Frontline nurse managers' visions for their units: A qualitative study.
head nurse
leadership
nursing care management
qualitative study
vision
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
10
12
2019
revised:
21
04
2020
accepted:
13
05
2020
pubmed:
23
5
2020
medline:
16
3
2021
entrez:
23
5
2020
Statut:
ppublish
Résumé
To elucidate frontline nurse managers' visions of their units. Managers have the opportunity to imagine and share their visions for effective unit management. Semi-structured interviews were conducted with 12 frontline nurse managers working at inpatient units in two hospitals between 2016 and 2017. Data were qualitatively analysed using an inductive approach, focusing on participants' intents. Although participants showed four types of difficulties in verbalizing visions, five categories and 18 subcategories were extracted through analysis of their descriptions about actual cases reflecting their visions. The categories were (a) provide excellent care to ensure patient recovery based on reliable knowledge and skills, (b) make efforts to broaden patients' futures, (c) create a climate for pursuing better practice, (d) all staff continuously pursue professional development and (e) provide nursing care that responds to external changes. All categories were common to all participants' images of the future and linked together to form each manager's vision. Frontline managers experienced difficulty in articulating their visions. However, through episodes, they represented images of visions. The managers' visions comprised five categories reflecting various perspectives. Using a conceptualized vision framework, and identifying difficulties in verbalizing their images, can help managers articulate their visions.
Sections du résumé
AIMS
OBJECTIVE
To elucidate frontline nurse managers' visions of their units.
BACKGROUND
BACKGROUND
Managers have the opportunity to imagine and share their visions for effective unit management.
METHODS
METHODS
Semi-structured interviews were conducted with 12 frontline nurse managers working at inpatient units in two hospitals between 2016 and 2017. Data were qualitatively analysed using an inductive approach, focusing on participants' intents.
RESULTS
RESULTS
Although participants showed four types of difficulties in verbalizing visions, five categories and 18 subcategories were extracted through analysis of their descriptions about actual cases reflecting their visions. The categories were (a) provide excellent care to ensure patient recovery based on reliable knowledge and skills, (b) make efforts to broaden patients' futures, (c) create a climate for pursuing better practice, (d) all staff continuously pursue professional development and (e) provide nursing care that responds to external changes. All categories were common to all participants' images of the future and linked together to form each manager's vision.
CONCLUSION
CONCLUSIONS
Frontline managers experienced difficulty in articulating their visions. However, through episodes, they represented images of visions. The managers' visions comprised five categories reflecting various perspectives.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Using a conceptualized vision framework, and identifying difficulties in verbalizing their images, can help managers articulate their visions.
Types de publication
Journal Article
Langues
eng
Pagination
1053-1061Subventions
Organisme : FIRSTSTAR Healthcare Co. Ltd.
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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