Refining core competencies of first-line nurse managers in the hospital context: A qualitative study.

Objectives: As the world moves towards a new normal, challenges continue to emerge while simultaneously inspiring us with new solutions. Strengthening the skills of first-line nurse managers (FLNMs) to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards. This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era. Methods: The study employed a qualitative descriptive design. Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022. Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected. The interviews were audio-recorded, transcribed verbatim, and validated by re-listening. Data were analyzed using thematic analysis. Results: Four main themes of the core competencies developed, including 1) managerial core competencies, 2) clinical core competencies, 3) technological core competencies, and 4) socio-emotional skills/personal traits consisting of the following: be brave, fast, patient, optimistic, consistent, and responsible. Conclusions: The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned, while technological core competencies are the mediating component of both. Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.

Beyond the classics: A comprehensive look at concept analysis methods in nursing education and research.

This editorial presents eight concept analysis methods for use in nursing research and education. In addition to the two classical methods of Walker and Avant's and Rodgers' concept analysis approaches that are typically utilized in nursing education and briefly discussed within this editorial, six additional methods are also presented including Schwartz-Barcott and Kim's Hybrid model, Chinn and Kramer's approach, Simultaneous Concept Analysis, Pragmatic Utility, Principle-Based Concept Analysis, and Semantic Concept Analysis. By familiarizing nursing educators, researchers, and students with these methods, educators can enhance their critical thinking and understanding of complex nursing concepts, preparing them for enhanced, multi-faceted contributions to nursing science.

Nursing Administration: Watson's Theory of Human Caring.

Watson's human caring theory is widely used in nursing clinical practice, education, and research; however, further discussion on the application of this theory in administration is needed. The authors in this article aim to substruct Watson's theory of human caring for nursing administration. Major elements of the theory-transpersonal caring dimensions, caring competencies, and caring moments-are presented in a model of substruction that links the theoretical basis to methodology. In conclusion, this theory can be used as a framework or a conceptual model in nursing administration within an organization.

Sustaining e-caring leadership in a post-pandemic world.

At the convergence of the "new normal" from the COVID-19 pandemic and the combination of caring, leadership, and technology, a new environment for organizational culture was formed. The injection of technology into how leaders provided care to their organization launched e-caring, and this is now considered a key in employee engagement and retention post COVID-19 pandemic. The purpose of this editorial is to briefly reflect on the importance of e-caring for leadership during the crisis and increase the commitment of nursing leaders to continue their great works even after the pandemic with an organizational culture infused with e-caring.

Online 'chatting' interviews: An acceptable method for qualitative data collection.

Qualitative research methods allow researchers to understand the experiences of patients, nurses, and other healthcare professionals. Qualitative research also provides scientists with information about how decisions are made and the aspects of existing interventions. However, to get to obtain this important information, qualitative research requires holistic, rich, and nuanced data that can be analyzed to determine themes, categories, or emerging patterns. Generally, offline or in-person interviews, focus group discussions, and observations are three core approaches to data collection. However, geographical barriers, logistic challenges, and emergency conditions, such as the COVID-19 pandemic have necessitated the utilization of online interviews, including chatting as an alternative way of collecting data. This editorial aims to discuss the possibility of online chat interviews as an acceptable design in qualitative data collection.

Creating the future of nursing in the post-pandemic world.

The COVID-19 pandemic highlighted that nursing cannot go back to its old way of providing care. Care is central to what nurses do and the profession itself, and now is the time for nursing to innovate and reimagine what nursing will look like in the future. From new models of care to technology, nursing has an endless opportunity to innovate the profession. The new model of nursing care must be sustainable and work to maximize nurses while leveraging technology as a tool to help improve quality outcomes. The opportunities are endless, and the time is now to innovate and reimagine nursing and its caring core.

Novelty: Nursing scholars' guide for successful publication.

The "pressure" or "passion" to publish is a common reality in academia. All faculty are required to demonstrate that they are engaged in research and that their work is disseminated in reputable journals. However, writing manuscripts is quite challenging; some papers for publication may take days, weeks, months, and even years. This editorial aims to provide the editors' points of view to assist authors in successful acceptance and publication in an international nursing journal.

Senior first, junior second.

The seniority system exists in most companies, including in healthcare industries. Seniority often plays an essential role in the organizational success and career advance of employees. However, there are pros and cons in the application of the seniority system in all organizations, especially in the healthcare industry. This article prompts a discussion about seniority in nursing and provides some particular concerns and recommendations for consideration, and this begs the question, should senior be first and junior second?

A phenomenological study of the lived experience of nurses in the battle of COVID-19.

BACKGROUND: Roles and responsibilities of nurses are crucial in the battle of Coronavirus disease 2019 (COVID-19), but nursing duties also put them at risk for infections. PURPOSE: The purpose of this study was to explore the lived experience of nurses in combatting COVID-19 in Belitung, Indonesia. METHODS: This study employed a phenomenological study design. Online interviews and chatting were conducted among 17 clinical nurses who were purposively selected from March to June 2020. Data were audio-recorded, transcribed, and validated among researchers. The thematic approach was used for data analysis. FINDINGS: Seven themes emerged (1) feeling "nano-nano", (2) lack of N95 masks, (3) we are just pawns, (4) being rejected, (5) please do not spread our identity, (6) we miss home, and (7) feeling betrayed by regulation. DISCUSSION: Findings of this study should be used by government agencies, nurses, and the general population in combatting COVID-19.

Establishing appropriate sample size for developing and validating a questionnaire in nursing research.

