A Model for Preparing to Become a First-Line Nurse Manager for Professional Nurses at a University Affiliated Hospital

Abstract

         This mixed-methods research aimed to: 1) examine the current situation of preparedness for first-line nursing management positions among head nurses in the nursing department of a university hospital; 2) develop a preparedness model for professional nurses transitioning to first-line nursing management positions; and 3) evaluate the feasibility of implementing the developed model. The study was conducted in two phases. Phase I involved developing the preparedness model using data from eight head nurses with at least two years of managerial experience, selected through purposive sampling. Phase II evaluated the model's feasibility among 45 professional nurses preparing for first-line nursing management positions, selected through simple random sampling. Research instruments consisted of: 1) a semi-structured interview guide, 2) the preparedness model for professional nurses transitioning to first-line nursing management positions, and 3) a model feasibility assessment form. Five experts verified content validity. Data were analyzed using descriptive statistics and content analysis.
         The findings revealed that: 1) the organization had a clear managerial succession policy; however, nurses preparing for managerial roles demonstrated insufficient management knowledge, lacked motivation to pursue higher positions, and declined promotion opportunities; 2) the preparedness model comprised three components: (2.1) practical training in the head nurse role, (2.2) management knowledge training, and (2.3) managerial competency assessment and follow-up evaluation; and 3) the feasibility of implementing the preparedness model was rated at a high to highest level.
         The nursing department should therefore establish a systematic succession planning process by selecting and developing high-potential professional nurses, using individual development plans, leadership and management preparedness curricula, and a structured mentoring system to ensure sustainable continuity of first-line nursing leadership.