Abstract
Research on rural nursing has produced limited insight into the complex dynamic of roles and activities fulfilled by rural nurse managers (RNMs). Hence there is a need to explore, understand and delineate these roles to help provide appropriate managerial support and training to improve their capability. This study sought to develop greater understanding of the roles and tasks performed by RNMs, drawing on nurses’ own experiences and understandings. It used in-depth interviews with selected nurse managers working in rural and remote health-care facilities in South Australia. This provided detailed information about RNMs’ roles, responsibilities, tasks, decision making and patterns of work. Meanings were sought from the everyday activities of RNMs who drew distinctions between their roles and those of counterparts working in metropolitan facilities. Both clinical and managerial activities were highlighted but with roles described as ‘expanded,’ ‘extended’ and ‘jack of all trades’ illustrating the multiplicity of activities performed by a single RNM. The nature of rural and remote health-care facilities places special responsibilities on RNMs, creating stress deriving from role conflict and ambiguity. Recommendations are made regarding ways in which the work of RNMs can be better supported whilst addressing the complexities of their jobs. More appreciation of the job stresses needs to be considered when providing support to RNMs who face particular challenges through working in rural and remote areas. Greater understanding of their roles and daily activities can lead to better management oversight and support, but the multifaceted health issues in these areas remain challenging.