Svanström Jonas, Lindberg Magnus, Skytt Bernice, Lindberg Maria
University of Gävle, Sweden.
Uppsala University, Sweden.
Inquiry. 2025 Jan-Dec;62:469580251368724. doi: 10.1177/00469580251368724. Epub 2025 Aug 21.
Healthcare organizations face increasing challenges in retaining first-line managers, who play a key role in operational stability and patient care. Studies indicate that approximately half of all first-line managers intend to leave their position within 5 years. This highlights the need for updated knowledge about conditions under which they work. A qualitative descriptive design was used to explore first-line managers' perceptions of what is important for them to remain in the managerial role. Data were collected through 20 individual semi-structured interviews with first-line managers from a medium-sized healthcare organization in Sweden between March and June 2022. The data were analyzed using qualitative content analysis. The results are presented through the overarching theme . This theme describes how first-line managers sustain their motivation and commitment by developing confidence in their ability to lead, influence others, and create meaningful change. Their confidence is grounded in support, responsibility, and role clarity. The theme also shows how first-line managers handle challenges, make decisions, and act to improve staff well-being and patient care. Through these actions, they contribute to the development of their units. Trust from their manager, autonomy in decision-making, and support from colleagues enhance first-line managers' sense of purpose and motivation, encouraging them to remain in their role. Moreover, balanced workloads and opportunities to make a meaningful impact strengthen their commitment. By recognizing and addressing these aspects, healthcare organizations can better support long-term engagement of first-line managers, fostering sustainable leadership and stability.
医疗保健机构在留住一线管理人员方面面临着越来越大的挑战，而一线管理人员在运营稳定性和患者护理方面发挥着关键作用。研究表明，大约一半的一线管理人员打算在5年内离职。这凸显了了解他们工作条件的最新知识的必要性。本研究采用质性描述性设计，以探究一线管理人员对于他们继续担任管理角色而言重要因素的看法。2022年3月至6月期间，通过对瑞典一家中型医疗保健机构的一线管理人员进行20次个人半结构化访谈收集数据。采用质性内容分析法对数据进行分析。结果通过总体主题呈现。该主题描述了一线管理人员如何通过培养对自身领导能力、影响他人能力以及创造有意义变革能力的信心来维持他们的动力和承诺。他们的信心基于支持、责任和角色清晰度。该主题还展示了一线管理人员如何应对挑战、做出决策以及采取行动来改善员工福祉和患者护理。通过这些行动，他们为所在部门的发展做出贡献。来自上级经理的信任、决策自主权以及同事的支持增强了一线管理人员的使命感和动力，鼓励他们继续留在岗位上。此外，均衡的工作量和产生有意义影响的机会强化了他们的敬业度。通过认识并解决这些方面问题，医疗保健机构能够更好地支持一线管理人员的长期敬业度，培养可持续的领导力和稳定性。
