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 OJN  Vol.5 No.11 , November 2015
Nurse Managers Stress and Coping
Abstract: Objective: The purpose of this study was to gain insight into nurse managers’ stress experiences and coping strategies in order to better support them. Design: A qualitative exploratory descriptive research design was used in this study. Subject: Fifteen nurse managers participated in this study. Results: Three descriptive themes related to nurse managers’ occupational stress were identified: role overload, loneliness, and role conflict. We also identified three descriptive themes that contributed to their stress management: sufficient support and advice, taking mental breaks while off duty, and individual coping strategies. Conclusions: Our study proposes two recommendations to reduce nurse managers’ stress. First, for nurse managers who experience work overload, hospitals should support them in learning how to work efficiently and how to manage their response to work demands. Second, nurse managers’ primary stressors were loneliness and role conflict. Nurse managers are known to juggle multiple demands from the hospital nursing director and staff nurses. Although it is difficult to eliminate the role conflict, nurse managers should be guided on how to manage conflicting demands, the hospital nursing director and staff nurses.
Cite this paper: Miyata, A. , Arai, H. and Suga, S. (2015) Nurse Managers Stress and Coping. Open Journal of Nursing, 5, 957-964. doi: 10.4236/ojn.2015.511101.
References

[1]   Hyrkäs, K. (2005) Clinical Supervision, Burnout and Job Satisfaction among Mental Health and Psychiatric Nurses in Finland. Issues in Mental Health Nursing, 26, 531-556.
http://dx.doi.org/10.1080/01612840590931975

[2]   Shirey, M.R. (2006) Stress and Coping in Nurse Manager: Two Decades of Research. Nursing Economics, 24, 193-211.

[3]   Cummings, G.G., MacGregor, T., Davey, M., Lee, H., Wong, C.A., Lo, E., Muise, M. and Stafford, E. (2010) Leadership Styles and Outcome Patterns for the Nursing Workforce and Work Environment: A Systematic Review. International Journal of Nursing Studies, 47, 363-385.
http://dx.doi.org/10.1016/j.ijnurstu.2009.08.006

[4]   Nyberg, A., Bernin, P., Theorell, T., Westerlund, H., Vahtera, J. and Kivimäki, M. (2009) Managerial Leadership and Ischemic Heart Disease among Employees: The Swedish WOLF Study. Occupational and Environmental Medicine, 66, 51-55.
http://dx.doi.org/10.1136/oem.2008.039362

[5]   Meyer, R.M., O’Brien-Pallas, L., Doran, D., Streiner, D., Ferguson-Pare, M. and Duffield, C.M. (2011) Front-Line Managers as Boundary Spanners: Effects of Span and Time on Nurse Supervision Satisfaction. Journal of nursing management, 19, 611-622.
http://dx.doi.org/10.1111/j.1365-2834.2011.01260.x

[6]   Lindholm, M., Dejin-Karlsson, E., Ostergren, P.O. and Udén, G. (2003) Nurse Managers Professional Networks, Psychosocial Resources and Self-Rated Health. Journal of Advanced Nursing, 42, 506-515.
http://dx.doi.org/10.1046/j.1365-2648.2003.02650.x

[7]   Luchinger, H.K.S., Almost, J., Purdy, N. and Kim, J. (2004) Predictors of Nurse Managers’ Health in Canadian Restructured Healthcare Settings. Nursing Leadership, 17, 88-105.
http://dx.doi.org/10.12927/cjnl.2004.17020

[8]   Williams, S., Michie, S. and Pattani, S. (1998) Improving the Health of the NHS Workforce. The Nuffield Trust, London.

