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Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline

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Investing in nurse manager (NM) competency positively impacts the nursing work environment and frontline nurses' intent to stay. Enhanced NM skills indirectly boost nurse retention by improving the practice environment.

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Area of Science:

  • Nursing Management
  • Organizational Psychology
  • Healthcare Workforce Studies

Background:

  • Nurse manager (NM) competencies and the practice environment, measured by the Practice Environment Scale of the Nursing Work Index (PES-NWI), are crucial factors influencing frontline nurses' intent to stay.
  • Understanding these relationships is vital for improving nurse retention and addressing workforce challenges.

Purpose of the Study:

  • To investigate the correlation between NM competencies, the PES-NWI, and frontline nurses' intent to stay.
  • To determine the direct effect of NM competency on nurses' intent to stay.
  • To examine the indirect effect of NM competency on intent to stay, mediated by the PES-NWI.

Main Methods:

  • Secondary analysis of a cross-sectional study utilizing data from the National Database of Nursing Quality Indicators (NDNQI) RN Survey.
  • Path analysis was employed to model the direct and indirect effects of NM competency and PES-NWI on frontline nurses' intent to stay.

Main Results:

  • A weak, positive correlation was observed between NM competencies and the nursing practice environment (PES-NWI).
  • NM competencies did not show a direct correlation with frontline nurses' intent to stay.
  • An indirect effect was found, where NM competency positively influenced the practice environment (PES-NWI), which in turn significantly predicted nurses' intent to stay (β = 0.11, P = 0.002).

Conclusions:

  • Developing nurse manager competencies is a key strategy for fostering supportive practice environments.
  • Enhancing NM competencies can indirectly improve frontline nurses' intent to stay by positively shaping the work environment.