Narratology on management communication among nurse managers in a tertiary accredited public hospital [manuscript] / Richelle M. Tolentino.

Includes bibliographical references.

This study explored the experiences of ten nurse managers at a tertiary accredited public hospital on management communication; and aimed to obtain a better understanding on how communication affects the administrative processes in the fast changing and demanding health care environment. Moreover, this study uncovered communication difficulties facing nurse managers in the hospital setting after the hospital was recognized as ISO certified. The following major themes evolved from the data analysis: (a) sketching management communication; (b) harnessing communication in administrative process; (c) elucidating management problems; and (d) yes or no: managerial responsibility. Subthemes that emerged from the data are as follows: (a) communication: following a vertical pattern; (b) advocate of respect; (c)putting a label on co-worker; (d) setting the goals; (e) harmonizing the group; (f) being influential; (g)keeping eyes open; (h) managing conflicts; (i) Push- Pull: Culture of non-punitive error of report; (j) submissiveness to the authority; (k) firmness to acculturation; and (l) followership: the other side of leadership. Communication is central to leadership and is perhaps one of the greatest challenges facing nurse managers and leaders today. Consequently, the success of any organization depends on the effectiveness of its communication systems and the interaction between staff members. Hence, nurse managers should understand the concepts and principles of communication not only to effectively and efficiently lead and manage subordinates, also to deliver a total quality care to patients. A matrix in improving strategies in management communication among nurse manager has been proposed.