Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline Nurses' Intent to Stay.

The Journal of Nursing Administration Pub Date : 2024-09-12 DOI:10.1097/nna.0000000000001485

Christine Pabico,Shin Hye Park,Ellen Swartwout,Nora E Warshawsky

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Abstract

OBJECTIVE To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI. BACKGROUND PES-NWI and NMs' competency can impact frontline nurses' intent to stay. METHODS Cross-sectional study with secondary analysis of NM Competency and NDNQI® (National Database of Nursing Quality Indicators®) RN Survey data with path analysis for effects of the model's variables. RESULTS Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI (β = 0.20, P = 0.001) and PES-NWI/intent to stay (β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI (β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17). CONCLUSIONS Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.

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路径分析：护士长能力、实践环境感知与一线护士留任意愿之间的相互关系。

目的研究护士长（NM）能力、工作环境（护理工作指数实践环境量表[PES-NWI]）与一线护士的留任意愿之间的相关性；护士长能力对一线护士留任意愿的直接影响；以及护士长能力对一线护士留任意愿的间接影响（以PES-NWI为中介）。结果发现，护士能力与一线护士的执业环境之间存在正的、微弱的相关性；护士能力与一线护士的留任意愿之间不存在相关性。路径为 NM 能力/PES-NWI（β = 0.20，P = 0.001）和 PES-NWI/ 留任意愿（β = 0.55，P < 0.001）；NM 能力/留任意愿不显著。通过PES-NWI（β = 0.11，P = 0.002；95%置信区间，0.05-0.17），间接影响了护士长能力对一线护士留下意愿的影响。

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The Journal of Nursing Administration

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