Abstract
Aims: Identify and examine drivers of nurse manager competency and high-quality practice environments. Background: Nurse managers are a key predictor of positive professional practice environments, which are, in turn, associated with nurse, patient, and organizational outcomes. However, little work has examined the factors that contribute to nurse manager competency. Methods: Nurse managers completed online surveys, which were matched to unit-level aggregate data of their subordinate direct care nurses' responses on the National Database of Nursing Quality Indicators. This resulted in a final sample of 541 nurse managers across 47 U.S. hospitals. Multilevel path analysis was utilized to assess a model of the antecedents and consequences of nurse manager competency. Results: Nurse manager competency and practice environments were predictive of missed nursing care and nurse-reported quality of care. Nurse manager experience was found to have twice the effect on competency as advanced education. Conclusions: Nurse manager competency and its downstream effects are achieved through nurse manager experience and advanced education. Implications for Nursing Management: Nurse manager competency yields better practice environments and nursing care. Considering the influence of experience, careful attention should be paid to the competency development process of more novice nurse managers.
Recommended Citation
Warshawsky, N. E., Cramer, E., Grandfield, E. M., & Schlotzhauer, A. E. (2022). The Influence of Nurse Manager Competency on Practice Environment, Missed Nursing Care, and Patient Care Quality: A Cross-Sectional Study of Nurse Managers in U.s. Hospitals. Journal of Nursing Management, 30(6), pp. 1981-1989. Wiley.
The definitive version is available at https://doi.org/10.1111/jonm.13649
Department(s)
Psychological Science
Publication Status
Full Access
Keywords and Phrases
competency; missed nursing care; nurse manager; patient outcomes; practice environment
International Standard Serial Number (ISSN)
1365-2834; 0966-0429
Document Type
Article - Journal
Document Version
Citation
File Type
text
Language(s)
English
Rights
© 2024 Wiley, All rights reserved.
Publication Date
01 Sep 2022
PubMed ID
35474621
