Expanded span of control, leadership and management performance, work-related stress, and job satisfaction among first-line managers: A repeated cross-sectional study.
Background: First-line healthcare managers navigate complex organizational demands to ensure a good work environment and quality care. Key factors such as expanded span of control, leadership and management performance, and work-related stress significantly influence their job satisfaction. However,...
| Published in: | Work Vol. 81; no. 3; pp. 2952 - 2964 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Jul2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186103423&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186103423 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: Jul2025 vid: 81 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186103423 184210804 186103423 186103423 10.1177/10519815251326470 186103423 ppf: 2952 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Expanded span of control, leadership and management performance, work-related stress, and job satisfaction among first-line managers: A repeated cross-sectional study. aug: au: Svanström, Jonas Skytt, Bernice Lindberg, Maria Lindberg, Magnus affil: Department of Caring Sciences, University of Gävle, Gävle, Sweden sug: subj: Leadership Stress, Occupational Etiology Stress, Occupational Psychosocial Factors Work Environment Standards Work Environment Psychosocial Factors Job Satisfaction Management Health Personnel Psychosocial Factors Organizational Culture Human Male Female Adult Middle Age Sweden Cross Sectional Studies Surveys Questionnaires Funding Source Scales Kruskal-Wallis Test Spearman's Rank Correlation Coefficient Interpersonal Relations Health Services Administration Primary Health Care Prehospital Care Coefficient alpha Correlation Coefficient Descriptive Statistics Data Analysis Software Confidence Intervals Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: First-line healthcare managers navigate complex organizational demands to ensure a good work environment and quality care. Key factors such as expanded span of control, leadership and management performance, and work-related stress significantly influence their job satisfaction. However, how these factors evolve over time in organizational settings remains unclear. Objective: To examine expanded span of control, leadership and management performance, work-related stress, and job satisfaction among first-line healthcare managers and assess whether the relationships between these variables remained stable over time. Methods: A repeated cross-sectional design was used to collect annual data from 2020 to 2023 among first-line managers in a Swedish healthcare organization. The Ottawa Hospital Span of Control tool, the Leadership and Management Inventory, the Health & Safety Executive stress tool, and a single-item job satisfaction measure were used to collect data. Kruskal-Wallis tests and Spearman correlation analysis were performed. Results: An expanded span of control negatively impacted job satisfaction in certain years. Leadership and management performance showed a positive but inconsistent association with job satisfaction. Factors in work-related stress, particularly high demands and strained relationships, consistently had a negative relationship with job satisfaction, whereas control and support positively contributed to greater job satisfaction. Conclusions: Work-related stress, driven by high demands and poor relationships, significantly decreases job satisfaction. Leadership and management performance influence satisfaction, but inconsistently. Reducing workload and improving support structures can enhance job satisfaction and managerial effectiveness. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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