DOI: https://doi.org/10.14710/nmjn.v14i2.58990

First-line Nurse Managerial Competence and Its Influencing Factors in Public Jordanian Hospitals

*Abdulkareem S. Iblasi orcid  -  Military Medical City Hospital EWS, Ar-Rayyan Qatar, Jordan
Samer Makahleh  -  Health Appeal Society, Jordan, Jordan
Yupin Aungsuroch orcid  -  Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
Joko Gunawan orcid  -  Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
I Gede Juanamasta orcid  -  Nursing Program, Sekolah Tinggi Ilmu Kesehatan (STIKes) Wira Medika Bali, Indonesia
Open Access Copyright (c) 2024 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: First-line Nurse Managers (FLNMs) occupy pivotal positions within healthcare systems, responsible for various administrative and caregiving functions. While FLNMs are integral to efficient healthcare services, their competencies and the factors influencing them still need to be explored in this region. In light of the need for more research on FLNM competencies in Jordan, this study is paramount for advancing healthcare in the country.

Purpose: This study aimed to analyze FLNM competencies and its influencing factors within the unique context of Jordan's healthcare system.

Methods: As a cross-sectional study, the research leveraged online platforms to disseminate the 130 FLNM to three Jordan's central region public hospitals with random sampling method. FLNM questionnaire was used to collect the data. Univariate analysis comprised numerical data (M, median, mode, SD) and categorical data (percentage and proportion). Pearson, independent t test and multiple linear regression were used to analyzed the data.

Results: Based on responses from 130 FLNMs, the study's results demonstrated their average age to be approximately 37.8 years, with a significant proportion holding master's degrees, indicating a highly educated cohort. Notably, many FLNMs were charge nurses, reflecting their extensive experience and commitment to enhancing their leadership competencies. The study found no significant correlation between age and FLNM competencies, suggesting that competence is not solely contingent upon years of experience or age (p>0.05). The research revealed the highest to the lowest significance in FLNM performance were leadership training (b=21.15, 95%CI=7.70-34.60, p=0.002), gender-based disparities (b=16.50, 95%CI=4.41-28.58, p=0.008) and social status (b=7.86, 95%CI=1.13-14.60, p=0.02), respectively.  

Conclusion: This gender difference may be influenced by cultural or contextual factors unique to the Jordanian healthcare landscape, warranting further exploration. The research highlights the need for tailored training and support programs to improve the competencies of FLNMs in Jordan's healthcare system, highlighting gender-based differences and the need for personalized healthcare management strategies to improve healthcare quality.

Fulltext
Keywords: Cross-Sectional Studies; Gender; Jordan; Leadership; Nursing, Supervisory

