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Uncovering the knowledge embedded in clinical nurse manager practice

K J Horvath1, J A Secatore, H B Alpert

  • 1Beth Israel Hospital, Boston, MA.

The Journal of Nursing Administration
|July 1, 1994
PubMed
Summary

Effective nurse managers operationalize institutional values for patient care. Understanding their skills and learning is crucial for role redesign and improved healthcare delivery.

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Area of Science:

  • Nursing Management
  • Healthcare Administration
  • Organizational Behavior

Background:

  • Redesigning nurse manager roles requires understanding their current skilled performance and developmental learning.
  • Existing literature lacks data-based descriptions of nurse managers' expertise in practice.

Purpose of the Study:

  • To identify the essential skills and expertise embedded in the practice of nurse managers.
  • To explore how nurse managers operationalize institutional values for patient care.
  • To examine the impact of organizational values on nurse managers' daily behavior.

Main Methods:

  • Interpretive phenomenological study design.
  • Qualitative data analysis to uncover lived experiences.
  • Focus on the practical application of skills and values in nursing management.

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Main Results:

  • Nurse managers actively translate institutional values into tangible patient care actions.
  • Organizational values significantly shape the everyday conduct and decision-making of nurse managers.
  • Identified key competencies and developmental needs for effective nurse leadership.

Conclusions:

  • Data-driven insights into nurse manager roles are vital for effective redesign.
  • Understanding the interplay between individual practice and organizational values enhances leadership effectiveness.
  • This study provides a foundation for developing targeted training and support for nurse managers.