Volume 33, Issue 127 (December 2020)                   IJN 2020, 33(127): 58-71 | Back to browse issues page

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Mosadeghrad A, Abbasi M. Managerial Intelligence of Nurse Managers in Sari Hospitals in Iran. IJN 2020; 33 (127) :58-71
URL: http://ijn.iums.ac.ir/article-1-3373-en.html
1- Department of Health Management and Economics, School of Public Health, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (Corresponding author) Tel: +98-930848741 Email: Abbasim@razi.tums.ac.ir
Abstract:   (1786 Views)
Background & Aims: Nurses constitute the largest group of healthcare staff in hospitals. Nursing is a stressful job owing to dealing with critically ill patients, high workload, low salaries, and low appreciation. In addition, patients expect high-quality and safe nursing care; therefore, the management of nursing wards is very important. Nurse managers are responsible for planning, managing resources, organizing nursing care, leading nurses, and evaluating their performance and play a key role in achieving optimal outcomes for patients and the hospital. Furthermore, nurse managers play a vital role in providing effective, efficient and safe care to patients. They should be equipped with intelligence, knowledge and skills in today’s complex, volatile, and unpredictable healthcare environment. The success of nurse managers largely depends on their aptitude and personality. Aptitude encompasses intelligence, knowledge, and skills, and personality refers to the manager's beliefs, values, attitude, and behaviors. In addition to the knowledge, skills, and expertise of nurse managers, their intelligence also plays a pivotal role in improving their knowledge, capability, and behavior to optimally perform managerial tasks. The performance of managers depends on their intelligence, knowledge, skills, personality, and organizational structure, culture, and resources. Managerial intelligence refers to the capacity, ability, knowledge, skills, and experience of managers to analyze and define organizational problems, develop effective communication, create networks, and increase the power for better adaptation to changing environments or create the proper environment to achieve organizational goals. Managerial intelligence also encompasses cognitive, emotional, and political intelligence. Intelligence quotient (IQ) is a manager’s capacity and ability to evaluate and solve organizational problems, which enable them to think, understand, and analyze problems. On the other hand, emotional quotient (EQ) is the capacity of managers to recognize their own emotions and those of others and use the information to regulate their emotions. Political quotient (PQ) refers to a manager’s decision-making capacity, which enables them to pursue and achieve their interests in the competitive positions of leadership and power. The present study aimed to evaluate the managerial intelligence of the nurse managers in the hospitals of Sari, Iran. Our findings provide useful information to the policymakers and senior managers of the healthcare system at the macro level, as well as hospital managers at the micro level, for the recruitment, training, development, performance appraisal, job promotion, and compensation of nurse managers.
Materials & Methods: This cross-sectional, and descriptive-analytical study was conducted at seven hospitals in Sari, Iran in 2017. In total, 108 nurse managers including matrons, supervisors and head nurses of clinical wards participated in this study. Data were collected using a valid and reliable questionnaire with three dimensions of cognitive intelligence, emotional intelligence, and political intelligence. Data analysis was performed in SPSS version 16 using descriptive statistics (mean, standard deviation, frequency, and percentage) and analytical statistical tests (Spearman's correlation-coefficient and analysis of variance [ANOVA]).
Results: The mean score of the managerial intelligence of the nurse managers was 0.73 (out of 1). In addition, the mean scores of cognitive, emotional, and political intelligence of the nurse managers were estimated at 0.66, 0.77, and 0.74, respectively. A positive, significant correlation was observed between EQ and PQ of nurse managers. The male and married nurse managers, those with an MSc degree, and those working in the social security hospitals scored higher on managerial intelligence. However, no significant correlations were denoted between their managerial intelligence and demographic variables.
