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