PURPOSE
Span of Control defines the scope of the managers' responsibilities to manage nursing staff. This study was done to measure span of control of front-line nurse managers (FLNMs) in Korea hospitals resulting in improvement in their work efficiency.
METHODS
A sample of 203 FLNMs from five tertiary hospitals was recruited and completed the questionnaires. Data were analyzed using χ²-test, Fisher's exact test, independent t-test, ANOVA, Scheffé, and Pearson correlation coefficient.
RESULTS
FLNMs had ‘narrow’ (n=8, 4.3%), ‘appropriate’ (n=161, 87.0%), and ‘wide’ (n=16, 8.6%) span of control. Span of control had significant correlations with the number of nurses (r=.63, p<.001), the number of non-nurses (r=.53, p<.001), units (r=.52, p<.001), staff (r=.83, p<.001), and programs (r=.67, p<.001).
CONCLUSION
The research findings indicate that attention should be given to unit complexity, program diversity, total staff, and skills. Moreover, administrators of hospital and nursing departments need to provide systematic support in accordance with FLNMs’ wide span of control.

Citations

• Understanding the Impact of Span of Control on Nurse Managers and Hospital Outcomes
  Asiah Ruffin, Maria R. Shirey, Tracey Dick, Pariya L. Fazeli, Patricia A. Patrician
  Journal of Healthcare Management.2023; 68(3): 158.     CrossRef
• Nurse managers’ perception of governance among Korean nurses
  Sujin Choi
  Journal of Nursing Management.2021; 29(7): 2065.     CrossRef
• Experience in Nursing Unit Management on First Line Nurse Managers
  Mi Young Han, Sue Kyung Sohn, Yeon Sil Cho, Ick Jee Kim, Mi Suk Kim
  Journal of Korean Academy of Nursing Administration.2021; 27(3): 138.     CrossRef
• Factors Influencing Managerial Competence of Frontline Nurse Managers
  Ran Lee, Miyoung Kim, Sujin Choi, Hee Yeon Shin
  Journal of Korean Academy of Nursing Administration.2018; 24(5): 435.     CrossRef

PURPOSE
The purpose of this study was to investigate the association between self-leadership, team trust, organizational commitment and identify the influencing factors on organizational commitment.
METHODS
The subjects in the study were 296 conveniently selected general nurses at 2 general hospitals in Chungbuk Province. The measurements included the self-leadership, organizational trust inventory (OTI), and organizational commitment.
RESULTS
The mean score for self-leadership was 3.40, the mean score for OTI was 3.61, and the mean score for organizational commitment was 3.07. There were significant correlations among self-leadership, team trust and organizational commitment. Self-leadership had significant correlation with team trust (r=.25, p<.001). Also, self-leadership (r=.34, p<.001) and team trust (r=.31, p<.001) showed significant correlation with organizational commitment. In stepwise multiple regression analysis, age, self-leadership and team trust were included in the factors affecting organizational commitment of clinical nurses. These variables explained 20% of organizational commitment.
CONCLUSION
The results confirmed that nurses' self-leadership and team trust affects significant influences on organizational commitment. Accordingly, in order to enhance nurses' organizational commitment, it is necessary to build effective strategies to enhance self-leadership and team trust for nurses. Such strategies will be able to improve the goal achievement of nursing unit.

Citations

• Influences of communication ability, organizational intimacy, and trust among colleagues on job satisfaction of nurses in comprehensive nursing care service units
  Sue Young Hahm, Minkyung Gu, Sohyune Sok
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Effect of Authentic Leadership to Organizational Citizenship Behavior of Nurses Mediated by Team Trust
  Eungju Kim, Eungyung Kim
  Journal of Korean Academy of Nursing Administration.2022; 28(4): 451.     CrossRef
• The Influence of Dental Hygienists’ Self-Leadership on Organizational Commitment and Quality of Medical Services
  Da-Eun Lee, Do-Seon Lim, Min-Ji Park, Se-Jeong Park, Chi-Yoon Sung, Sang-In Lee, Ha-Rim Lee, Hyoung-Joo Kim, Hee-Jung Lim
  Journal of Dental Hygiene Science.2022; 22(4): 222.     CrossRef
• Development and validity of the Korea psychiatric triage algorithm
  Jeongmin Ha, Kyeongmin Jang, Misuk An
  BMC Nursing.2021;[Epub]     CrossRef
• A Comparative Study on Trust, Collaboration and Teamwork of Other Healthcare Personnel by Nurses Working on Integrated Nursing Care Service Wards versus Nurses on General Wards
  Nam Kyung Han, Taewha Lee, Jonggun Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(4): 316.     CrossRef
• The relationship between trust in first‐line nurse managers and organizational commitment
  Ayşe Akgerman, Betül Sönmez
  International Nursing Review.2020; 67(2): 183.     CrossRef
• Effects of Nurses' Positive Psychological Capital, Self-Leadership, and Relational Bonds on Organizational Commitment
  Shi Nae Kwon, Hyo Jung Park
  Journal of Korean Academy of Nursing Administration.2020; 26(3): 241.     CrossRef
• The Effects of Self-efficacy, Critical Thinking Disposition, Self-leadership, and Communication Competency on the Core Competencies of the Preceptor in Advanced General Hospitals
  Yun Mi Kang, Young Eun
  Journal of Korean Academic Society of Nursing Education.2018; 24(3): 279.     CrossRef
• A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses
  Sook Ja Lee, Ok Kyoung Park, Mi Yeon Park
  Journal of Korean Academy of Nursing.2016; 46(4): 572.     CrossRef