Influence of Span of Control on Nurse Manager Job Satisfaction
Bibliographic record
Abstract
Literature related to hospital nurse manager span of control and its impact on patient outcomes and nurse retention was explored.There are limited studies on using a comprehensive span of control assessment tool, which includes more variables such as complexity, hours of operations, turnover, staff tenure, and direct reports, to assess acute care nurse manager job satisfaction.Healthcare organizations have typically used only one variable, budgeted Full-Time Equivalents, as a measurement of nurse managers' span of control.This singular metric does not accurately depict the complex job responsibilities of the nurse manager.This is a quantitative, exploratory study that utilized an electronic cross-sectional survey conducted over a two-week period at one organization across 12 hospitals in the mid-Atlantic region.The primary aim of this study was to understand if span of control, as measured by a comprehensive tool, influences the acute care nurse manager job satisfaction.The secondary aim was to compare job satisfaction scores from the Minnesota Satisfaction Questionnaire with demographic data.Results were analyzed using the nurse manager span of control categories from the modified Ottawa Hospital Tool, previously collected by the healthcare organization.There were 58 nurse managers who met the inclusion criteria and participated in the study.Nurse managers with the largest span of control responsibilities (Category 3) were more satisfied with their jobs than those with a lesser span of control (Categories 0, 1, and 2), with significant differences in questions related to "being able to do things that don't go against my conscience" (p=0.019),"the chance to tell people what to do" (p=0.021), and "the way my coworkers get along with each other" (p=0.025).Logistic regression determined that span of control was the only positive influence on nurse managers' general job satisfaction.When evaluated with the Ottawa Hospital assessment tool, a nurse manager's span of control positively influenced their job satisfaction.Contributing factors that could be associated with favorable job satisfaction in acute care nurse managers with large span of control responsibilities are positive organizational culture, recognition, and employees feeling valued.Building the groundwork for a healthy work environment is necessary for organizational success.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".