ArticleSAGE open nursing
Understanding Work Meaning: A Qualitative Comparative Study of Novice and Experienced Head Nurses in Hospital Leadership.
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Abstract
Aim: This study aimed to explore and compare the perceptions of novice and experienced head nurses in a hospital setting regarding the meaning of their work. Design: A qualitative comparative study was conducted face-to-face interviews. Methods: Thirty nurse managers (15 novice, 15 experienced) from an 800-bed hospital in Israel were selected via convenience sampling and participated in semi-structured interviews during January-March 2025. Data were analyzed thematically using Braun and Clarke's six-step method, focusing on participants' experiences and perspectives. Results: Four themes were identified related to the meaning of head nurses' work: (a) leadership and influence, (b) emotional commitment and sense of mission, (c) challenges and professional success, (d) balancing a managerial role with personal needs. Conclusion: This study revealed that novice and experienced head nurses attach different meanings to their work. Novice managers emphasized immediate impact, daily achievements, and personal development, while experienced managers focused on long-term vision, mentoring others, and sustaining a supportive unit culture. These differences suggest that leadership development should be tailored: for novice head nurses, training should strengthen confidence in decision-making, stress management, and short-term leadership skills; for experienced head nurses, support should focus on mentorship opportunities, succession planning, and strategies to maintain resilience over a prolonged career. Addressing these distinct needs can enhance effectiveness, job satisfaction, and the sustainability of nursing leadership across career stages. Patient or Public Contribution: No patient or public contribution.
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