000145614 001__ 145614
000145614 005__ 20250923084435.0
000145614 0247_ $$2doi$$a10.1155/2024/4778460
000145614 0248_ $$2sideral$$a140542
000145614 037__ $$aART-2024-140542
000145614 041__ $$aeng
000145614 100__ $$aBoned-Galán, Ángel
000145614 245__ $$aDeterminants of first-line nurse managers’ span of control: a Delphi study
000145614 260__ $$c2024
000145614 5060_ $$aAccess copy available to the general public$$fUnrestricted
000145614 5203_ $$aAims: The main goal of this research is to identify, through expert consensus, the key factors that determine the span of control (SOC) of first-line nurse managers (FLNMs) in the Spanish healthcare system.
Background: The SOC is a management concept which has usually been defined as the number of subordinates reporting to a superior. In nursing, however, it is much more complex. This complexity is shaped by various factors related to patients, healthcare professionals and organisational structures. Nursing leaders must thoroughly consider these factors and their determinants, which necessitate a comprehensive assessment. Given the significant impact an inadequate SOC can have on patients, professionals and the organisation, it would be beneficial to address this issue. In nursing, studies on this subject are practically nonexistent and focus solely on the number of subordinates, highlighting the need for research in this area.
Methods: Between September and December 2022, a Delphi study was conducted. Forty-five experts were invited to participate. The study involved nurse administrators, FLNMs, university professors, renowned researchers and other non–health professionals related to health management. The participants completed an online survey over three phases. Factor analysis was performed on the items for which consensus was reached. The jamovi software version 2.3.15 was used for data analysis.
Results: A total of 35 experts participated in at least one of the three phases of the Delphi study. Following a comprehensive analysis of the identified factors, a consensus was reached on 31 of them. These were subsequently grouped into four categories: unit category (16 items, including complexity, resource management, conflicts and protocolisation and monitoring of activities), professional category (five items: number of staff, staffing stability and skill level and diversity of staff), FLNM category (four items: autonomy, experience and education and leadership style) and organisation category (six items: digitisation and information systems, education, research and implementation evidence-based practice and performing guards).
Conclusions: Our research shows a high degree of consensus amongst participants in identifying the determinants and degree of relevance of SOC-related aspects. Although SOC is not currently assessed, all stakeholders agree that there are a large number of variables that should be considered when appointing a FLNM.
Implications for Nurse Managers: Nursing managers can better assess the health of the organisation and improve performance by understanding the factors that influence the SOC of FLNMs. Due to the lack of previous studies, understanding these factors will allow the development of methods and tools tailored to the characteristics of different health systems.
000145614 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000145614 590__ $$a4.0$$b2024
000145614 592__ $$a1.706$$b2024
000145614 591__ $$aNURSING$$b6 / 192 = 0.031$$c2024$$dQ1$$eT1
000145614 593__ $$aLeadership and Management$$c2024$$dQ1
000145614 591__ $$aNURSING$$b6 / 192 = 0.031$$c2024$$dQ1$$eT1
000145614 591__ $$aMANAGEMENT$$b132 / 420 = 0.314$$c2024$$dQ2$$eT1
000145614 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000145614 700__ $$0(orcid)0000-0003-3124-6719$$aLópez-Ibort, Nieves$$uUniversidad de Zaragoza
000145614 700__ $$0(orcid)0000-0002-7994-923X$$aGil-Lacruz, Ana I.$$uUniversidad de Zaragoza
000145614 700__ $$0(orcid)0000-0003-0335-0404$$aGascón-Catalán, Ana$$uUniversidad de Zaragoza
000145614 7102_ $$14012$$2650$$aUniversidad de Zaragoza$$bDpto. Direcc.Organiza.Empresas$$cÁrea Organización de Empresas
000145614 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000145614 773__ $$g2024 (2024), 778460 [14 pp.]$$pJOURNAL OF NURSING MANAGEMENT$$tJOURNAL OF NURSING MANAGEMENT$$x0966-0429
000145614 8564_ $$s488545$$uhttps://zaguan.unizar.es/record/145614/files/texto_completo.pdf$$yVersión publicada
000145614 8564_ $$s2326987$$uhttps://zaguan.unizar.es/record/145614/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000145614 909CO $$ooai:zaguan.unizar.es:145614$$particulos$$pdriver
000145614 951__ $$a2025-09-22-14:46:38
000145614 980__ $$aARTICLE