skip to main content

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

*Abdulkareem S. Iblasi orcid  -  Nursing Program, College of Health Sciences, University of Buraimi, Oman
Samer Makahleh  -  Health Appeal Society, Jordan
Yupin Aungsuroch orcid  -  Faculty of Nursing, Chulalongkorn University, Thailand
Joko Gunawan orcid  -  Faculty of Nursing, Chulalongkorn University, Thailand
I Gede Juanamasta orcid  -  Nursing Program, Sekolah Tinggi Ilmu Kesehatan (STIKes) Wira Medika Bali, Indonesia
Open Access Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
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 and are 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 Jordan. 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 competence and its influencing factors within the unique context of Jordan’s healthcare system.

Methods: As a cross-sectional study, this research leveraged online platforms to distribute questionnaires to 130 FLNMs across three public hospitals in Jordan’s central region using a random sampling method. Univariate analysis comprised numerical data (Mean, median, mode, SD) and categorical data (percentage and proportion). Pearson, independent t-test, and multiple linear regression were used to analyze the data.

Results: Based on responses from 130 FLNMs, the study’s results demonstrate 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 are 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 that 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: FLNMs exhibit high competence, influenced by leadership training, gender disparities, and social status. 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 View|Download
Keywords: Cross-sectional studies; gender; Jordan; leadership; nursing, supervisory

Article Metrics:

  1. 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. https://doi.org/10.1016/j.ijnurstu.2012.08.014
  2. Ahmed, M. F., & Abd-ElGhani, A.M. (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. https://doi.org/10.21608/EJHC.2021.142700
  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. https://dx.doi.org/10.5430/jha.v8n4p1
  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. International Journal of Environemntal Resaerch and Public Health, 19(17), 10560. https://doi.org/10.3390/ijerph191710560
  6. Gonzalez-Garcia, A., Pinto-Carral, A., Perez-Gonzalez, S., & Marques-Sanchez, P. (2021). Nurse managers' competencies: A scoping review. Journal of Nursing Management, 29(6), 1410-1419. https://doi.org/10.1111/jonm.13380
  7. Gunawan, J., & Aungsuroch, Y. (2017). Managerial competence of first-line nurse managers: A concept analysis. International Journal of Nursing Practice, 23(1), e12502. https://doi.org/10.1111/ijn.12502
  8. Gunawan, J., Aungsuroch, Y., & Fisher, M. L. (2018). Factors contributing to managerial competence of first-line nurse managers: A systematic review. International Journal of Nursing Practice, 24(1), e12611. https://doi.org/10.1111/ijn.12611
  9. 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, 10(4), 492-502 https://doi.org/10.1016/j.ijnss.2023.08.001
  10. 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 Nursing, 5, 2377960819831468. https://doi.org/10.1177/2377960819831468
  11. 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
  12. 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, 17(2), 227-237. https://doi.org/10.1080/20479700.2023.2173831
  13. 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. https://doi.org/10.1097/jnr.0000000000000488
  14. 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. https://doi.org/10.1111/jonm.13050
  15. 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. Journal of Nursing Scholarship, 53(6), 663-670. https://doi.org/10.1111/jnu.12685
  16. Kang, H., Yeon, K., & Han, S. T. (2015). A review on the use of effect size in nursing research. Journal of Korean Academy of Nursing, 45(5), 641-649. https://doi.org/10.4040/jkan.2015.45.5.641
  17. Khalaf, I. (2013). Development of nursing research in Jordan (1986–2012). International Nursing Review, 60(4), 461-468. https://doi.org/10.1111/inr.12042
  18. Klaes, K. (2018). The challenges of frontline nurse managers a quantitative descriptive study [Master's thesis, Daemen University]. https://digitalcommons.daemen.edu/theses/45/
  19. 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. https://doi.org/10.1111/j.1365-2834.2008.00879.x
  20. 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. Journal of Nursing Management, 30(3), 633-642. https://doi.org/10.1111/jonm.13545
  21. Ministry of Health. (2019). Yearly health statistical, Hashimite Kingdom of Jordan
  22. Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 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. Journal of Advanced Nursing, 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, 109401. 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. https://doi.org/10.1016/j.ijnurstu.2021.103906
  26. Pursio, K., Kankkunen, P., & Kvist, T. (2023). Nurse managers' perceptions of nurses' professional autonomy-A qualitative interview study. Journal of Advanced Nursing, 79(12), 4580-4592. 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. https://doi.org/10.1016/j.mnl.2018.11.005
  28. Saaweh, L. (2018). Exploring the competencies of first-line nurse managers: A study at a regional hospital [Master's thesis, Ridge–Accra University of Ghana]. https://ugspace.ug.edu.gh/bitstreams/708a58b2-e754
  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. Scientific Reports, 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. https://doi.org/10.1111/wvn.12402
  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. Journal of Healthcare Leadership, 15, 19-29. https://doi.org/10.2147/JHL.S394601
  32. Solbakken, R., Bergdahl, E., Rudolfsson, G., & Bondas, T. (2018). International nursing: Caring in nursing leadership-A meta-ethnography from the nurse leader's perspective. Nursing Administration Quarterly, 42(4), E1-E19. https://doi.org/10.1097/NAQ.0000000000000314
  33. Solbakken, R., Bondas, T., & Kasen, A. (2020). First-line nurse managers' challenges at the crossroads of Norwegian health care reforms. Nursing Administration Quarterly, 44(3), 205-214. https://doi.org/10.1097/NAQ.0000000000000420
  34. 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
  35. Vasset, F., Fagerstrom, L., & Frilund, M. L. (2023). Nurse leaders' changing roles over 25 years: A qualitative study. Leadership in Health Services, 36(1), 125-139. https://doi.org/10.1108/LHS-03-2022-0025
  36. 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, 17(4), 660-670. https://doi.org/10.1080/20479700.2023.2229525

Last update:

No citation recorded.

Last update: 2024-12-20 04:51:29

No citation recorded.