Wanted: the next generation of nurse and midwifery managers

摘要

Purpose - To explore whether ward management is an aspiration for junior nurses and midwives in the National Health Service in Scotland (NHSS) in the context of service redesign that is expanding career options in clinical practice.rnDesign/methodology/approach - The findings are drawn from research conducted in a large acute NHSS Trust. The fieldwork involved face-to-face interviews with 64 nurses and midwives andrn1,084 survey returns (29 per cent response rate). Logistic regression was used to predict the characteristics of those who wanted to move into their line manager's role. Findings - Moving into their line manager's job was a career aspiration for only 10 per cent of nurses and midwives and current managers reported there were already difficulties recruiting to senior posts. Those who wanted vertical progression preferred the clinical specialist/advanced practitioner route. By comparison, the ward manager (charge nurse) role was perceived to be very unattractive because of: too little patient contact; the stress involved in meeting the workload demands of multiple roles; and poor pay and rewards. Research limitations/implications - The research and policy review covers the devolved NHSS though similar trends have been noted elsewhere in the UK and internationally. The paper is ofrnbroader interest to those interested in the impact of managerial responsibility on healthcare professionals. Practical implications - The paper highlights the need for reform in the ward leadership role since it is pivotal in the operation of hospital services. Originality/value - Previous research has examined the role of nurses in managing healthcarernservices. The paper extends this retrospective work by exploring the perceptions and career intentionsrnof the nurses and midwives serving under the current generation of nurse managers.