In the increasingly complex environment of healthcare, the nurse manager provides vital leadership for healthy work environments, positive patient outcomes, and achievement of organizational goals. However, the development of skills critical for success is often overlooked, and new nurse managers struggle during their role transition from a clinical provider to nursing leadership. The Nurse Manager Leadership Partnership Learning Domain Framework© (Learning Domain Framework) was developed through collaboration between the American Organization of Nurse Executives and the American Association of Critical Care Nurses 1 American Association of Critical-Care Nurses The Nurse Manager Skills Inventory. http://www.aacn.org/wd/practice/docs/nurse-manager-inventory-tool.pdf Google Scholar , 2 American Organization of Nurse Executives The Nurse Manager Skills Inventory Tool. http://www.aone.org/resources/leadership%20tools/partnership.shtml Google Scholar (Figure 1). The evidence-based framework consists of 3 domains: the development of the leader within, the science of managing the business, and the art of leading people. 3 Dubnicki C Sloan S Excellence in nursing management: competency-based selection and development. J Nurs Adm. 1991; 21: 40-45 Crossref PubMed Google Scholar , 4 Kleinman C Leadership roles, competencies and education: how prepared are our nurse managers?. J Nurs Adm. 2003; 33: 451-455 Crossref PubMed Scopus (63) Google Scholar , 5 Care W Udod S Perceptions of first-line nurse managers. What competencies are need to fulfill this role?. Nurs Leadersh Forum. 2003; 7: 109-115 PubMed Google Scholar , 6 Anthony M Standing T Glick J et al. Leadership and nurse retention: the pivotal role of nurse managers. J Nurs Adm. 2005; 35: 146-155 Crossref PubMed Google Scholar , 7 Sherman RO Bishop M Egenbeger T Karden R Development of a leadership competency model. J Nurs Adm. 2007; 37: 85-94 Crossref PubMed Scopus (87) Google Scholar , 8 McCallin A Franskon C The role of the charge nurse manager: a descriptive exploratory study. J Nurs Manag. 2010; 18: 319-325 Crossref PubMed Scopus (83) Google Scholar , 9 Kramer M McQuire P Brewer B et al. Nurse manager support, what is it? Structures and practices that promote it. Nurs Adm Q. 2007; 31: 325-340 Crossref PubMed Scopus (70) Google Scholar , 10 Hart M A Delphi study to determine baseline informatics competencies for nurse managers. Comput Inform Nurs. 2010; 28: 364-370 Crossref PubMed Scopus (18) Google Scholar , 11 Benner P Excellence and Power in Clinical Nursing Practice. Addison-Wesley, Menlo Park, CA1984 Google Scholar “Leadership skills begin with knowing one's self” and skills required for success in the leader within domain include personal mastery of emotional intelligence, accountability, and responsibility for one's communication and actions, developing authentic leadership skills of self-discovery and improvement, and developing enough self-confidence to empower others. 11 Benner P Excellence and Power in Clinical Nursing Practice. Addison-Wesley, Menlo Park, CA1984 Google Scholar The science of managing the business spans a collection of skills that enable the nurse manager to plan strategically for quality care and financial stability of their area of responsibility. Using foundational thinking, clinical knowledge, performance improvement methodologies, and technology skills, the nurse manager manages financial and human resources to efficiently improve quality care. To manage the business, the nurse manager must be able to lead the people by “managing relationships and influencing others” toward common goals by fostering teamwork, “developing trust and managing conflict.” 11 Benner P Excellence and Power in Clinical Nursing Practice. Addison-Wesley, Menlo Park, CA1984 Google Scholar The 3 competency domains reflect the explosion of responsibility and expectations of the current nurse manager role.
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