Challenges and Strengths in Nurse Management: Perspectives and Insights

Every organization has its intricacies, and nurse management is no exception. In this article, we explore the positive and negative aspects of nurse management, drawing from personal experiences and observations. We'll highlight the strengths that make a nurse manager effective while also addressing the challenges that can arise.

Positive Attributes of a Good Nurse Manager

The nurse manager in my current department has several admirable qualities. Firstly, she is consistently hardworking and willing to get involved in various tasks to ensure the smooth operation of the unit. Her unwavering dedication to the role is admirable, and her "hands-on" approach sets a positive example.

Another strength is her open door policy, which encourages open communication and a collaborative work environment. This not only enhances team morale but also facilitates the resolution of issues promptly and effectively. Furthermore, she possesses a rich reservoir of knowledge, particularly in dialysis, which adds value to her leadership.

She is an engaging person who enjoys company and conversation, which contributes to a more relaxed and friendly workplace. This positive atmosphere is beneficial for both staff and patients.

Challenges in Nurse Management

Despite her many positive attributes, the nurse manager faces several challenges. One of the most notable is the difficulty in maintaining strict discipline. Sometimes, an attempt to be liked by all can lead to staff members getting away with excessive behavior. This is particularly challenging when it results in staff avoiding important issues.

Additionally, her lack of managerial experience sometimes leads to a hesitancy in taking tough decisions. A common saying among her team is, "pick your battles," which can be interpreted as a reluctance to confront tough issues head-on. This approach may be necessary to maintain a harmonious work environment but can also result in delays in addressing critical issues.

Efforts to ensure fair treatment of all staff members are laudable, but sometimes this can result in inconsistencies or leniency. Balancing these aspects is a delicate task that requires a fine-tuned approach.

Lessons from Previous Experiences

Reflecting on previous experiences, the challenges faced by nurse managers are not unique to my current situation. In my past role at UF Health Shands Hospital in Gainesville, Florida, I encountered nurse managers who were less than competent in ensuring the adequate provision of care. In one instance, a floor's techs would only bathe patients if the RN was their "special buddy," indicating a lack of standardized care practices. This issue was exacerbated by a lack of accountability from the nurse managers or clinical coordinators.

Contrastingly, working on a floor where techs had clear responsibilities and consequences for failing to meet them resulted in a much higher level of care. This example underscores the importance of effective oversight and the need for nurse managers to be proactive in ensuring proper care and support for their staff.

A nurse manager's role is crucial in ensuring both the quality of care and job satisfaction. While there are challenges to maintaining strict discipline and adhering to high standards, these issues can be mitigated with experience, clear communication, and a focus on patient and staff well-being.

Whether you're an aspiring nurse manager, a current one undergoing challenges, or part of the team under a nurse manager, understanding these aspects is vital for creating a positive and effective work environment.