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医院环境中护士长的管理范围:一项综合综述。

Nurse Manager Span of Control in Hospital Settings: An Integrative Review.

作者信息

Boned-Galán Angel, López-Ibort Nieves, Gascón-Catalán Ana

机构信息

Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain.

Instituto de Investigación Sanitaria de Aragón (IIS Aragon), 50009 Zaragoza, Spain.

出版信息

Nurs Rep. 2023 Nov 1;13(4):1577-1592. doi: 10.3390/nursrep13040131.

DOI:10.3390/nursrep13040131
PMID:37987410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10660758/
Abstract

BACKGROUND

Nurse managers face great challenges in responding to organizational demands. There exists a general mismatch between managerial span of control and the demands of the job post, which can lead to overburdening and attrition. The aim of this review was to identify the effects of the nurse manager span of control on hospital organizations.

METHODS

An integrative literature review was carried out on nurse manager span of control using the Medline, Embase and Web of Science databases.

RESULTS

21 articles were included. Our findings indicate that the span of control of nursing managers influences outcomes in inpatients, professionals, nurse managers, and the organization.

CONCLUSIONS

The span of control of each nurse manager must be assessed and adjusted to each case. An appropriate span of control will lead to improved outcomes for stakeholders and the organization as a whole.

IMPLICATIONS FOR NURSING MANAGEMENT

Tools must be developed and implemented to measure and evaluate the span of control of nurse managers. This study was not registered.

摘要

背景

护士长在应对组织需求方面面临巨大挑战。管理控制范围与岗位需求之间普遍存在不匹配的情况,这可能导致负担过重和人员流失。本综述的目的是确定护士长控制范围对医院组织的影响。

方法

使用Medline、Embase和科学网数据库对护士长控制范围进行综合文献综述。

结果

纳入21篇文章。我们的研究结果表明,护理管理者的控制范围会影响住院患者、专业人员、护士长及组织的相关结果。

结论

必须针对每个案例评估并调整每位护士长的控制范围。适当的控制范围将为利益相关者和整个组织带来更好的结果。

对护理管理的启示

必须开发并实施工具来衡量和评估护士长的控制范围。本研究未注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb7/10660758/c1cfd5fb40e2/nursrep-13-00131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb7/10660758/a8999d2058f0/nursrep-13-00131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb7/10660758/c1cfd5fb40e2/nursrep-13-00131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb7/10660758/a8999d2058f0/nursrep-13-00131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bb7/10660758/c1cfd5fb40e2/nursrep-13-00131-g002.jpg

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本文引用的文献

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[Impact of charge nurses' span of control on the work attitudes of nurses].[责任护士的管理跨度对护士工作态度的影响]
An Sist Sanit Navar. 2021 Dec 27;44(3):373-383. doi: 10.23938/ASSN.0970.
2
Communication Skills and Transformational Leadership Style of First-Line Nurse Managers in Relation to Job Satisfaction of Nurses and Moderators of This Relationship.一线护士长的沟通技巧与变革型领导风格对护士工作满意度的影响及这种关系的调节因素
Healthcare (Basel). 2021 Mar 18;9(3):346. doi: 10.3390/healthcare9030346.
3
Factors that influence nurse manager job satisfaction: An integrated literature review.
影响护士长工作满意度的因素:综合文献回顾。
J Nurs Manag. 2021 Apr;29(3):373-384. doi: 10.1111/jonm.13165. Epub 2020 Oct 19.
4
Reexamining Nurse Manager Span of Control With a 21st-Century Lens.用21世纪的视角重新审视护士长的管理跨度。
Nurs Adm Q. 2019 Jul/Sep;43(3):230-245. doi: 10.1097/NAQ.0000000000000351.
5
Relationships Among Nurse Manager Leadership Skills, Conflict Management, and Unit Teamwork.护士长领导技能、冲突管理与科室团队合作之间的关系
J Nurs Adm. 2018 Jul/Aug;48(7-8):383-388. doi: 10.1097/NNA.0000000000000633.
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Development and Testing of the Nurse Manager EBP Competency Scale.护士管理者循证实践能力量表的开发与测试
West J Nurs Res. 2018 Feb;40(2):175-190. doi: 10.1177/0193945917728249. Epub 2017 Aug 30.
7
Size does matter - span of control in hospitals.规模很重要——医院的控制范围
J Health Organ Manag. 2017 Apr 10;31(2):192-206. doi: 10.1108/JHOM-04-2016-0073.
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Utilizing a scope and span of control tool to measure workload and determine supporting resources for nurse managers.使用控制范围和跨度工具来衡量工作量,并为护士长确定支持资源。
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Nurs Leadersh (Tor Ont). 2014 Mar;27(1):45-61. doi: 10.12927/cjnl.2014.23737.