From managing resources to managing care: opinions and expectations of nursing supervisors regarding their new professional role

Aim. To determine the opinions and expectations of nursing supervisors in Andalusian hospitals (Spain) regarding the introduction of a new healthcare management model in hospitals and how it will affect their role, which will change from resource management to care management. Method. A qualitative study based on the use of focus groups was carried out. The study was performed in 2 University Hospitals of the Andalusian Health Service, with between 700 and 1100 beds, situated in 2 different provinces, in 2003. In each of the hospitals, 8 focus groups (16 in total) were carried out, in which all the centres' nursing supervisors participated (132 persons). Results. The results revealed an unequal degree of implantation of the new model in the distinct services, a lack of clear definition of contents, and the predominantly structural character of professional expectations. Mid-level managers reported that to make the transition from one model to another they needed to have a clearer idea of what exactly was expected of them, greater professional autonomy, greater participation in the decision-making process, more training opportunities, and increased support from upper-level managers. Conclusions. The professional role of nursing supervisors is currently undergoing a process of transformation. The majority of supervisors show a positive attitude toward this change. Internal communication and participation are essential elements for the model's progress.