Date of Doctor of Nursing Practice Project Completion

2024

Faculty Advisor

Catherine Giegerich

Abstract

PURPOSE The purpose of this Quality Improvement Project is to create an evidence-based onboarding and orientation process for novice and assistant nurse managers that positively impacts nurse manager competency and intent to leave.

BACKGROUND Many organizations don’t provide formal leadership training for their nurse managers. Nurse managers are typically selected for their positions based on clinical expertise rather than leadership and management competency.

METHODOLOGY American Organization for Nursing Leadership Manager Competency Assessment tool and Dr. Nora Warshawsky Nurse Manager Intent to Leave Survey were utilized pre/post training. The framework has 3 domains: the science (managing the business), the art (leading the people), and the leader within (creating the leader in yourself).

Surveys were created in Qualtrics for ease of access. Four nurse managers and three assistant nurse managers were invited to attend a four-day didactic training utilizing the Nurse Manager Learning Framework, Transformational Leadership Theory, and nurse retention strategies.

RESULTS Fifty-seven percent of the participants completed the post training surveys. Participants no longer identified novice competency in two of the three domains encompassing interpersonal leadership, leading multigenerational teams, and implementation of recruitment and retention strategies. Managers felt sessions should occur within 60-120 days of leadership role.

IMPLICATIONS Nurse managers are the first line leaders responsible for managing departmental operations and leading frontline nursing workforce. Organizations that invest in leadership skill training have the potential to influence nursing satisfaction and retention, thereby decreasing the impact of the nursing shortage.

Keywords

nurse manager development, nurse manager orientation, nurse manager and assistant nurse manager orientation

Included in

Nursing Commons

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