Manager, clinician or both? Nurse managers' engagement in clinical care activities
- Publication Type:
- Journal Article
- Citation:
- Journal of Nursing Management, 2019, 27 (7), pp. 1538 - 1545
- Issue Date:
- 2019-10-01
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| Filename | Description | Size | |||
|---|---|---|---|---|---|
| Duffield_et_al-2019-Journal_of_Nursing_Management.pdf | Published Version | 335.94 kB |
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© 2019 John Wiley & Sons Ltd Aim: To explore the extent of Australian nurse managers' engagement in clinical care activities. Background: 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. Methods: 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. Results: 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. Conclusions: 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. Implications for Nursing Management: 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.
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