Factors that Attract and Retain Registered Nurses in the First-Line Nurse Manager Role

Abstract

<p><strong>A</strong><strong>BSTRACT</strong></p> <p>In healthcare organizations, the first–line nurse manager role is pivotal. The role links management and employees, and has a direct impact on organizational performance, including quality of care, financial stability, and patient satisfaction (Gallo, 2007). The first-line nurse manager interfaces with a variety of professions including physicians, and is expected to be clinically proficient, and to demonstrate non-nursing knowledge in areas such as labour relations, information technology, financial and business management (Gould, Kelly & Maidwell, 2001). When retirement projections are applied to the first-line nurse manager population, Canada will face a serious nursing management shortage this decade (CNA, 2009). In light of the paucity of research studies pertaining to this subject, an exploratory descriptive qualitative research study was conducted in a large regional health care organization in Central South Ontario to determine the factors that attract and retain Registered Nurses in this role. The findings revealed a discrepancy between the factors that attract and retain Registered Nurses in the first-line nurse manager role, underscored the importance of the mentor role, and confirmed the challenges encountered by first-line nurse managers practicing in the current healthcare environment. Several recommendations are presented at the individual, program, organization and policy levels to inform Registered Nurses who are interested in pursuing a career in nursing management, and to assist healthcare leaders to create environments that attract and support Registered Nurses in this important role.</p>