A CROSS-SECTIONAL STUDY TO ASSESS THE CHALLENGES FACED BY NURSES MANAGERS AT A TERTIARY HOSPITAL IN INDIA

Abstract

Background: Nurse manager role is considered the most complex in health care due to the numerous responsibilities. Lack of management and leadership training has been identified as a major challenge in nursing administration. Previous studies have reported the emergence of multiple complex challenges during disasters. Aim of Study: This study was conducted to evaluate the challenges faced by Nurse Managers while performing their duties. Materials and methods: A cross-sectional study was conducted between July 1, 2023 and October 30, 2023, at a tertiary hospital in New Delhi. One hundred nurse managers were enrolled in the study. Participants were asked about 34 potential challenges using a structured questionnaire. They were also asked about challenges other than the questionnaire that they had faced at the end. Result: All challenges were categorized into three categories: major, moderate, and minor. Nine major challenges were identified, such as Inadequate availability of medicine and surgical items in the ward (87%), Insufficient nursing staff (82%), Work with untrained nursing orderly and sanitation workers(79%), Implementation of the policies made without their input (76%), Work with poorly trained subordinate(75%), Patient workload(73%), disobedience of the subordinate(73%), Current indenting process from the store(73%), and no formal management training before taking charge as a Nurse Manager(72%) Conclusion: Inadequate availability of store supplies, staff shortages, untrained nursing orderlies, and sanitation workers, implementation of policies made without nursing input, poorly trained nursing subordinates, patient workload, and lack of formal training as Nurse Managers were the major issues faced by the majority of respondents