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An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces
Open accessAbstract
BACKGROUND: Managerial competencies to enhance individual and organisational performance have gained currency in global efforts to strengthen health systems. Competent managers are essential in the implementation of primary health care (PHC) reforms that aim to achieve universal health coverage. OBJECTIVE: To evaluate the competencies of PHC clinic nursing managers in two South African provinces. DESIGN: =383) were invited to participate in the survey on the day of data collection. Following informed consent, the nursing managers, their supervisors, and subordinate nurses completed a 40-item, 360-degree competency assessment questionnaire, with six domains: communication, leadership and management, staff management, financial management, planning and priority setting, and problem-solving. Standard deviations, medians, and inter-quartile ranges (IQRs) were computed separately for PHC nursing managers, supervisors, and subordinate nurses for competencies in the six domains. The Tinsley and Weiss index was used to assess agreement between each of the three possible pairs of raters. RESULTS: A 95.4% response rate was obtained, with 105 nursing managers in Gauteng and Free State completing the questionnaires. There was a lack of agreement about nursing managers' competencies among the three groups of raters. Overall, clinic nursing managers rated themselves high on the five domains of communication (8.6), leadership and management (8.67), staff management (8.75), planning and priority setting (8.6), and problem-solving (8.83). The exception was financial management with a median score of 7.94 (IQR 6.33-9.11). Compared to the PHC clinic managers, the supervisors and subordinate nurses gave PHC nursing managers lower ratings on all six competency domains, with the lowest rating for financial management (supervisor median rating 6.56; subordinate median rating 7.31). CONCLUSION: The financial management competencies of PHC clinic nursing managers need to be prioritised in continuing professional development programmes.
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“In the included studies, it was either the manager (Kuraoka, 2018 ;Meissner & Radford, 2015 ;Munyewende et al., 2016 ;Perreira et al., 2018 ) or the staff (Clements et al., 2015 ;Miyata et al., 2015 ;Munyewende et al., 2016 ;Rouse & Al-Maqbali, 2014 ;Wagner et al., 2015 ) who rated communication competencies.”
From Nurse manager communication and outcomes for nursing: An integrative review. (2021) · cites this paper as Munyewende et al., 2016
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“Interestingly, manager evaluations of communication were noted to be higher than corresponding staff evaluations (Munyewende et al., 2016 ).”
From Nurse manager communication and outcomes for nursing: An integrative review. (2021) · cites this paper as Munyewende et al., 2016
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“A study on communication perceptions by staff and managers noted that managers scored themselves higher in communication competence than their staff (Munyewende et al., 2016 ).”
From Nurse manager communication and outcomes for nursing: An integrative review. (2021) · cites this paper as Munyewende et al., 2016
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Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965
Flawed Self-Assessment: Implications for Health, Education, and the Workplace
Dunning, D., Heath, C., & Suls, J. M. (2004) · Psychological Science in the Public Interest · doi:10.1111/j.1529-1006.2004.00018.x · Cited by 1,865 · cited 1×
“The higher self-rating scores by the PHC nursing managers were also found in another study (26), where employees overestimated their skills, making it difficult to give meaningful feedback (55).”
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Sorted by citations
Nurse manager communication and outcomes for nursing: An integrative review.
Fowler, K. R., Robbins, L. K., & Lucero, A. (2021) · Journal of Nursing Management · doi:10.1111/jonm.13324 · Cited by 75
Metadata
- Authors
- Munyewende, P. O., Levin, J., & Rispel, L. C.
- Affiliations
- University of the Witwatersrand (ZA)
- Corresponding author
- Munyewende, Pascalia O.
- Venue
- Global Health Action
- Publisher
- Informa UK Limited
- Published
- 2016-12-01
- Volume
- 9
- Issue
- 1
- Pages
- 32486-32486
- ISSN
- 1654-9716 (ISSN-L)
- 1654-9880
- PMC
- PMC5149665
- OpenAlex
- W2560230669
- Cited by
- 46
- References
- 2
- Citations by year
- 2025: 6 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 9 · 2017: 1
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Global Health Action (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Atlantic Philanthropies
- Topics
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Competency Development and Evaluation
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- nurse managers, managerial competencies, primary health centers, 360-degree assessment, rater agreement, financial management, leadership and management, personnel management, problem solving, continuing professional development, South Africa
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