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Reasons to leave: the motives of first-line nurse managers for leaving their posts
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
2007 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 15, no 7, 294-302 p.Article in journal (Refereed) Published
Abstract [en]

Objective To study the reasons for first-line nurse managers to resign, their perceptions of difficult situations, experience of support and satisfaction with work.

Background The intentions of first-line nurse managers' to stay at their posts varied between 45% and 75% in different studies.

Methods Data were collected by questionnaire and letters from 32 first-line nurse managers who had left their posts. Qualitative content analysis was used to analyse the letters.

Results Eleven first-line nurse managers resigned due to reorganization or other changes and 19 due to their own accord. Reasons to leave were personal, organizational, as well as lack of support from and relations to the head of department. Difficult situations were unclear conditions, lack of support from supervisors and, implementation of changes, staff matters and economy. Important support was personal, organizational, practical and to have opportunities for development and education. The perception of work satisfaction was higher after resignation.

Conclusions The dominant reason to leave was reorganization and other changes. The relation to the head of department influenced the first-line nurse managers' overall work situation.

Place, publisher, year, edition, pages
2007. Vol. 15, no 7, 294-302 p.
Keyword [en]
first-line nurse manager, reorganization, support, turnover, work situation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-96460DOI: 10.1111/j.1365-2834.2007.00651.xPubMedID: 17359429OAI: oai:DiVA.org:uu-96460DiVA: diva2:171038
Available from: 2007-11-19 Created: 2007-11-19 Last updated: 2010-04-07Bibliographically approved
In thesis
1. First-line Nurse Managers' Preconditions for Practise: The Important Interplay between Person and Organization
Open this publication in new window or tab >>First-line Nurse Managers' Preconditions for Practise: The Important Interplay between Person and Organization
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim was to study personal and organizational conditions for first-line nurse managers and to identify and assess the skills and abilities important for leadership and management. Interviews were conducted with 5 first-line nurse managers, 5 registered nurses, 5 assistant nurses and one head of department delineating their perceptions of current and ideal roles of first-line nurse managers. Factor analysis was conducted to estimate validity and reliability of the Leadership and Management Inventory, developed in the context of this thesis, in one sample of 149 registered nurses and one sample of 197 health care personnel. Interviews and questionnaires to study expectations, experiences and outcomes of two different development programmes for 13 first-line nurse managers in a Training Programme, 14 in a Leadership Development Programme and 14 in a Comparison group were conducted. Letters and questionnaires from 32 former first-line nurse managers were analysed to describe their reasons for leaving their posts. First-line nurse managers, registered nurses and assistant nurses’ descriptions of the first-line nurse manager’s role were corresponding; the main focus was on service on the ward. The head of department described the first-line nurse manager’s responsibility towards the staff with focus on development and co-operation. Analysis of the Leadership and Management Inventory resulted in three factors: “interpersonal skills and group management”, “achievement orientation” and “overall organizational view and political savvy”. Validity and reliability were considered acceptable. Expectations concerning the development programmes were generally met; improvements corresponding to the content of the programmes were reported. Reasons to leave were personal, organizational and linked to the relationship with the head of department. Conclusion: The first-line nurse managers’ individual experiences, skills, abilities and ambitions are important, but so are the conditions in which she/he practices her/his leadership and management. It is important that the interplay between person and organization functions well.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2007. 89 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 33
Keyword
Caring sciences, first-line nurse manager, managerial role, instrument development, leadership development, support, turnover, Vårdvetenskap
Identifiers
urn:nbn:se:uu:diva-8314 (URN)978-91-554-7026-5 (ISBN)
Public defence
2007-12-10, Auditorium Minus, Museum Gustavianum, Akademigatan 3, 753 10 Uppsala, 13:15
Opponent
Supervisors
Available from: 2007-11-19 Created: 2007-11-19Bibliographically approved

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Skytt, BerniceLjunggren, BirgittaCarlsson, Marianne

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