A longitudinal study of working life among first-line managers in the care of older adults

作者：Hagerman Heidi; Skytt Bernice; Wadensten Barbro; Hogberg Hans; Engstrom Maria

来源：Applied Nursing Research, 2016, 32: 7-13.

DOI：10.1016/j.apnr.2016.03.003

• First-line manager
• Leadership-management performance
• Number of subordinates
• Stress symptoms
• Structural and psychological empowerment

Aim: To study whether the number of subordinates plays a role in first-line managers' and subordinates' ratings of empowerment, stress symptoms, and leadership-management performance. The aim was also to study relationships between managers' empowerment and stress symptoms and leadership-management performance.
Methods: A longitudinal and correlational design was used. All first-line managers (n = 98) and their subordinates (n = 2085) working in the care of older adults in five municipalities were approached.
Results: With fewer (<= 30) subordinates per manager, there were higher ratings of structural empowerment among managers and subordinates and lower stress symptoms among subordinates, than with >= 31 subordinates. Furthermore, structural empowerment was related to the managers' stress symptoms and leadership management performance, mediated through psychological empowerment Moreover, structural empowerment can control/adjust for large numbers of subordinates in relation to stress symptoms.
Conclusion: The higher FLMs rated their access to empowerment, the lower stress symptoms and higher leadership-management performance they rated over time.

• 出版日期2016-11