| Abstract | | Objective: To discover which changes should be implemented in the system of head nursing management in Slovenian healthcare institutions and social welfare institutions. Methods: The questionnaire was distributed to 155 head nurses of Slovenian hospitals, primary healthcare centres and social welfare institutions. The Burke-Litwin organizational change model has been used to look at which changes have to be implemented in the management system of head nurses. Results: In hospitals head nurses have greater independent competence for planning professional training of nursingemployees (p < .022) and are alsomore independentwhenit comes to selecting employees when it comes to new job openings (M= 4.20, S.D. = .83, p < .004). According to the Burke-Litwin organizational change model, the elements to which changes should be introduced include Ćexternal environmentĆ for primary healthcare centres and social welfare institutions, and Ćsystem (policies and procedures)Ć for primary healthcare centres. Conclusions: According to results of our study, changes are needed in leadership and management of nursing in primary healthcare centres. In socialwelfare institutions changes are only required inleadership. Organizational changes are not necessary for any element of the Burke-Litwin model for hospitals.
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