The expectations of stakeholders towards the competencies of nursing administrators in the 5.0 era

Abstract

The rapid evolution of technology, policy, administrative structures, and rising patients’ expectations necessitate a significant shift in nursing management practices. In the health 5.0 era, the healthcare system faces transformative challenges, driven by advancements in digital technology, artificial intelligence, telemedicine, decentralization, and increasing patients’ service demands. This qualitative research aimed to identify the expected competencies of nursing administrators in this dynamic environment, as perceived by various stakeholders. The study involved 58 participants, selected through purposive sampling, including nurse leaders from tertiary, secondary, and primary healthcare services, representatives from professional organizations, local government executives, private sector nursing administrators, and academic leaders. Data collection methods included in-depth interviews and focus group discussions, analyzed using thematic analysis. Findings indicate that the competencies expected of nursing administrators in the Health 5.0 era are crucial for navigating rapid changes. The result showed the 9 competencies which were 1) Leadership and change management, 2) Strategic management 3) Digital technology and data management 4) System and network management 5) Business acumen and sustainability 6) Team development 7) Ethical leadership 8) Visionary thinking and flexibility, and 9) Research and innovation. These competencies collectively empowered nursing administrators to lead effectively in a rapidly evolving healthcare landscape.