Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline
Christine Pabico1, Shin Hye Park, Ellen Swartwout
1Author Affiliations: Sr. Director (Dr Pabico), Pathway to Excellence Program, and Independent Nurse Research Consultant (Dr Swartwout), American Nurses Credentialing Center (ANCC), Silver Spring, Maryland; Associate Professor (Dr Park), University of Kansas School of Nursing; and Nurse Scientist (Dr Warshawsky), Clinical Research, Press Ganey Associates, Chicago, Illinois.
Objective:
To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI.
Background:
PES-NWI and NMs' competency can impact frontline nurses' intent to stay.
Methods:
Cross-sectional study with secondary analysis of NM Competency and NDNQI ® (National Database of Nursing Quality Indicators ® ) RN Survey data with path analysis for effects of the model's variables.
Results:
Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI ( β = 0.20, P = 0.001) and PES-NWI/intent to stay ( β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI ( β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17).
Conclusions:
Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.
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