Design. Secondary analysis of data collected on 94 randomly selected wards in 21 public hospitals across two Australian states
between 2004–2006.
Methods. All nurses (n = 2488, 80Æ3% response rate) on the selected wards were asked to complete a survey that included
the 49-item Nursing Work Index-Revised [NWI-R] together with measures of job satisfaction, satisfaction with nursing
and intention to leave. Subscales of the NWI-R were calculated. Leadership, the domain of interest, consisted of 12 items.
Wards were divided into those reporting either positive or negative leadership. Data were analysed at the nurse level using SPSS
version 16.
Results. A nursing manager who was perceived to be a good leader, was visible, consulted with staff, provided praise and
recognition and where flexible work schedules were available was found to distinguish the positive and negative wards.
However, for a ward to be rated as positive overall, nurse leaders need to perform well on all the leadership items.
Conclusion. An effective nursing unit manager who consults with staff and provides positive feedback and who is rated highly
on a broad range of leadership items is instrumental in increasing job satisfaction and satisfaction with nursing.
Relevance to clinical practice. Good nurse managers play an important role in staff retention and satisfaction. Improved
retention will lead to savings for the organisation, which may be allocated to activities such as training and mentorship to assist
nurse leaders in developing these critical leadership skills. Strategies also need to be put in place to ensure that nurse leaders
receive adequate organisational support from nursing executives.
Design. Secondary analysis of data collected on 94 randomly selected wards in 21 public hospitals across two Australian states
between 2004–2006.
Methods. All nurses (n = 2488, 80Æ3% response rate) on the selected wards were asked to complete a survey that included
the 49-item Nursing Work Index-Revised [NWI-R] together with measures of job satisfaction, satisfaction with nursing
and intention to leave. Subscales of the NWI-R were calculated. Leadership, the domain of interest, consisted of 12 items.
Wards were divided into those reporting either positive or negative leadership. Data were analysed at the nurse level using SPSS
version 16.
Results. A nursing manager who was perceived to be a good leader, was visible, consulted with staff, provided praise and
recognition and where flexible work schedules were available was found to distinguish the positive and negative wards.
However, for a ward to be rated as positive overall, nurse leaders need to perform well on all the leadership items.
Conclusion. An effective nursing unit manager who consults with staff and provides positive feedback and who is rated highly
on a broad range of leadership items is instrumental in increasing job satisfaction and satisfaction with nursing.
Relevance to clinical practice. Good nurse managers play an important role in staff retention and satisfaction. Improved
retention will lead to savings for the organisation, which may be allocated to activities such as training and mentorship to assist
nurse leaders in developing these critical leadership skills. Strategies also need to be put in place to ensure that nurse leaders
receive adequate organisational support from nursing executives.
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