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data Predictors of Prediabetes Among Young Adults in East Java, Indonesia: A Cross-sectional Study First-line Nurse Managerial Competence and Its Influencing Factors in Public Jordanian Hospitals More recent articles
Most cited articles
Effects of Peer Support Program on Self-Management in Patients with End-Stage Renal Disease Undergoing Hemodialysis Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java, Indonesia Review: Public Health Nurses’ Roles and Competencies in Disaster Management Nurses’ Patient Safety Competencies in Aceh Province, Indonesia Music and Music Intervention for Therapeutic Purposes in Patients with Ventilator Support; Gamelan Music Perspective More cited articles
  1. [MOH], M. o. H. (2019). Yearly Health Statistical, Hashimite Kingdom of Jordan
  2. AbuAlRub, R. F., El-Jardali, F., Jamal, D., Iblasi, A. S., & Murray, S. F. (2013). The challenges of working in underserved areas: a qualitative exploratory study of views of policy makers and professionals. International journal of nursing studies, 50(1), 73-82
  3. Aydas, O. T., Ross, A. D., Scanlon, M. C., & Aydas, B. (2022). Short-Term nurse schedule adjustments under dynamic patient demand. Journal of the Operational Research Society, 74(1), 310-329. https://doi.org/10.1080/01605682.2022.2039566
  4. Brousseau, S., Cara, C., & Blais, R. (2019). Factors that influence the quality of worklife of first-line nurse managers in a French Canadian Healthcare system. Journal of Hospital Administration, 8(4), 1-9
  5. Choi, P. P., Wong, S. S., Lee, W. M., & Tiu, M. H. (2022). Multi-Generational Perspectives on the Competencies Required of First-Line Nurse Managers: A Phenomenological Study. Int J Environ Res Public Health, 19(17). https://doi.org/10.3390/ijerph191710560
  6. Fekry Ahmed, M., & Moustafa Abd-ElGhani, A. (2021). First Line Nurse Managers' Managerial Competency and its Relationship with their Staff Nurses' Work Engagement at Main Mansoura University Hospital. Egyptian Journal of Health Care, 12(1), 471-485
  7. Gonzalez-Garcia, A., Pinto-Carral, A., Perez-Gonzalez, S., & Marques-Sanchez, P. (2021). Nurse managers' competencies: A scoping review. J Nurs Manag, 29(6), 1410-1419. https://doi.org/10.1111/jonm.13380
  8. Gunawan, J., & Aungsuroch, Y. (2017). Managerial competence of first-line nurse managers: A concept analysis. Int J Nurs Pract, 23(1), e12502. https://doi.org/10.1111/ijn.12502
  9. Gunawan, J., Aungsuroch, Y., & Fisher, M. L. (2018). Factors contributing to managerial competence of first-line nurse managers: A systematic review. Int J Nurs Pract, 24(1). https://doi.org/10.1111/ijn.12611
  10. Gunawan, J., Aungsuroch, Y., Fisher, M. L., Marzilli, C., Nazliansyah, & Hastuti, E. (2023). Refining core competencies of first-line nurse managers in the hospital context: A qualitative study. International Journal of Nursing Sciences. https://doi.org/10.1016/j.ijnss.2023.08.001
  11. Gunawan, J., Aungsuroch, Y., Fisher, M. L., & McDaniel, A. M. (2019). Development and Psychometric Properties of Managerial Competence Scale for First-Line Nurse Managers in Indonesia. SAGE Open Nurs, 5, 2377960819831468. https://doi.org/10.1177/2377960819831468
  12. Gunawan, J., Aungsuroch, Y., Fisher, M. L., & McDaniel, A. M. (2021). Gender and managerial competence: a comparison of male and female first-line nurse managers in Indonesia. Frontiers of Nursing, 8(1), 49-58. https://doi.org/10.2478/fon-2021-0006
  13. Herttuala, N., Konu, A., & Kokkinen, L. (2023). Working as a nurse manager and being in the middle of one’s career is connected to lower work well-being. International Journal of Healthcare Management, 1-11. https://doi.org/10.1080/20479700.2023.2173831
  14. Hussam, A.-N., & Alnjadat, R. (2022). Investigation of the experience of immigrant nurses in a diverse cultural setting. Journal of Nursing Research, 30(3), e213
  15. Isobe, T., Kunie, K., Takemura, Y., Takehara, K., Ichikawa, N., & Ikeda, M. (2020). Frontline nurse managers’ visions for their units: A qualitative study. Journal of nursing management, 28(5), 1053-1061
  16. Kagan, I., Shor, R., Ben Aharon, I., Yerushalmi, S., Kigli-Shemesh, R., Gelman, S., & Itzhaki, M. (2021). A Mixed-Methods Study of Nurse Managers' Managerial and Clinical Challenges in Mental Health Centers During the COVID-19 Pandemic. J Nurs Scholarsh, 53(6), 663-670. https://doi.org/10.1111/jnu.12685
  17. Kang, H., Yeon, K., & Han, S. T. (2015). [A Review on the Use of Effect Size in Nursing Research]. J Korean Acad Nurs, 45(5), 641-649. https://doi.org/10.4040/jkan.2015.45.5.641
