Post print version. Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. 2017.22(3) pp 228-244. Copyright © 2017 Author(s). DOI: http://dx.doi.org/10.1177/1744987117702692. Reprinted by permission of SAGE Publications. Abstract:This paper describes the leadership and management competencies of head nurses and directors of nursing in social and health care. In the nursing profession, studies have tended to describe the role of the nurse manager, or to provide lists of competencies, talents and traits which can be found in successful managers. However, nursing managers' leadership and management competencies lack any depth of research knowledge. Data were gathered by electronic questionnaire. Respondents (n = 1025) were head nurses and directors of nursing. The data were statistically analysed. Both groups evaluated their leadership and management competencies to be quite good and their general competence to be better than their special competence. Overall, directors of nursing rated their general competence and special competence better than head nurses. However, the head nurses had a stronger expertise in general competence areas, professional competence and credibility, and also in the special competence areas of substance knowledge than the directors of nursing. Whilst the overall leadership and management competencies were good for both groups, each have identified areas which can be further developed.
This paper describes the development and piloting of an instrument for measuring nurse managers’ leadership and management competencies. No previous instruments exist that comprehensively measure these dimensions. The instrument was developed in three phases. Following a literature review, the items of the instrument were created. Second, the face and content validity of the instrument were evaluated by an expert panel. Finally, the developed instrument was pilot-tested with a test survey of 22 nurse managers in two organisations. The validity and reliability of the scale was analysed using statistical methods. The resulting Nurse Managers Leadership and Management Competencies scale is a web-based self-assessment test consisting of 194 five-point Likert scale items. Competence is divided into general competence and special competence. The instrument makes it possible to evaluate nurse managers’ leadership and management competencies in public healthcare, and to obtain information for the further development of these attributes and factors.
The aim of this research was to describe nurse managers' leadership and management competencies (NMLMC) from the perspective of nursing personnel. Nurse managers are responsible for the management of the largest professional group in social and health care. The assessment of NMLMC is needed because of their powerful influence on organizational effectiveness. An electronic survey was conducted among the nursing personnel (n = 166) of 1 Finnish hospital in spring 2016. Nursing personnel assessed their manager using a NMLMC scale consisting of general and special competences. The data were statistically analyzed. Leadership and management competencies were assessed as being quite good by the nursing personnel. The best-assessed area of general competence was professional competence and credibility and the weakest was service initiation and innovation. The best-assessed area of special competence was substance knowledge and the weakest was research and development. The nursing personnel's assessment of their nurse manger's competencies was associated with the personnel's education level, working experience, and with their knowledge of the manager's education. Conclusion was made that nursing personnel highly value professional competence as part of nursing leadership and management. To achieve more appreciation, nurse managers have to demonstrate their education and competence. They must also work in more open and versatile ways with their nursing personnel.
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