[9]   Duffield, C.M., Roche, M.A., Blay, N. and Stasa, H. (2011) Nursing Unit Managers, Staff Retention and the Work Environment. Journal of Clinical Nursing, 20, 23-33.
http://dx.doi.org/10.1111/j.1365-2702.2010.03478.x

[10]   Lucas, V., Laschinger, H.K.S. and Wong, C.A. (2008) The Impact of Emotional Intelligent Leadership on Staff Nurse Empowerment: The Moderating Effect of Span of Control. Journal of Nursing Management, 16, 964-973.
http://dx.doi.org/10.1111/j.1365-2834.2008.00856.x

[11]   Wong, C.A., Laschinger, H.K.S. and Cummings, G.G. (2010) Authentic Leadership and Nurses’ Voice Behavior and Perceptions of care Quality. Journal of Nursing Management, 18, 889-900.
http://dx.doi.org/10.1111/j.1365-2834.2010.01113.x

[12]   Kath, L.M., Stichler, J.F. and Ehrhart, M.G. (2012) Moderators of the Negative Outcomes of Nurse Manager Stress. Journal of Nursing Administration, 42, 215-221.
http://dx.doi.org/10.1097/NNA.0b013e31824ccd25

[13]   Udod, S.A. and Care, W.D. (2011) Nurse Managers’ Work Stressors and Coping Experiences: Unravelling the Evidence. Canadian Journal of Nursing Leadership, 24, 57-72.
http://dx.doi.org/10.12927/cjnl.2011.22601

[14]   Lee, H. and Cummings, G.G. (2008) Factors Influencing Job Satisfaction of Front Line Nurse Managers: A Systematic Review. Journal of Nursing Management, 16, 768-783.
http://dx.doi.org/10.1111/j.1365-2834.2008.00879.x

[15]   Shirey, M.R., Ebright, P.R. and McDaniel, A.M. (2008) Sleepless in America: Nurse Managers Cope with Stress and Complexity. Journal of Nursing Administration, 38, 125-131.
http://dx.doi.org/10.1097/01.NNA.0000310722.35666.73

[16]   Paliadelis, P.S., Cruickshank, M. and Sheridan, A. (2007) Caring for Each Other: How Do Nurse Managers “Manage” Their Role? Journal of Nursing Management, 15, 830-837.
http://dx.doi.org/10.1111/j.1365-2934.2007.00754.x

[17]   Kageyama, T., Nishikido, N., Kobayashi, T., Oga, J. and Kawashima, M. (2003) The Relationship of Work Stress to the Mental Health Status of Female Nurses in a Public Hospital. Japanese Journal of Nursing and Health Sciences, 4, 1-10. (In Japanese)

[18]   Graneheim, U. and Lundman, B. (2004) Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trust-worthiness. Nurse Education Today, 24, 105-112.
http://dx.doi.org/10.1016/j.nedt.2003.10.001

[19]   McCallin, A.M. (2010) The Role of the Charge Nurse Manager: A Descriptive Exploratory Study. Journal of Nursing Management, 18, 319-325.
http://dx.doi.org/10.1111/j.1365-2834.2010.01067.x

[20]   Anthony, M.K., Standing, T.S. and Glick, J. (2005) Leadership and Retention: The Pivotal Role of Nurse Managers. Journal of nursing Administration, 35, 146-155.
http://dx.doi.org/10.1097/00005110-200503000-00008

[21]   Judkins, S., Massey, C. and Huff, B. (2006) Hardiness, Stress, and Use of Ill-Time among Nurse Managers: Is There A Connection? Nursing Economics, 24, 187.

[22]   Shirey, M.R. (2007) AONE Leadership Perspectives: Competencies and Tips for Effective Leadership: From Novice to Expert. Journal of Nursing Administration, 37, 167-170.
http://dx.doi.org/10.1097/01.NNA.0000266842.54308.38

[23]   Silvetti, C., Rudan, V., Frederickson, K. and Sullivan, B. (2000) Where Will Tomorrow’S Nurse Managers Come From? Journal of Nursing Administration, 30, 157-159.
http://dx.doi.org/10.1097/00005110-200004000-00002

[24]   Espinoza, D.C., Lopez-Saldana, A. and Stonestreet, J.S. (2009) The Pivotal Role of the Nurse Manager in Healthy Workplaces: Ïmplications for Training and Development. Critical Care Nursing Quarterly, 32, 327-334.
http://dx.doi.org/10.1097/CNQ.0b013e3181bad528

 
 
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