ArticleBMJ open2026
Nursing managers' experiences of delegation strategies and practices: a qualitative content analysis in Tehran, Iran.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDelegation is a key nursing management skill that enhances staff empowerment, team performance and quality of care. In complex healthcare environments, effective delegation requires structured managerial strategies that balance responsibility with staff empowerment. This study aimed to explore nursing managers' experiences of delegation strategies and practices in clinical settings.
designA qualitative study using a conventional content analysis approach. Data were collected between 2024 and 2025 through semistructured, in-depth interviews and analysed concurrently using an inductive content analysis process, allowing iterative refinement of emerging categories.
settingThe study was conducted in selected hospitals in Tehran, Iran.
participantsEleven nursing managers were recruited through purposive sampling and sampling continued until data saturation was achieved.
resultsAfter analysing the data, three main categories and seven subcategories emerged. The first category, formalisation and executive framework, included (a) formal communication and introductions in meetings, (b) clarification of task descriptions and delegation objectives and (c) delineation of boundaries and non-delegable authorities. The second category, continuous mentoring and support, encompassed (a) gradual training to consolidate learning and (b) active guidance and advocacy. The third category, supervision and evaluation of the delegation process, comprised (a) performance monitoring to ensure accountability and (b) benchmarking outcomes against established standards and indicators.
conclusionsDelegation allows nursing managers to focus on strategic duties while empowering nurses to participate actively and improve care quality. In challenging clinical settings with workforce shortages, strengthened managerial training and supportive organisational policies are essential. Future research should explore individual, cultural and organisational factors that influence delegation.
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