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.
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.
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。
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