Utilising the Balanced Scorecard Model to map core competencies of board managers: in Italian mixed method study.

Background: Nurse ward managers play a vital role in ensuring the smooth operation of hospital wards and organizing nursing teams. The Balanced Scorecard model is a management tool that helps translate strategic goals into measurable outcomes. However, it has rarely been applied to mapping competencies in healthcare settings. Aim: This study aims to map the core competencies of nurse ward managers using the Balanced Scorecard model to identify key performance areas (KPAs) and key performance indicators (KPIs). Methology: A mixed-methods approach was used in the surgical department of an Italian hospital. The quantitative phase involved surveying a convenience sample of clinical staff, who rated the importance of nine competencies for nurse ward managers. The qualitative phase included two focus group discussions with nurse ward managers to further explore these competencies. Results: Survey results indicated that all nine competencies were considered important across different roles, with no significant differences in responses. Focus group discussions reinforced the importance of these competencies. Using these insights, the researchers developed a strategic map for the nurse ward manager role, aligning core competencies with the four dimensions of the Balanced Scorecard model. Discussion: Implementing a strategic map based on the Balanced Scorecard model provides a framework to assess and enhance the performance of nurse ward managers, offering a benchmark for competency improvement.