Conclusion: Nurse managers of Sari hospitals scored high in managerial intelligence. The ability to analyse and solve problems plays a key role in the success of managers. Therefore, nurse managers must have high intelligence to define and analyse various problems and identify, evaluate, and select the optimal solutions. Emotions also play a pivotal role in organizational behavior. Emotional intelligence and social intelligence are essential to improving the performance of managers as they must be able to manage their own and others' emotions properly. The nursing profession is generally full of emotions, and the high emotional intelligence of nursing managers leads to a positive direction of the emotions of the nursing staff, thereby filling the work environment with meaning and strengthening the emotional commitment of nurses. Therefore, emotional intelligence training should be implemented for nurses and nurse managers. Emotional intelligence is a learned skill through education, counseling, practice, and feedback. As such, emotional intelligence training enhances the communication skills between nurses and results in better patient outcomes. Training and practice also promote values ​such as self-confidence, honesty, fairness, self-sacrifice, criticism, support, cooperation, and patience in managers, which are a prerequisite for emotional intelligence and largely influence their leadership success. Hospitals are highly complex and multidisciplinary social organizations, which have evolved in an ever-changing environment. The nature and type of the services provided in these organizations require managers to make complex decisions within a short period. Political intelligence helps managers to network and build alliances, while also increasing their power in the organization to make important decisions quickly and obtain the necessary authority to implement their decisions. Nursing managers need political skills to optimize their organization and become the 'agents of change' to improve hospital performance. Therefore, hospital managers should provide the required training to improve the political intelligence of nurse managers. Measuring the managerial intelligence of nurse managers, identifying their strengths and weaknesses, and taking proper measures are among the significant influential factors in their performance and increasing the productivity of a hospital. Furthermore, developing the competency of nurse managers is essential to the sustainability and improvement of healthcare outcomes. Managerial intelligence is not static and could be taught and enhanced constantly. Therefore, nurse managers are expected to improve their social, emotional, and political skills given the unique nature of the nursing profession. Managerial intelligence should also be considered as an important competency in the recruitment of efficient nurse managers and administrators. Nursing administrators should consider cognitive, emotional, and political intelligence while hiring nurse managers. Effective nurse managers should utilize a blend of various aspects of intelligence (i.e., cognitive, emotional, and political) in this regard. Emotional intelligence is essential to effective team interactions and productivity.
Full-Text [PDF 1046 kb]   (526 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2020/09/14 | Accepted: 2020/12/14 | Published: 2020/12/14

1. World Health Organization. World health statistics 2019: monitoring health for the SDGs, sustainable development goals. 2018.
2. McNeese-Smith DK, Nazarey M. A nursing shortage: Building organizational commitment among nurses/practitioner application. J Healthcare Manag. 2001;46(3):173. [DOI:10.1097/00115514-200105000-00008]
3. Mosadeghrad AM. Patient choice of a hospital: implications for health policy and management. Int J Health Care Qual Assur. 2014;27(2):152-64. [DOI:10.1108/IJHCQA-11-2012-0119]
4. Yousefinezhadi T, Mosadeghrad AM, Mohammad AR, Ramezani M, Sari AA. An analysis of hospital accreditation policy in Iran. Iranian Journal of public health. 2017;46(10):1347-58.
5. Mosadeghrad AM, Ferlie E. Total quality management in healthcare. Management innovations for healthcare organizations: adopt, abandon or adapt. York: Routledge. 2016:378-96.
6. Mosadeghrad AM, Ferdosi M, Afshar H, Hosseini-Nejhad SM. The impact of top management turnover on quality management implementation. Medical Archives. 2013;67(2):134-40. [DOI:10.5455/medarh.2013.67.134-140]
7. Etemadian M, Mosadeghrad AM, Soleimani MJ, Hedayati SP. Leader characteristics in hospital change management: a case study. Hakim Research Journal. 2019;22(3):212-29.
