Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.
Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, and conceptual skills and levels of education to the facilities' financial performance and resident outcomes. Further, this study compared the perceptions of chief executive officers (CEO) and nurse executives regarding the skills required of nurse executives to be effective managers. A combination of web-based and mail surveys were sent to all CEOs and nurse executives of Virginia nursing homes. Ninety-eight CEOs and nurse executives (18.4%) participated in the study.
Results. There were no statistically significant differences between CEOs' and nurse executives' perception of the importance of knowledge and competencies related to human, technical, and conceptual skills of nurse executives for effective management. Both CEOs and nurse executives perceived human skills as the most important expertise for effective management.
","abstract_html":"<p>Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.</p> <p>Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, and conceptual skills and levels of education to the facilities' financial performance and resident outcomes. Further, this study compared the perceptions of chief executive officers (CEO) and nurse executives regarding the skills required of nurse executives to be effective managers. A combination of web-based and mail surveys were sent to all CEOs and nurse executives of Virginia nursing homes. Ninety-eight CEOs and nurse executives (18.4%) participated in the study.</p> <p>Results. There were no statistically significant differences between CEOs' and nurse executives' perception of the importance of knowledge and competencies related to human, technical, and conceptual skills of nurse executives for effective management. Both CEOs and nurse executives perceived human skills as the most important expertise for effective management.</p>","abstract_has_math":false,"creators":["Murphy, Jeany V."],"institution":null,"degree_name":"Doctor of Philosophy (PhD)","degree_level":"Dissertation","degree_discipline":"Health Services Research","degree_department":null,"school":null,"contributors":["Karen Kalowicz","Qi Harry Zhang","Debra Anderson"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2011,"date_issued":"2011-01-01T08:00:00Z","date_published":"2011-01-01T08:00:00Z","updated_at":"2026-07-24T03:34:39Z","subjects":["Financial performance","Long-term care","Nurse executives","Nursing homes","Geriatric Nursing","Gerontology","Health and Medical Administration","Public Health"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["9781267112569"],"render_values":[{"text":"9781267112569","href":null,"code":true}]}]},"links":{"outbound_url":"https://digitalcommons.odu.edu/healthservices_etds/35","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Karen Kalowicz","Qi Harry Zhang","Debra Anderson"]},{"key":"dc:creator","label":"Author","values":["Murphy, Jeany V."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2019-04-22T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Health Services Research"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Philosophy (PhD)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Financial performance","Long-term care","Nurse executives","Nursing homes","Geriatric Nursing","Gerontology","Health and Medical Administration","Public Health"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["9781267112569","https://digitalcommons.odu.edu/healthservices_etds/35"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.
Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, and conceptual skills and levels of education to the facilities' financial performance and resident outcomes. Further, this study compared the perceptions of chief executive officers (CEO) and nurse executives regarding the skills required of nurse executives to be effective managers. A combination of web-based and mail surveys were sent to all CEOs and nurse executives of Virginia nursing homes. Ninety-eight CEOs and nurse executives (18.4%) participated in the study.
Results. There were no statistically significant differences between CEOs' and nurse executives' perception of the importance of knowledge and competencies related to human, technical, and conceptual skills of nurse executives for effective management. Both CEOs and nurse executives perceived human skills as the most important expertise for effective management.
"]},{"key":"dc:title","label":"Title","values":["The Relationship of Financial Performance, Quality Indicators, and the Role of Nurse Executives in Virginia Nursing Homes"]}]}],"canonical_facts":{"dc:contributor":["Karen Kalowicz","Qi Harry Zhang","Debra Anderson"],"dc:creator":["Murphy, Jeany V."],"dc:date.available":["2019-04-22T07:00:00Z"],"dc:description.abstract":["Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.
Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, and conceptual skills and levels of education to the facilities' financial performance and resident outcomes. Further, this study compared the perceptions of chief executive officers (CEO) and nurse executives regarding the skills required of nurse executives to be effective managers. A combination of web-based and mail surveys were sent to all CEOs and nurse executives of Virginia nursing homes. Ninety-eight CEOs and nurse executives (18.4%) participated in the study.
Results. There were no statistically significant differences between CEOs' and nurse executives' perception of the importance of knowledge and competencies related to human, technical, and conceptual skills of nurse executives for effective management. Both CEOs and nurse executives perceived human skills as the most important expertise for effective management.
"],"dc:identifier":["9781267112569","https://digitalcommons.odu.edu/healthservices_etds/35"],"dc:subject":["Financial performance","Long-term care","Nurse executives","Nursing homes","Geriatric Nursing","Gerontology","Health and Medical Administration","Public Health"],"dc:title":["The Relationship of Financial Performance, Quality Indicators, and the Role of Nurse Executives in Virginia Nursing Homes"],"thesis:degree_discipline":["Health Services Research"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Doctor of Philosophy (PhD)"]},"updated_at":"2026-07-24T03:34:39Z"}