The scope and span of control of the nurse manager directly impact turnover, succession planning, and satisfaction. Measuring and benchmarking scope and span of control remain a challenge. An interprofessional team across an integrated health delivery system developed and implemented such a tool, which was used to determine the amount of operational and clerical support for managers. Since implementation, there has been a decrease in turnover and time to fill nurse manager positions.
Author Affiliations: Chief Nursing Officer and Vice President Patient Care Services (Dr Jones), UPMC McKeesport Hospital, Chief Nursing Officer and Vice President Patient Care Services (Ms McLaughlin), Magee-Womens Hospital of UPMC; Senior Financial Analyst (Mr Gebbens), UPMC McKeesport/UPMC East; Assistant Professor (Dr Terhorst), School of Health and Rehabilitation Sciences, University of Pittsburgh, Pennsylvania.
The authors declare no conflicts of interest.
Correspondence: Dr Jones, UPMC McKeesport Hospital, 1500 Fifth Ave, McKeesport, PA 15132 (firstname.lastname@example.org).