Raymond G. Cervantes, RN, MSN

San Juan de Dios Educational Foundation, Inc. Hospital


Background of the Study

The development of efficient and effective health care teams in nursing presents a significant challenge. An important leadership intervention embattled at improving team performance would involve the creation of a distinct health care team program. In San Juan De Dios Educational Foundation Inc. (Hospital), several initiatives have already been developed to evaluate teamwork strategies of the nursing staff in the institution, but less have been developed to gauge the first level managers’ teamwork-based management strategies not just within units but across units of the institution.



The paradigm shift to provide care in teams has been well founded to give a potential improvement in the performance that comes with teamwork as a critical need in health care, particularly those in leadership roles in the nursing profession. To elevate team efforts and strategies, this study analyzed the extent of teamwork-based management strategies of Charge Nurses and Unit Managers and developed a program for First Level Nurse Managers’ Team Relationships Unified by Sustainable Teamwork Management and Engagement (T.R.U.S.T. – M.E.).



This study utilized a quantitative-descriptive-correlational research design. Employing this method effectively evaluated the extent and the association of the first level managers’ teamwork-based management strategies. This study also analyzed the association of first level nurse managers’ profile and the extent of their teamwork-based strategies under the specific parameters of trust, team orientation, back-up, shared mental model and team leadership from the Nursing Teamwork Survey (2012) with 4-point scale evaluation. The researcher utilized convenience sampling and was participated by 18 Unit Managers, who were evaluated by 35 Charge Nurses, and Charge Nurses who were evaluated by 148 Staff Nurses.



Majority or 18 (100%) of the Unit Managers obtained their Master’s Degree Units and 25 (71%) Charge Nurses were Bachelor’s Degree Holder. Moreover, majority or 8 (44%) of the Unit Managers were from the Adult Care Section (ACS) and majority or 20 (58%) of the Charge Nurses were from the Special Care Section (SCS) and Adult Care Section (ACS) respectively. There were 9 (50%) Unit Managers and 21 (60%) Charge Nurses who have rendered 6 to 10 years at San Juan De Dios Educational Foundation Inc. (Hospital). The study revealed “high extent” of evaluation encompassing the parameters of teamwork-based management strategies of the Unit Managers (x= 3.31) and Charge Nurses (x=3.49). The study also  elucidated that there is “no significant relationship” between the teamwork-based management strategies of the Unit Managers and Charge Nurses, which means that they should significantly perform a more uniformed and aggreable efforts as team leaders.Moreover, there are “no significant relationships” between the extent of the teamwork-based management strategies and the profile variables of the Unit Managers and Charge Nurses. However, in terms of the relationship of Work Area/Unit and the parameters of Team Leadership among Charge Nurses, the result gleaned a “siginificant relationship” at p=0.02 level of significance. Which means that Working Are/Unit is a vital factor on how Teamwork was performed with respect to structure, direction and support being provided by Charge Nurses as team leaders of their respective units.

Keywords: Teamwork-Based Management Strategies, Trust, Team Orientation, Back-up, Shared Mental Model, Team Leadership, First Level Managers, Charge Nurses, Unit managers, Staff Nurses, Team-Based Enhancement Program, T.R.U.S.T.-M.E Program.