Approaches Implemented by Nurse Managers Linked to High-Performing Clinical Care Teams

Abstract

Objective: The aim of this study was to discern managerial approaches linked to low nurse turnover and positive workplace well-being in a large academic health system in the Southeastern United States.

Background: Nurse managers influence nurse job satisfaction and retention; however, little qualitative research elucidates managerial techniques to foster positive work environments.

Methods: High-performing units were identified. Fifteen nurse managers participated in semistructured interviews to discuss their managerial style and approach to retention. Inductive codes were generated to discern themes.

Results: Managers reported striving to build cultures of appreciation, be involved leaders, promote team cohesion, prioritize work-life balance, and embrace diversity, equity, and inclusivity. In addition, managers worked to build systems to transparently handle safety concerns, equitably distribute workloads, implement timely conflict resolution approaches, and motivate staff retention.

Conclusions: Findings provided insight into factors contributing to a positive work environment and staff well-being. These leaders demonstrated a strong commitment to fostering healthy workplace culture.