Qualitative Analysis of the Charge Nurse Role: Leadership in a Culture of Retention

By Kandy Smith, Joseph Farmer, Mike Jacobs, Aaron Gilligan and Noretta Walls.

Published by The Organization Collection

Format Price
Article: Print $US10.00
Article: Electronic $US5.00

The worldwide shortage of nurses has stakeholders focusing on ways to retain nurses. As nurses leave, hospital costs increase and profitability, productivity, efficiency and quality plummet. The enormous costs of turnover combined with a limited supply of nurses require executives to develop effective strategies for retaining long term commitment of nurses.
A study of 2 million employees at 700 companies found that duration of employment and level of productivity were determined by the relationship the employee had with their immediate supervisor. In the hospital, charge nurses are responsible for ensuring appropriate practice standards and professional interactions among staff and patients on a specific unit and provide immediate supervision to the nursing staff. As immediate supervisors, they are pivotal in the creation of a culture of retention.
This exploratory study identified performance competencies of effective charge nurses and characteristics of these nurses that impacted staff nurse retention. Focus group transcripts and questionnaire responses were content analyzed using the NVivo Qualitative Data Analysis Software Program. The findings may be useful to hospital and nursing executives in the preparation of effective immediate supervisors (charge nurses) that promote an organizational culture of nurse retention

Keywords: Charge Nurse, Leadership, Nurse Retention, Qualitative Research

International Journal of Knowledge, Culture and Change Management, Volume 8, Issue 6, pp.101-114. Article: Print (Spiral Bound). Article: Electronic (PDF File; 641.635KB).

Dr. Kandy Smith

Associate Professor, College of Nursing, University of South Alabama, Mobile, Alabama, USA

Kandy Smith is an Associate Professor in the College of Nursing at the University of South Alabama in Mobile, Alabama. Her nursing career spans 24 years and includes practice in the ICU as a nurse and clinical nurse specialist, and in staff development before joining academia 14 years ago. Kandy received a Bachelor of Science in Nursing from the University of Southern Mississippi, a Masters in Nursing from Emory University and a Doctorate of Nursing Science from Louisiana State University Health Sciences Center. Having taught across the curriculum in both undergraduate and graduate nursing programs, Dr. Smith is passionate about developing emotional competencies in nursing students and nurses in practice. She has presented numerous workshops, papers and posters on the subject of developing social and emotional competencies. Research interests include leadership development, emotional intelligence, and cardiovascular nursing.

Joseph Farmer

Clinical Assistant Professor, College of Nursing, University of South Alabama, Mobile, Alabama, USA

Joseph Farmer is a Clinical Assistant Professor in the College of Nursing at the University of South Alabama in Mobile, Alabama, USA. He has completed nine years of teaching in various courses in the undergraduate nursing program, from Foundations of Professional in the first semester, Nursing Issues and Leadership in the fourth semester, through Aggregate Professional Nursing Care in the fifth and final semester. Mr. Farmer’s educational background includes a Bachelor of Science in Business Administration, a Bachelor of Science in Nursing, and a Master of Science in Nursing with a major in Community Health, and he is currently a PhD candidate in International Development. As a registered nurse, Mr. Farmer has worked as an emergency room staff nurse, clinical educator in hospital education, a research nurse, and a nursing instructor. He has also completed certification as an AIDS Care Registered Nurse. Research, presentations, and areas of interest include community health, HIV/AIDS, cultural diversity, and underrepresented populations. Mr. Farmer is a member of numerous professional nursing organizations, including the Transcultural Nursing Society and Association of Nurse in AIDS Care.

Dr. Mike Jacobs

Director of Human Simulation for Health Sciences and Chair, Department of Adult Health Nursing, Health Sciences Center, College of Nursing, University of South Alabama, Mobile, Alabama, USA

Mike Jacobs is an Associate Professor in the College of Nursing at the University of South Alabama in Mobile, Alabama. Mike received a Bachelor of Science in Nursing and a Masters in Nursing from the University of South Alabama, and a Doctorate of Nursing Science from Louisiana State University Health Sciences Center. Dr. Jacobs serves as Director of Human Simulation of the Health Sciences Center at the University and Chair of the Adult Health department in the College of Nursing. He has numerous presentations and papers focused on clinical nursing topics and nursing education. Research interests include leadership development, use of simulation as a pedagogical tool in health professions education, emergency nursing, and bioterrorism.

Aaron Gilligan

Assistant Clinical Professor, College of Nursing, University of South Alabama, Mobile, Alabama, USA

Aaron Gilligan is a Clinical Assistant Professor in the College of Nursing at the University of South Alabama in Mobile, Alabama, USA. She brings 22 years of nursing practice including critical care nursing, nursing management, and staff development to the undergraduate nursing classroom and clinical experiences. Aaron received both a Bachelor of Science in Nursing and a Masters of Science in Nursing from the University of South Alabama. Ms. Gilligan’s research interests include nursing and healthcare education, specifically utilization and enhancement of patient simulation.

Noretta Walls

Clinical Assistant Professor, College of Nursing, University of South Alabama, Mobile, Alabama, USA

Noretta Walls is a Clinical Assistant Professor in the College of Nursing at the University of South Alabama in Mobile, Alabama, USA. She has completed over 10 years as a psychiatric nursing educator at both the associate and baccalaureate levels. She has taught Nursing Research for both the undergraduate students and the online RN-BSN students. Ms. Wall's educational background includes a Bachelor of Science in Nursing and a Master of Science in Community Mental Health Nursing. She is a Certified Clinical Nurse Specialist in Adult Psychiatric Nursing and is currently preparing to enter the Doctorate of Nursing Practice program at the University of South Alabama. Noretta is a member of numerous professional nursing organizations, including the American Nurses Association, Alabama Nurses Association, American Psychiatric Nurses Association, and Sigma Theta Tau. Research and presentation areas of interest include Stress Management, Group Therapy conducted by psychiatric nurses, and Creative Clinical Education for undergraduate nursing students.

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