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How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle.ORCID iD: 0000-0002-3381-5893
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle; Nursing Department, Medicine and Health College, Lishui University, Lishui, China.ORCID iD: 0000-0002-9912-5350
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Faculty of Health and Occupational Studies, University of Gävle.ORCID iD: 0000-0002-1495-4943
2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1208-1215Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

AIM: To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

METHOD: Interviews from 14 female first-line managers were analysed using qualitative content analysis.

RESULTS: The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

CONCLUSION: The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

IMPLICATIONS FOR NURSING MANAGEMENT: It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

Place, publisher, year, edition, pages
2019. Vol. 27, no 6, p. 1208-1215
Keywords [en]
elderly care, empowerment, first-line manager, structures of proportions, work situation
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-394229DOI: 10.1111/jonm.12793ISI: 000486018500019PubMedID: 31102540OAI: oai:DiVA.org:uu-394229DiVA, id: diva2:1357984
Funder
AFA InsuranceUniversity of GävleAvailable from: 2019-10-05 Created: 2019-10-05 Last updated: 2019-12-09Bibliographically approved

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