The number thirty is often used as the sample size in multiple questionnaires and identified as appropriate for validation of nursing research. However, this is not the best tool or strategy for sample size selection for development and validation, and this often causes immediate rejections of manuscripts. This editorial aims to provide an overview of the appropriate sample size for questionnaire development and validation. The article is the amalgamation of technical literature and lessons learned from our experiences in developing, validating, or adapting a number of questionnaires.

Managerial Competence of First-Line Nurse Managers in Public Hospitals in Indonesia.

PURPOSE: Working as a first-line nurse manager requires high managerial competence as an essential component in the delivery of health care. Therefore, factors that influence managerial competence warrant examination. The aim of this study was to identify factors associated with managerial competence of the first-line nurse managers using the best-fit model of human resource management framework. METHODS: A cross-sectional study was conducted. A total of 247 first-line nurse managers from 18 public hospitals in Indonesia participated. Data on managerial competence and its related factors were collected via validated questionnaires. RESULTS: The five factors of managerial competence were identified - performance appraisal (ß = 0.476, p < 0.001), career advancement (ß = 0.425, p < 0.001), recruitment and selection (ß = 0.354, p < 0.001), larger hospitals (ß = 0.165, p = 0.001), and management training attendance (ß = 0.109, p = 0.029), which collectively explained 44.9% of the variance in managerial competence. CONCLUSION: Human resource management factors, hospital types, and training attendance have significant roles to improve managerial competence of the first-line nurse managers. Nurse managers should provide routine performance appraisal, career advancement, and transparent recruitment and selection as well as to improve the attendance of management training and learn from larger hospitals for leadership and development of the first-line nurse managers.

Factors Related to the Clinical Competence of Registered Nurses: Systematic Review and Meta-Analysis.

PURPOSE: To determine the factors associated with the clinical competence of registered nurses. METHODS: Systematic review and meta-analysis was used. The search strategy was limited to 10 years, ranging from January 2009 to December 2019, in Science Direct, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, ProQuest, and Google Scholar. A meta-analysis was performed using R Studio with the metafor package (Boston, MA, USA; https://rstudio.com/products/rstudio/older-versions/). RESULTS: A total of 22 studies were included, representing 33,961 nurses. There were 28 factors associated with clinical competence. Of those, 13 factors were significantly supported and included for meta-analysis, grouped into (a) individual-related factors, (b) job satisfaction, (c) bullying, (d) burnout, and (d) specific knowledge. The effect size of those factors ranged from -0.14 to 0.50. CONCLUSIONS: Among individual-related factors, salary has the largest effect size on competence and is considered important. Clinical competence is positively affected by job satisfaction, but negatively influenced by bullying and burnout. Although specific knowledge has a large effect size, it does not significantly affect the clinical competence of registered nurses. CLINICAL RELEVANCE: It is critical to understand factors related to the clinical competence of registered nurses to maintain quality care and patient outcomes in clinical settings. The findings serve as data to help nurse managers find effective ways to improve the knowledge, skill, attitudes, and performance of registered nurses.

Perceived Managerial Competence of First-Line Nurse Managers: A Comparative Analysis Among Public Hospitals.

Knowing the perceptions of first-line nurse managers (FLNMs) regarding their managerial competence is an important step to resolve disparities between their perceived competence and the competencies required for them to effectively function in their roles. Yet, evidence examining managerial competence of FLNMs among public hospitals in Indonesia is sparse. To fill this gap, we conducted a cross-sectional study aimed to identify managerial competence of FLNMs according to hospital type and ownership. This study was conducted from January to May 2018 and included a convenience sample of 233 FLNMs selected from 13 public hospitals. We used the Indonesian-First-Line Nurse Managers Managerial Competence Scale (I-FLNMMCS) to measure managerial competence. Descriptive statistics, Kruskal-Wallis, and Dunn's Pairwise were used for data analysis. Findings showed a significant difference in managerial competence according to the hospital type (p < .05). The FLNMs with a Diploma III, those relatively older, in their position for 7 or more years, and with managerial training in Type A hospitals (larger hospitals) had the highest managerial competence. The FLNMs with a bachelor's degree, those relatively younger, with less training, and those in their position for 3 to 4 years in Type B and C hospitals (smaller hospitals) had less managerial competence. A significant difference was also found in managerial competence according to hospital ownership (p <.05). Public hospitals owned by the Ministry of Health of Indonesia had the highest competence among the others. This study is useful for guiding future policy work for human resource development in public hospitals.

Innovation With Strengths: A Collaborative Approach to PhD/DNP Integration in Doctoral Education.

Doctorally prepared nurses are well equipped to provide solutions to complex issues in today's rapidly changing health care environment. Collaborative relationships between doctor of nursing practice (DNP)- and doctor of philosophy (PhD)-prepared nurses facilitate timely translation of research into practice, enhanced educational opportunities, and development of interventions to improve health outcomes; however, challenges have been identified that hinder collaboration. This article highlights a three-pronged innovative and structured approach to identify individual student strengths, facilitate collaboration among DNP and PhD students, and set the foundation for implementation of a strengths-based curriculum during the doctoral educational experience.

Concept analysis of culture applied to nursing.

Culture is an important concept, especially when applied to nursing. A concept analysis of culture is essential to understanding the meaning of the word. This article applies Rodgers' (2000) concept analysis template and provides a definition of the word culture as it applies to nursing practice. This article supplies examples of the concept of culture to aid the reader in understanding its application to nursing and includes a case study demonstrating components of culture that must be respected and included when providing health care.