地管理多个科室。护士长的经验对成功至关重要,领导力培训项目无法完全取代经验。
人员配置和工作设计决策具有关键的下游影响。本研究为有效的人员配置和工作设计提供了指导。