Abstract
Abstract Objective First-line nurse managers are more likely to work according to gender beliefs and stereotypes, which may affect their managerial competence. This study is aimed at comparing managerial competence of male and female first-line nurse managers in public hospitals in Indonesia. Methods This study employed a descriptive comparative approach with a cross-sectional survey with a total of 256 participants selected from 18 public hospitals. To measure managerial competence, the managerial competence scale for Indonesian first-line nurse managers was used. Data were analyzed using descriptive analyses using mean, standard deviation, and Independent t-test. Results Managerial competence of male and female first-line nurse managers was not significantly different (P = 0.555). Female nurse managers descriptively reported/received higher ranking in facilitating spiritual nursing care, managing self, staffing and professional development, utilizing informatics, and applying quality care improvement. Male nurse managers reported higher in leadership and financial management. Conclusions Female and male first-line nurse managers should be treated equally for leadership and managerial development.
Highlights
The complex and unpredictable health-care system today requires the competent first-line nurse managers to ensure that everyday nursing practice brings high outcomes for patients and nurses, and to guarantee that the vision and mission of the hospital are achieved effectively.[1]
A multistage approach was used to select the sample among five big islands in Indonesia, which could be described in the following three steps: (1) we identified the number of public hospitals, which consists of 795 in Java, 336 in Sulawesi, 321 in Sumatra, 112 in Kalimantan, and 32 in Papua[29]; (2) we divided each type of public hospital in each island with equivalent ratio 60:1
The names of public hospitals were not mentioned for confidentiality. Findings showed that both male and female first-line nurse managers had no difference in managerial competence (P = 0.555), as well as in its each dimension— applying quality care improvement (P = 0.251), utilizing informatics (P = 0.142), facilitating spiritual nursing care (P = 0.219), leadership (P = 0.869), self-management (P = 0.486), staffing and professional development (P = 0.693), and financial management (P = 0.602)
Summary
The complex and unpredictable health-care system today requires the competent first-line nurse managers to ensure that everyday nursing practice brings high outcomes for patients and nurses, and to guarantee that the vision and mission of the hospital are achieved effectively.[1] Leadership and managerial competence of first-line nurse managers are the key to success of each hospital,[2] which is the reason for the assessment regarding their competence warrants consideration. Our study focuses on gender analysis in the comparison of managerial competence of male and female first-line nurse managers. Studies revealed that male and female managers work and behave differently in accordance with gender beliefs and stereotypes.[3,4]. Gender and managerial competence: a comparison of male and female first-line nurse managers in Indonesia.
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