Impact of engaging middle management in practice interventions on staff support and learning culture: a quasi-experimental design
Article first published online: 26 JUN 2013
© 2013 John Wiley & Sons Ltd
Journal of Nursing Management
Special Issue: This issue: Work Climate, Communication and Culture - Workforce Issues and Staff Retention Issue editor: Kristiina Hyrkas
Volume 22, Issue 8, pages 995–1004, November 2014
How to Cite
2014) Journal of Nursing Management 22, 995–1004. Impact of engaging middle management in practice interventions on staff support and learning culture: a quasi-experimental design, , , & (
- Issue published online: 3 NOV 2014
- Article first published online: 26 JUN 2013
- Manuscript Accepted: 1 MAR 2013
- middle management;
- organisational culture;
This study evaluated the impact of different levels of engaging middle management in ward based strategies implemented by a project educator.
The challenge for learning in practice is to develop effective teams where experienced staff engage and foster learning with students and other novice staff.
A quasi-experimental pre- and post- intervention four group design was conducted from November 2009 to May 2010 across four general surgical and four general medical inpatient matched units in two settings in South East Queensland, Australia.
Staff survey data was used to compare control and intervention groups (one actively engaging nurse managers) before and after ‘practice learning’ interventions. The survey comprised demographic data and data from two validated scales (support instrument for nurses facilitating learning and clinical learning organisational culture).
Number of surveys returned pre- and post-intervention was 336 from 713 (47%). There were significant differences across many subscales pertaining to staff perception of support in the intervention groups, with only one change in the control group. The number of significant different subscales in the learning culture was also greater when middle management supported the intervention.
Implications for nursing management
Middle management should work closely with facilitators to assist embedding practice interventions.