8. Mosadeghrad AM, Abbasi M. Managerial intelligence of hospital managers in Sari, Iran. Quarterly Journal of Management Strategies in Health System. 2019;4(4):281-94. [DOI:10.18502/mshsj.v4i4.2483]
9. Gardner H. Frames of mind: The theory of multiple intelligences. 3rd ed. UK: Basic Books: 2011: 12-21.
10. Prezerakos PE. Nurse managers' emotional intelligence and effective leadership: A review of the current evidence. Open Nurs J. 2018;12:86. [DOI:10.2174/1874434601812010086]
11. Gunawan J, Aungsuroch Y. Managerial competence of first‐line nurse managers: A concept analysis. Int J Nurs Pract. 2017 Feb;23(1):e12502. [DOI:10.1111/ijn.12502]
12. Owen J. How to manage. Pearson Education; 2006.
13. Schmidt FL, Hunter JE. Select on intelligence. Handbook of principles of organizational behavior. 2000:3-14.
14. Sternberg RJ. Managerial intelligence: Why IQ isn't enough. Journal of management. 1997;23(3):475-93. https://doi.org/10.1016/S0149-2063(97)90038-6 [DOI:10.1177/014920639702300307]
15. Mosadeghrad AM. Occupational stress and turnover intention: implications for nursing management. Int J Health Policy Manag. 2013;1(2):179-86. [DOI:10.15171/ijhpm.2013.30]
16. Salovey P, Mayer JD. Emotional intelligence. Imagination, cognition and personality. 1990;9(3):185-211. [DOI:10.2190/DUGG-P24E-52WK-6CDG]
17. Goleman D. Emotional intelligence. Bantam; 2005.
18. George JM. Emotions and leadership: The role of emotional intelligence. Human relations. 2000;53(8):1027-55. [DOI:10.1177/0018726700538001]
19. Gondal UH, Husain T. A comparative study of intelligence quotient and emotional intelligence: effect on employees' performance. Asian J Busin Manag. 2013;5(1):153-62. [DOI:10.19026/ajbm.5.5824]
20. Mayer JD, Salovey P, Caruso DR. Emotional intelligence: New ability or eclectic traits?. Am Psychol. 2008;63(6):503-517. [DOI:10.1037/0003-066X.63.6.503]
21. Spano-Szekely L, Griffin MT, Clavelle J, Fitzpatrick JJ. Emotional intelligence and transformational leadership in nurse managers. JONA: J Nurs Administ. 2016;46(2):101-8. [DOI:10.1097/NNA.0000000000000303]
22. Barling J, Slater F, Kelloway EK. Transformational leadership and emotional intelligence: An exploratory study. Leader Organiz Develop J. 2000; 21(3):157-61. [DOI:10.1108/01437730010325040]
23. Lowe KB, Kroeck KG, Sivasubramaniam N. Effectiveness correlates of transformational and transactional leadership: A meta-analytic review of the MLQ literature. Leadership Quarterly. 1996;7(3):385-425. [DOI:10.1016/S1048-9843(96)90027-2]
24. Görgens‐Ekermans G, Brand T. Emotional intelligence as a moderator in the stress-burnout relationship: a questionnaire study on nurses. J Clin Nurs. 2012;21(15‐16):2275-85. [DOI:10.1111/j.1365-2702.2012.04171.x]
25. Morrison J. The relationship between emotional intelligence competencies and preferred conflict‐handling styles. J Nurs Manag. 2008;16(8):974-83. [DOI:10.1111/j.1365-2834.2008.00876.x]
26. Coladonato AR, Manning ML. Nurse leader emotional intelligence: How does it affect clinical nurse job satisfaction?. Nursing management. 2017;48(9):26-32. [DOI:10.1097/01.NUMA.0000522174.00393.f2]
27. Codier E, Kamikawa C, Kooker BM. The impact of emotional intelligence development on nurse managers. Nurs Administr Quart. 2011;35(3):270-6. [DOI:10.1097/NAQ.0b013e3182243ae3]
