title: A profile of the structure and impact of nursing management in Canadian hospitals.
abstract: The purpose of this study was to describe the profile of nursing leadership structures in Canada and to assess relationships among structures, processes and outcomes pertaining to nurse leaders' work. Data were collected from nurse leaders in 28 academic health centres and 38 community hospitals in 10 Canadian provinces (n = 1,164). The results of this study revealed that the current contingent of nursing leaders in Canada see themselves as an empowered and influential group within their organizations. Despite very large spans of control, nurse leaders at all levels were positive about their work life and confident in their ability to provide effective leadership on nursing affairs within their organizations. Structural and process factors significantly affected nurse manager outcomes at all levels. Senior nurse leaders' work-life factors had a significant effect on middle and first-line managers' perceptions of patient care quality in the organization. Nurse leaders averaged 49 years of age highlighting the need for succession planning.
authors: School of Nursing, University of Western Ontario, London, Ontario, Canada.
authors: Heather K Spence
authors: HK
authors: Laschinger
authors: Carol A
authors: CA
authors: Wong
authors: Judith
authors: J
authors: Ritchie
authors: Danielle
authors: D
authors: D'Amour
authors: Leslie
authors: L
authors: Vincent
authors: Piotr
authors: P
authors: Wilk
authors: Marjorie Armstrong
authors: MA
authors: Stassen
authors: Sue
authors: S
authors: Matthews
authors: Marcy
authors: M
authors: Saxe-Braithwaite
authors: Doris
authors: D
authors: Grinspun
authors: Judith
authors: J
authors: Shamian
authors: Amy
authors: A
authors: McCutcheon
authors: Michael
authors: M
authors: Kerr
authors: Sandra
authors: S
authors: Macdonald-Rencz
authors: Barbara
authors: B
authors: Oke
authors: Donna
authors: D
authors: Denney
authors: Jerry
authors: J
authors: White
authors: Joan
authors: J
authors: Almost
mesh_terms: D000328:Adult; D002170:Canada; D005260:Female; D019538:Health Care Surveys; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000600:supply & distribution