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Research article
Anu Nurmeksela
University of Eastern Finland
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0474-0404
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background Nurse managers play a critical role in enhancing nursing and patient outcomes. A nurse manager’s work, which can be described as a middle-manager at a health care organization, is complex and changes from day to day. Only a few studies have clarified how nurse managers divide their time across various work activities. This study aimed to describe the relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the hospital unit level.
Methods A cross-sectional and correlational study design was used. The data were collected from nurse managers (n= 29), nursing staff (n=306), and patients (n=651) from 28 units across three Finnish acute care hospitals between April and November in year 2017. In addition, data concerning medication errors over one calendar year (2017) were acquired from the hospitals’ incident reporting register. Analysis of covariance (ANCOVA) was used to estimate relationships between data from subareas of Nurse Managers’ Work Content Questionnaire, Kuopio University Hospital Job Satisfaction Scale, and Revised Humane Caring Scale, along with medication errors reports. Significance level of 95% was used to estimate strength of covariances. Unstandardized coefficients (B) estimates were used to explain the relationship of variables.
Results Multiple relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors were identified. Nurse managers’ work activities had both positive and negative relationships on the other studied variables. The Requiring factors of work (p< .001) subarea of nurses’ job satisfaction, total patient satisfaction (p< .001), and medication errors (p< .001) were found to be the variables most significantly affected by other factors.
Conclusions The findings suggest that nurse managers should focus on improving nursing practices by managing and organizing nurses’ work in a way that makes their employees feel supported, motivated and secure. Furthemore, nurse managers should adopt a leadership style that emphasizes safe and patient-centered care. The results also suggest that the administration of today’s health care organizations should actively evaluate nurse managers’ share of work activities to ensure that their daily work is in line with the organizational goals.
Keywords
job satisfaction, medication errors, nurses, nurse manager, patient satisfaction, hospital
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CURRENT STATUS: Published
View the published article at BMC Health Services Research.
Version 2
Posted 01 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 06 Jan, 2021
Review #1 received
Received 18 Dec, 2020
Reviewer #1 agreed
On 28 Nov, 2020
Reviewers invited
Invitations sent on 23 Nov, 2020
Editor assigned
On 17 Nov, 2020
Submission checks complete
On 17 Nov, 2020
Editor invited
On 17 Nov, 2020
No comments provided
Editorial decision: Major revision
On 24 Sep, 2020
Review #2 received
Received 16 Sep, 2020
Reviewer #2 agreed
On 29 Aug, 2020
Review #1 received
Received 22 Jul, 2020
Reviewer #1 agreed
On 01 Jul, 2020
Reviewers invited
Invitations sent on 26 Jun, 2020
Editor assigned
On 07 Jun, 2020
Submission checks complete
On 06 Jun, 2020
Editor invited
On 06 Jun, 2020
First submitted
On 01 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Anu Nurmeksela
University of Eastern Finland
Corresponding Author
ORCiD: https://orcid.org/0000-0003-0474-0404
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
Version 2
Posted 01 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 06 Jan, 2021
Review #1 received
Received 18 Dec, 2020
Reviewer #1 agreed
On 28 Nov, 2020
Reviewers invited
Invitations sent on 23 Nov, 2020
Editor assigned
On 17 Nov, 2020
Submission checks complete
On 17 Nov, 2020
Editor invited
On 17 Nov, 2020
No comments provided
Editorial decision: Major revision
On 24 Sep, 2020
Review #2 received
Received 16 Sep, 2020
Reviewer #2 agreed
On 29 Aug, 2020
Review #1 received
Received 22 Jul, 2020
Reviewer #1 agreed
On 01 Jul, 2020
Reviewers invited
Invitations sent on 26 Jun, 2020
Editor assigned
On 07 Jun, 2020
Submission checks complete
On 06 Jun, 2020
Editor invited
On 06 Jun, 2020
First submitted
On 01 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background Nurse managers play a critical role in enhancing nursing and patient outcomes. A nurse manager’s work, which can be described as a middle-manager at a health care organization, is complex and changes from day to day. Only a few studies have clarified how nurse managers divide their time across various work activities. This study aimed to describe the relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the hospital unit level.
Methods A cross-sectional and correlational study design was used. The data were collected from nurse managers (n= 29), nursing staff (n=306), and patients (n=651) from 28 units across three Finnish acute care hospitals between April and November in year 2017. In addition, data concerning medication errors over one calendar year (2017) were acquired from the hospitals’ incident reporting register. Analysis of covariance (ANCOVA) was used to estimate relationships between data from subareas of Nurse Managers’ Work Content Questionnaire, Kuopio University Hospital Job Satisfaction Scale, and Revised Humane Caring Scale, along with medication errors reports. Significance level of 95% was used to estimate strength of covariances. Unstandardized coefficients (B) estimates were used to explain the relationship of variables.
Results Multiple relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors were identified. Nurse managers’ work activities had both positive and negative relationships on the other studied variables. The Requiring factors of work (p< .001) subarea of nurses’ job satisfaction, total patient satisfaction (p< .001), and medication errors (p< .001) were found to be the variables most significantly affected by other factors.
Conclusions The findings suggest that nurse managers should focus on improving nursing practices by managing and organizing nurses’ work in a way that makes their employees feel supported, motivated and secure. Furthemore, nurse managers should adopt a leadership style that emphasizes safe and patient-centered care. The results also suggest that the administration of today’s health care organizations should actively evaluate nurse managers’ share of work activities to ensure that their daily work is in line with the organizational goals.
This is a list of supplementary files associated with this preprint. Click to download.
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