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Time allocation and temporal focus in nursing management: an integrative review
Johanna Bjerregård Madsen1, Arja Kaila2, Katri Vehviläinen-Julkunen3
1Nursing Development, North Karelia Central Hospital and Honkalampi Centre, Joensuu, Finland. johanna.bjerregardmadsen@pkssk.fi.
Nurse administrators spend most of their time on daily, reactive tasks, with limited focus on strategic planning. This highlights a need for better time management strategies in nursing leadership roles.
Area of Science:
- Nursing Management
- Healthcare Administration
- Organizational Behavior
Background:
- Limited research exists on how nurse administrators allocate their time and their temporal focus.
- The evolving role of nurse administrators presents significant time management challenges.
Purpose of the Study:
- To describe the time allocation and temporal focus within nursing management activities.
- To synthesize existing literature on nurse administrators' time management.
Main Methods:
- An integrative review of published literature from 2005-2014.
- Searched five databases for studies on time allocation or temporal focus in nurse administration.
- Conducted data extraction, quality assessment, and quantitative content analysis on eight selected articles.
Main Results:
- Nurse administrators' work is dominated by daily reactive tasks and administrative routines.
- Strategic and proactive management activities were found to be scarce.
- The daily work of nurse administrators is characterized by fragmentation due to varied activities and frequent interruptions.
Conclusions:
- Further research is necessary to fully understand time allocation and temporal focus in nursing management.
- Findings can inform the clarification of job descriptions and the planning of education for nurse administrators.
- Organizations should use evidence to standardize job descriptions for various levels of nurse managers.
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