"Trust, Responsibility, and Making a Difference": Qualitative Insights into Why First-Line Managers in Healthcare Remain in Their Role.
Healthcare organizations face increasing challenges in retaining first-line managers, who play a key role in operational stability and patient care. Studies indicate that approximately half of all first-line managers intend to leave their position within 5 years. This highlights the need for updated...
| Publicado en: | Inquiry (00469580) Vol. 62; pp. 1 - 10 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
8/21/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187508323&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187508323 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 8/21/2025 vid: 62 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187508323 187508323 187508323 10.1177/00469580251368724 187508323 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: "Trust, Responsibility, and Making a Difference": Qualitative Insights into Why First-Line Managers in Healthcare Remain in Their Role. aug: au: Svanström, Jonas Lindberg, Magnus Skytt, Bernice Lindberg, Maria affil: University of Gävle, Sweden sug: subj: Trust Accountability Frontline Personnel Psychosocial Factors Professional Role Attitude of Health Personnel Evaluation Personnel Retention Sweden Funding Source Human Male Female Adult Middle Age Qualitative Studies Descriptive Research Semi-Structured Interview Content Analysis Support, Psychosocial Commitment Confidence Thematic Analysis Decision Making Psychological Well-Being Patient Care Staff Development Autonomy Workload Leadership Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Healthcare organizations face increasing challenges in retaining first-line managers, who play a key role in operational stability and patient care. Studies indicate that approximately half of all first-line managers intend to leave their position within 5 years. This highlights the need for updated knowledge about conditions under which they work. A qualitative descriptive design was used to explore first-line managers' perceptions of what is important for them to remain in the managerial role. Data were collected through 20 individual semi-structured interviews with first-line managers from a medium-sized healthcare organization in Sweden between March and June 2022. The data were analyzed using qualitative content analysis. The results are presented through the overarching theme Empowered through support, responsibility, and meaningful contribution. This theme describes how first-line managers sustain their motivation and commitment by developing confidence in their ability to lead, influence others, and create meaningful change. Their confidence is grounded in support, responsibility, and role clarity. The theme also shows how first-line managers handle challenges, make decisions, and act to improve staff well-being and patient care. Through these actions, they contribute to the development of their units. Trust from their manager, autonomy in decision-making, and support from colleagues enhance first-line managers' sense of purpose and motivation, encouraging them to remain in their role. Moreover, balanced workloads and opportunities to make a meaningful impact strengthen their commitment. By recognizing and addressing these aspects, healthcare organizations can better support long-term engagement of first-line managers, fostering sustainable leadership and stability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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