Male first-line managers' experiences of the work situation in elderly care: an empowerment perspective.

Aim: To describe male first-line managers' experiences of their work situation in elderly care.

Background: First-line managers' work is challenging. However, less attention has been paid to male managers' work situation in health care. Knowledge is needed to empower male managers.

Method: Fourteen male first-line managers were interviewed. The interview text was subjected to qualitative content analysis.

Result: Work situations were described as complex and challenging; challenges were the driving force. They talked about 'Being on one's own but not feeling left alone', 'Having freedom within set boundaries', 'Feeling a sense of satisfaction and stimulation', 'Feeling a sense of frustration' and 'Having a feeling of dejection and resignation'.

Conclusion: Although the male managers report deficiencies in the support structure, they largely experience their work as a positive challenge.

Implications For Nursing Management: To meet increasing challenges, male first-line managers need better access to supportive structural conditions. Better access to resources is needed in particular, allowing managers to be more visible for staff and to work with development and quality issues instead of administrative tasks. Regarding organisational changes and the scrutiny of management and the media, they lack and thus need support and information from superiors.