The Assistant Manager as a Leader for Community Health Nursing in Pakistan
Repository Posting Date2012-01-11T10:50:56Z
Author DetailsSaleema A. Gulzar, MScN; Michele Upvall, PhD, CRNP
(41st Biennial Convention) Purpose: There are few leadership roles in community health nursing in Pakistan. However, leadership is essential if the targets of the Millennium Development Goals (MDGs) are to be realized. The Aga Khan Development Network, Pakistan (AKDN, P) is one organization developing the leadership skills of community health nurses through creation of the assistant manager role. The purpose of this presentation is to examine the role of the assistant manager, identifying strengths and challenges inherent to this new role. Methods: A descriptive qualitative study using semi-structured interviewing was completed. Thirteen key informants with extensive experience in community health and AKDN, P were audio taped for one hour. Results: Content analysis revealed the significance of the assistant manager role. Participants described the role as technical, productive, dynamic, versatile, problem solver, and advocate. Participants also emphasized the importance of primary health care delivery or "curing" aspects of the role as well as the need to focus on health promotion activities within the community. An advocacy tool for strengthening the role of the assistant manager was a major outcome of the study. Conclusion: Assistant managers can play a significant role in a community health organization. Current expectations of the role are numerous and require further clarification. In addition, healthcare providers such as Lady Health Visitors, who are supervised by the assistant manager, should receive a comprehensive description of the assistant manger role and be involved in strategic planning processes. Facilitating respectful, working relationships between community healthcare providers and the assistant manager will be important for future success of this leadership role.