Title: Key factors for effective leadership of nurse managers in geriatric health service facilities
Geriatric Health Service Facilities (GHSFs) have been providing care and rehabilitation to facilitate older adults’ self-reliance in everyday life, performing the role of an intermediary between hospitals and their homes. The number of residents who are especially dependent on medical care has been increasing in GHSFs in recent times, with residents’ needs evolving as well. In order to manage to these changes, nurse managers are expected to assume leadership roles. However, literature related to “empirically based leadership” in the geriatric care field is limited. Tus, the aim of this study to elucidate an effective leadership style of nurse managers in GHSFs. We conducted qualitative exploratory descriptive research with semi-structured interviews. Eight nurse managers of GHSFs were selected by intentional sampling. Interview guides were established by researchers as follows: “What do you think are the basic responsibilities of nurse managers?”, “What is the most important requirement for nurse managers in GHSFs, “Please retrospect and tell us about successful or unsuccessful experiences of demonstrating your management and leadership” and “How do you deal with issues among medical staff?” We reviewed the transcriptions and constructed tables of code categories based on the actual words or phrases (meaning units) followed by independently identified themes that represented one or more code categories and specific quotations that represented each code category. All the interviewees were women, with a mean age of 44.6. Four themes emerged based on the data: vision, autonomous behaviors, respect for personhood, and Leader in the multidisciplinary care team. Nurse Managers in GHSFs are expected to perform more autonomously in practice areas, implementing leadership to establish a suitable work environment for collaboration between nurses and care workers.