Assessing the Nurse Manager's Span of Control: A Partnership Between Executive Leadership, Nurse Scientists and Clinicians

Abstract

Nurse managers play a vital role within nursing services administration. In order for the nurse manager to provide the level of service defined by their job description, a practical span of control is necessary. The University of Texas medical Branch (UTMB) utilized a comprehensive approach to accurately assess acute care nurse manager's span of control within the organization. Findings indicated that approximately 56% of UTMB nurse managers have an acceptable span of control, whereas 44% had an excessive span of control. Recommendations include the need to evaluate clerical support staff, provide leadership education that includes elements of social/emotional intelligence, and implement best practice initiatives.