Effect of Nursing Managerial Competencies on Organizational Performance: The Mediating Role of Nursing Environments

This is the authors' abstract. We don't add key points for this paper.

Objective: This study examined the mediating role of nursing work environments in the link between managerial competencies and organizational performance among nurse unit managers. Background: Nurse unit managers bridge hospital goals and frontline care, yet how their competencies influence organizational performance through work environments remains unclear. Methods: A cross-sectional survey of 200 nurse unit managers was conducted, and mediation analysis was performed using PROCESS Macro. Results: Both nursing managerial competencies (B=0.19, P =0.014) and work environments (B=0.84, P <0.001) significantly predicted organizational performance. Nursing work environments partially mediated this relationship with an indirect effect of 0.36 (95% CI [0.25, 0.49]), accounting for 51% of the total effect. Conclusions: Nursing work environments serve as critical pathways through which managerial competencies influence organizational performance. Healthcare organizations should strengthen both leadership development and work environments to enhance organizational outcomes.