28. Quoidbach J, Hansenne M. The impact of trait emotional intelligence on nursing team performance and cohesiveness. J Profess Nurs. 2009;25(1):23-9. [DOI:10.1016/j.profnurs.2007.12.002]
29. Adams KL, Iseler JI. The relationship of bedside nurses' emotional intelligence with quality of care. J Nurs Care Qual. 2014;29(2):174-81. [DOI:10.1097/NCQ.0000000000000039]
30. Akerjordet K, Severinsson E. Emotionally intelligent nurse leadership: a literature review study. J Nurs Manag. 2008;16(5):565-77. [DOI:10.1111/j.1365-2834.2008.00893.x]
31. Ferris GR, Treadway DC, Perrewé PL, Brouer RL, Douglas C, Lux S. Political skill in organizations. Journal of management. 2007;33(3):290-320. [DOI:10.1177/0149206307300813]
32. Whiten A, Byrne RW, editors. Machiavellian intelligence II: Extensions and evaluations. Cambridge University Press; 1997 Sep 25: 342. [DOI:10.1017/CBO9780511525636]
33. Semadar A, Robins G, Ferris GR. Comparing the validity of multiple social effectiveness constructs in the prediction of managerial job performance. Journal of Organizational Behavior: Int J Indust Occupat Organiz Psychol Behav. 2006;27(4):443-61. [DOI:10.1002/job.385]
34. Ghamari-Zare Z, Pourfarzad Z, Vanaki Z. Managerial competencies of charge nurses. Iran Journal of Nursing. 2011;23(68):54-62.
35. Mansoorian MR, Hosseiny M, Khosravan SH. Nurse managers' performance from nurses' perspective. Iran Journal of Nursing. 2015;27(92):73-81. [DOI:10.29252/ijn.27.92.73]
36. Babaeipour-Divshali M, Amrollahi-Mishavan F, Firouzkouhi MR. Evaluation of scales and barriers of managerial performance of head nurses based on BARS performance evaluation model in Rasht, 2011. Journal of Clinical Nursing and Midwifery. 2015;4:1-7.
37. Mosadeghrad AM, Abbasi MA. Performance of the Nursing Managers in the Hospitals in Sari, Iran. Iran Journal of Nursing. 2018;31(115):62-74. [DOI:10.29252/ijn.31.115.62]
38. Ahuja A. Emotional intelligence as a predictor of performance in insurance sector. Asia Pacific Busin Rev. 2011;7(2):121-35. [DOI:10.1177/097324701100700212]
39. Mosadegh Rad AM. The Relationship of Emotional Intelligence and its Dimensions on Communication Skills among Emergency Unit Nurses. Journal of Hospital. 2015;14(3):67-74.
40. Harris KJ, Kacmar KM, Zivnuska S, Shaw JD. The impact of political skill on impression management effectiveness. J Appl psychol. 2007;92(1):278-95. [DOI:10.1037/0021-9010.92.1.278]
41. Mishra PS, Mohapatra AD. Relevance of emotional intelligence for effective job performance: An empirical study. Vikalpa. 2010;35(1):53-62. [DOI:10.1177/0256090920100104]
42. Montalvo W, Byrne MW. Mentoring nurses in political skill to navigate organizational politics. Nurs Res Pract. 2016;2016:1-8. [DOI:10.1155/2016/3975634]
43. Tolley H, Wood R. How to succeed at an assessment centre: Essential preparation for psychometric tests group and role-play exercises panel interviews and presentations. Kogan Page Publishers; 2011 Jun 3.
44. Carter P. Advanced IQ tests. Philadelphia, PA, USA. 2014.
45. Ferris GR, Perrewé PL, Anthony WP, Gilmore DC. Political skill at work. Organizational influence processes. 2003 ;7:395-407.
46. Esfahani P, Mosadeghrad AM, Akbarisari A. The success of strategic planning in health care organizations of Iran. Int J Health Care Qual Assur. 2018; 31(6):563-74. [DOI:10.1108/IJHCQA-08-2017-0145]

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