Understanding the Impact of Span of Control on Nurse Managers and Hospital Outcomes.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-05-01 DOI:10.1097/JHM-D-22-00191
Asiah Ruffin, Maria R Shirey, Tracey Dick, Pariya L Fazeli, Patricia A Patrician
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Abstract

Goal: Span of control is a multidimensional concept requiring a comprehensive definition that captures the complexities of the nurse manager's role in acute care settings. This concept analysis aimed to identify factors associated with span of control and provide a comprehensive definition outlining the breadth of this concept.

Methods: ProQuest, PubMed, and Scopus databases were used to search peer-reviewed literature addressing the span of control in acute care nurse management. The search produced 185 articles; 177 titles and abstracts were screened for eligibility. Data from 22 articles were included in this analysis.

Principal findings: This analysis includes antecedents, attributes, and consequences of expanded nurse manager spans of control. Work-related factors such as staff and manager experience levels, work complexity, and patient acuity are attributes of a nurse manager's span of control. Our findings suggest that expanded spans of control can have negative consequences on nurse managers such as role overload and burnout. Low satisfaction among staff and patients can result from excessive spans of control.

Practical implications: An awareness of span of control can promote sustainable nursing practices by improving workplace conditions, staff satisfaction, and patient care quality. Our findings may translate across other health disciplines and thus contribute to scientific knowledge that can support changes in job designs and encourage more manageable workloads.

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了解控制范围对护士管理者和医院结果的影响。
目标:控制范围是一个多维度的概念,需要一个全面的定义,以捕捉护士经理在急性护理环境中角色的复杂性。该概念分析旨在确定与控制广度相关的因素,并提供概述该概念广度的综合定义。方法:使用ProQuest、PubMed和Scopus数据库检索同行评议的关于急症护理管理中控制广度的文献。搜索产生了185篇文章;筛选了177个标题和摘要。本分析纳入了22篇文章的数据。主要发现:本分析包括前因、属性和扩大护士管理人员控制范围的后果。与工作相关的因素,如员工和管理者的经验水平,工作的复杂性和病人的敏锐度是护士管理者控制范围的属性。我们的研究结果表明,控制范围的扩大会对护士管理者产生负面影响,如角色过载和倦怠。工作人员和病人的低满意度可能是由于过度的控制范围。实践意义:对控制范围的认识可以通过改善工作场所条件、员工满意度和患者护理质量来促进可持续护理实践。我们的研究结果可以应用于其他健康学科,从而有助于科学知识,支持工作设计的变化,并鼓励更易于管理的工作量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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