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Nurse Managers' Strategies to Navigate Clinical Leadership and Managerial Responsibilities: A Scoping Review
Subashini Siwan1, Rachel Cardwell1, Lisa McKenna1,2
1School of Nursing and Midwifery, La Trobe University, Kingsbury Drive, Bundoora 3086, Australia, latrobe.edu.au.
Journal of Nursing Management
|July 21, 2026
Summary
Nurse managers (NMs) face challenges balancing clinical and managerial duties, leading to role ambiguity and stress. Understanding these challenges is key to improving nursing leadership and healthcare delivery.
Area of Science:
- Nursing Management
- Healthcare Administration
- Evidence Synthesis
Background:
- The nurse manager (NM) role is complex, requiring a balance between clinical expertise and administrative duties.
- NMs significantly impact healthcare delivery, patient safety, and organizational effectiveness.
- Understanding how NMs manage dual responsibilities is crucial for enhancing care quality.
Conclusions:
- The dual demands of the NM role can lead to stress and job dissatisfaction.
- The integration of clinical and managerial responsibilities by NMs is underexplored, highlighting a gap in understanding prioritization and decision-making processes.
- Addressing these challenges can better prepare nurses for their roles and inform advancements in nursing leadership and healthcare management.
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