Evidence map›Paper›PMID 42477883›Full record

ArticleJournal of nursing management2026

Nurse Managers' Strategies to Navigate Clinical Leadership and Managerial Responsibilities: A Scoping Review.

Subashini Siwan, Rachel Cardwell, Lisa McKenna

Abstract readScoping Review
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Subashini SiwanSchool of Nursing and Midwifery, La Trobe University, Kingsbury Drive, Bundoora 3086, Australia, latrobe.edu.au.ORCID https://orcid.org/0009-0002-1390-4191
Rachel CardwellSchool of Nursing and Midwifery, La Trobe University, Kingsbury Drive, Bundoora 3086, Australia, latrobe.edu.au.ORCID https://orcid.org/0000-0002-0088-4227
Lisa McKennaSchool of Nursing and Midwifery, La Trobe University, Kingsbury Drive, Bundoora 3086, Australia, latrobe.edu.au.ORCID https://orcid.org/0000-0002-0437-6449

Funding

Council of Australasian University LibrariansLa Trobe University
6 · The paper itself

Abstract

aimTo systematically map evidence on how nurse managers (NMs) balance clinical and managerial responsibilities of their role.

backgroundComplexity of the NM role arises from its dual focus on both clinical and managerial responsibilities. Clinically, NMs must maintain expertise to guide, support delivery of high-quality care and ensure care practices align with evidence-based guidelines and organisational standards. On the managerial side, NMs are responsible for administrative tasks such as budgeting, staffing, performance monitoring and strategic planning. Given their significant impact on healthcare delivery, patient safety and organisational effectiveness, understanding how NMs balance their roles is essential to improving the overall quality of care in healthcare settings.

methodsScoping review guided by the Joanna Briggs Institute (JBI) framework for evidence synthesis was conducted. Data were analysed using Braun and Clarke's (2022) approach. DATA SOURCES: Studies were identified through seven electronic databases without restrictions on publication dates: CINAHL, Medline, PubMed, Embase, ProQuest Central, Scopus and Web of Science and search engine Google Scholar. REPORTING

methodThis scoping review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) to ensure transparency and rigour.

resultsForty-nine studies were included, identifying three main themes: key challenges faced in fulfilling clinical and managerial responsibilities, strategies used to balance roles and factors influencing prioritisation.

conclusionDemands of dual roles often cause role ambiguity, conflict and overload, contributing to stress and job dissatisfaction amongst NMs. How they integrate clinical and managerial responsibilities remains underexplored, leaving a gap in understanding processes that guide their prioritisation and decision-making. Understanding their challenges will help better prepare nurses for their roles. IMPLICATIONS FOR NURSING MANAGEMENT: NMs are crucial links between clinical care and organisational management. Further research will inform advancements in nursing leadership, healthcare management and policy development.

Indexed as

LeadershipNurse AdministratorsHumans

Identifiers

PMID42477883
PMCPMC13385200

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.