Psychometric properties and development of the competency inventory for Taiwanese nurse managers across all levels

Abstract

Given the increasing challenges in health care services, managerial work requires indispensable management competencies. Competent managers are one of the key contributors to effective and efficient health care service delivery (Pihlainen et al., 2016). According to the systematic review of Wong and Cummings (2007), positive nursing leadership behaviours are significantly related to patient outcomes, including increased patient satisfaction and reduced adverse events.

Perceived importance of competencies by nurse managers at all levels: A cross‐sectional study

“…However, these results raise concerns regarding the perceived importance of conceptual‐based competencies at the higher‐level of nurse managers. The competencies of the leadership domain in the NLMCI adequately represent Katz's conceptual skills, which was verified by the confirmatory factor analysis (Liou et al, 2021). Nurse managers in higher positions were expected to weight the prioritization of competencies leaning towards the leadership domain; however, the findings in this study did not reflect this anticipation.…”

“…The findings also supported the study of González‐García et al (2021) which reported communication as the highest‐cited competence. In addition, several studies have reported that the ability to communicate effectively is an essential skill for nurse managers (González‐Garcia et al, 2020; Ibrahim & Ahamat, 2019; Liou et al, 2021; Yaghobian et al, 2020). The results of our present study further support the significance of effective communication in managerial competency and may imply its highly demand of training programme for the development of nurse manager.…”

“…The study used a cross-sectional survey research design. Data were drawn from a previous large study (Liou et al, 2021) conducted in 100 acute-care hospitals in Taiwan, including 19 medical centers and 81 regional hospitals. All hospitals had certified hospital accreditation from the Joint Commission of Taiwan.…”

“…The Cronbach's alpha coefficient for each subscale of the inventory ranged from .74 to .90, with an overall alpha of .93. The construct validity of the second-order model was adequate with good model fitness; factor loadings ranged from .73 to .97; an average variance of .68 was extracted, with a composite reliability of .90 (Liou et al, 2021). The structure of the online questionnaire was developed by an information technologist using Active Server Pages (ASP).…”

“…They suggested 22 most‐cited competencies as core competencies required for nurse managers at functional levels, in which communication and finance were the two most‐cited. Using mixed methods of qualitative and cross‐sectional survey, Liou et al (2021) identified 23 essential competencies from an initial 41 items based on Katz model required for the three levels of nurse managers (top, mid‐level and first‐line). Furthermore, in a large‐scale nursing restructure, Weber et al (2015) presented the comprehensive use of core managerial competencies served as the foundation of the talent strategy and ensured a solid framework for succession plan.…”