  18. Khalaf, I. (2013). Development of nursing research in J ordan (1986–2012). International nursing review, 60(4), 461-468
  19. Klaes, K. (2018). The Challenges of Frontline Nurse Managers A Quantitative Descriptive Study [Thesis, Daemen College]. https://digitalcommons.daemen.edu/theses/45/
  20. Lee, H., & Cummings, G. G. (2008). Factors influencing job satisfaction of front line nurse managers: a systematic review. Journal of nursing management, 16(7), 768-783
  21. Liou, Y. F., Lin, P. F., Chang, Y. C., & Liaw, J. J. (2022). Perceived importance of competencies by nurse managers at all levels: A cross-sectional study. J Nurs Manag, 30(3), 633-642. https://doi.org/10.1111/jonm.13545
  22. Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Ann Card Anaesth, 22(1), 67-72. https://doi.org/10.4103/aca.ACA_157_18
  23. Mudd, A., Feo, R., Voldbjerg, S. L., Laugesen, B., Kitson, A., & Conroy, T. (2023). Nurse managers' support of fundamental care in the hospital setting. An interpretive description of nurse managers' experiences across Australia, Denmark, and New Zealand. J Adv Nurs, 79(3), 1056-1068. https://doi.org/10.1111/jan.15139
  24. Otsu, T., & Taniguchi, G. (2020). Kolmogorov–Smirnov type test for generated variables. Economics Letters, 195. https://doi.org/10.1016/j.econlet.2020.109401
  25. Penconek, T., Tate, K., Bernardes, A., Lee, S., Micaroni, S. P., Balsanelli, A. P., de Moura, A. A., & Cummings, G. G. (2021). Determinants of nurse manager job satisfaction: A systematic review. International journal of nursing studies, 118, 103906
  26. Pursio, K., Kankkunen, P., & Kvist, T. (2023). Nurse managers' perceptions of nurses' professional autonomy-A qualitative interview study. J Adv Nurs. https://doi.org/10.1111/jan.15744
  27. Richey, K., & Waite, S. (2019). Leadership development for frontline nurse managers promotes innovation and engagement. Nurse Leader, 17(1), 37-42
  28. Saaweh, L. (2018). Exploring the Competencies of First-Line Nurse Managers: A Study at a Regional Hospital, Ridge–Accra University Of Ghana]
  29. Saporito, A., Tassone, C., Di Iorio, A., Barbieri Saraceno, M., Bressan, A., Pini, R., Mongelli, F., & La Regina, D. (2023). Six Sigma can significantly reduce costs of poor quality of the surgical instruments sterilization process and improve surgeon and operating room personnel satisfaction. Sci Rep, 13(1), 14116. https://doi.org/10.1038/s41598-023-41393-x
  30. Shuman, C. J., Ehrhart, M. G., Torres, E. M., Veliz, P., Kath, L. M., VanAntwerp, K., Banaszak‐Holl, J., Titler, M. G., & Aarons, G. A. (2020). EBP implementation leadership of frontline nurse managers: validation of the implementation leadership scale in acute care. Worldviews on Evidence‐Based Nursing, 17(1), 82-91
  31. Smama'h, Y., Eshah, N. F., Al-Oweidat, I. A., Rayan, A., & Nashwan, A. J. (2023). The Impact of Leadership Styles of Nurse Managers on Nurses' Motivation and Turnover Intention Among Jordanian Nurses. J Healthc Leadersh, 15, 19-29. https://doi.org/10.2147/JHL.S394601
  32. Smama’h, Y., Eshah, N. F., Al-Oweidat, I. A., Rayan, A., & Nashwan, A. J. (2023). The impact of leadership styles of nurse managers on nurses’ motivation and turnover intention among Jordanian nurses. Journal of Healthcare Leadership, 19-29
  33. Solbakken, R., Bergdahl, E., Rudolfsson, G., & Bondas, T. (2018). International Nursing: Caring in Nursing Leadership-A Meta-ethnography From the Nurse Leader's Perspective. Nurs Adm Q, 42(4), E1-E19. https://doi.org/10.1097/NAQ.0000000000000314
  34. Solbakken, R., Bondas, T., & Kasen, A. (2020). First-Line Nurse Managers' Challenges at the Crossroads of Norwegian Health Care Reforms. Nurs Adm Q, 44(3), 205-214. https://doi.org/10.1097/NAQ.0000000000000420
  35. Ulrich, B., Barden, C., Cassidy, L., & Varn-Davis, N. (2019). Frontline Nurse Manager and Chief Nurse Executive Skills: Perceptions of Direct Care Nurses. Nurse Leader, 17(2), 109-112. https://doi.org/10.1016/j.mnl.2018.12.014
  36. Vasset, F., Fagerstrom, L., & Frilund, M. L. (2022). Nurse leaders' changing roles over 25 years: a qualitative study. Leadersh Health Serv (Bradf Engl), ahead-of-print(ahead-of-print). https://doi.org/10.1108/LHS-03-2022-0025
  37. Xu, X., Luo, L., Xu, H., & Fang, Y. (2023). The emergency hierarchical medical system in China: Improving patient waiting times and operation management. International Journal of Healthcare Management, 1-11. https://doi.org/10.1080/20479700.2023.2229525

Last update:

No citation recorded.

Last update: 2024-08-31 19:13:51

No citation recorded.