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Impact of Role Stressors on the Health of Nurse Managers: A Western Canadian Context

Udod, Sonia A. PhD, RN; Cummings, Greta PhD, RN, FCAHS, FAAN; Care, W. Dean EdD, RN; Jenkins, Megan MPH, BSc

Journal of Nursing Administration: March 2017 - Volume 47 - Issue 3 - p 159–164
doi: 10.1097/NNA.0000000000000459

OBJECTIVE: A qualitative exploratory inquiry was used to understand nurse managers’ (NMs’) perceptions of their role stressors, coping strategies, and self-health related outcomes as a result of frequent exposure to stressful situations in their role.

BACKGROUND: Strong nursing leadership is required for desirable staff, patient, and organizational outcomes. A stressed NM will negatively influence staff nurse satisfaction and retention, patient outcomes, and organizational performance. Stress can affect NMs’ mental and physical heath, leading to job dissatisfaction and turnover.

METHODS: A qualitative exploratory inquiry was conducted using semistructured interviews with 23 NMs and 1 focus group interview.

RESULTS: Findings suggest that coping strategies may be inadequate, given the intensity and demands of the manager role, and could negatively impact NMs’ long-term health.

CONCLUSIONS: Senior nurse leaders can significantly impact the health and productivity of NMs by minimizing the adverse effects of role stress and foster a positive work environment.

Author Affiliations: Assistant Professor (Dr Udod) and Graduate Research Assistant (Ms Jenkins), College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan; Professor (Dr Cummings), Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta; and Dean and Professor (Dr Care), School of Health Studies, Associate Vice President, Teaching & Learning, Brandon University, Brandon, Manitoba, Canada.

Funding was provided by Saskatchewan Health Research Foundation through a New Investigator Establishment Grant.

The authors declare no conflicts of interest.

Funding was provided by Saskatchewan Health Research Foundation through a New Investigator Establishment Grant.

Correspondence: Dr Udod, Health Sciences Bldg, E-Wing 4346, 104 Clinic Place, University of Saskatchewan, Saskatoon, Saskatchewan, Canada S7N 2Z4 (

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