Nursing Management Challenges in the Northeast of Brazil

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Publication details

Nelson, SA 2013, 'Nursing Management Challenges in the Northeast of Brazil' paper presented to the International Research Society for Public Management XVI Conference, Rome, Italy 11-13 April.


This paper uses Social Exchange Theory as the framework to examine the interaction between supervisor-subordinate relationships, training and affective commitment across generational cohorts for Northeast Brazilian public sector professional nurses. Quantitative data was collected from 550 public hospital nurses in North-Eastern Brazil. Path and multivariate analysis were used to test the hypotheses. The data demonstrate a significant impact of LMX and training on affective commitment and revealed significant differences between generational cohorts. Northeastern Brazilian health managers need to manage the training investment better and seek to optimise LMX to enhance the commitment of all cohorts and improve patient care.