Abstract:
Competencies of nurse managers to manage
standards-based nursing practice and the impact of an educational intervention
on effectiveness, adoption and implementation of these competencies
Statement of the problem: Nurse managers (NMs) play strategic roles in delivering
quality healthcare and meeting client expectations at reasonable costs. There
is little information about NMs’ competencies to do so. This research study
addressed the competencies of NMs to manage standards-based nursing practice
and the impact of a Nurse Manager Competencies (NMC) educational intervention
on these competencies Theoretical orientation and methodology: Competencies
were adapted from the AONE (2015) Competency Model. The RE-AIM framework
(Gaglio, et.al.,2013; Glasgow, 1999) guided the impact assessment. A randomized
controlled trial was conducted. 103 NMs from four public hospitals in Central
Philippines were randomly assigned to the intervention (n=63) and control
(n=40) arms and attended a 60-minute small group educational session about NMC
or Women’s Health, respectively. The NMC session focused on NM competencies,
managerial processes and standards of nursing practice. Data were
collected through self-administered questionnaires. Findings: Baseline
competencies of nurse managers were higher in the domains of Communication and
relationships management, Knowledge of the healthcare environment and
Professionalism; and lower in the Leadership and Business skills and principles
domains. Examples of higher competencies include Dedication to patient safety,
Decision making, Clinical practice knowledge, Clinical skills and Ethics; lower
competencies examples include Marketing, Cost benefit analysis, Information
management and technology, Research process and Succession planning. Knowledge
competencies were higher than Skill competencies. NMs who received the NMC
intervention had significantly higher competencies to manage standards-based
nursing practice (Effective), and were more likely to Adopt and Implement these
competencies than NMs who did not. Conclusion: NMs have both high and low competencies. Receipt of an
NMC intervention appeared to significantly increase NM competencies, as well as
the adoption and implementation of these competencies. Recommendation: NM competencies in
the Leadership, and Business skills and principles domains are priority areas
for capacity-boosting activities such as NMC educational sessions.
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