Abstract
Session presented on Tuesday, July 23, 2013: Purpose: There is growing recognition that health care teams need to foster innovative processes to provide ongoing quality care. Nurse managers, as team leaders, should be responsible for cultivating team innovation. Management studies suggest that boundary management efforts to establish and manage relationships with other groups within or between organizations fosters information and resource transfer and knowledge creation and is associated with team innovation. The purpose of this study was to explore the association between boundary management behavior by nurse managers and innovative processes in their nursing teams. Methods: A cross-sectional questionnaire was distributed to 5809 nurses in 231 teams working at acute care hospitals in Japan. The questionnaire included a scale developed by the authors to measure nurses' perceptions of their nurse managers' boundary management behaviors, such as managing a team's collaborative relationships with other units and implementing external suggestions. Innovative process was measured by Anderson & West's Team Climate Inventory (TCI). Demographic variables were also included. Variables were aggregated by team by computing the mean or ratio of the individual data. Four multiple regression analyses were performed using the TCI subscale scores as the dependent variables. Results: Questionnaires were received from 4788 nurses. Regression analyses revealed that a team's boundary management score (a measure of the nurse manager's behavior), mean years of service, and ratio of nurses with a bachelor's or higher degree were each significantly associated with TCI subscale scores. The team boundary management score had the strongest associations with all of the four TCI subscales. The regressions produced an adjusted R square value of 0.31-0.46 (p<0.001). Conclusion: Boundary management behavior by nurse managers is an effective way to foster an innovative climate in nursing teams and thus would be a useful indicator of a nurse manager's excellence as team leader.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
team innovation, nurse manager's role, nursing team
Recommended Citation
Onishi, Mami and Kanda, Katsuya, "Boundary Management and Innovation in Nursing Teams" (2013). INRC (Congress). 182.
https://www.sigmarepository.org/inrc/2013/presentations_2013/182
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Boundary Management and Innovation in Nursing Teams
Prague, Czech Republic
Session presented on Tuesday, July 23, 2013: Purpose: There is growing recognition that health care teams need to foster innovative processes to provide ongoing quality care. Nurse managers, as team leaders, should be responsible for cultivating team innovation. Management studies suggest that boundary management efforts to establish and manage relationships with other groups within or between organizations fosters information and resource transfer and knowledge creation and is associated with team innovation. The purpose of this study was to explore the association between boundary management behavior by nurse managers and innovative processes in their nursing teams. Methods: A cross-sectional questionnaire was distributed to 5809 nurses in 231 teams working at acute care hospitals in Japan. The questionnaire included a scale developed by the authors to measure nurses' perceptions of their nurse managers' boundary management behaviors, such as managing a team's collaborative relationships with other units and implementing external suggestions. Innovative process was measured by Anderson & West's Team Climate Inventory (TCI). Demographic variables were also included. Variables were aggregated by team by computing the mean or ratio of the individual data. Four multiple regression analyses were performed using the TCI subscale scores as the dependent variables. Results: Questionnaires were received from 4788 nurses. Regression analyses revealed that a team's boundary management score (a measure of the nurse manager's behavior), mean years of service, and ratio of nurses with a bachelor's or higher degree were each significantly associated with TCI subscale scores. The team boundary management score had the strongest associations with all of the four TCI subscales. The regressions produced an adjusted R square value of 0.31-0.46 (p<0.001). Conclusion: Boundary management behavior by nurse managers is an effective way to foster an innovative climate in nursing teams and thus would be a useful indicator of a nurse manager's excellence as team leader.