Leading Through Barriers: Nursing Program Heads’ Perspectives on Administrative Practices in Strategic Plan Implementation

Abstract

Strategic planning is a critical process in nursing education, ensuring that organizational goals are aligned with quality assurance and the development of competent graduates. Nursing program heads play a central role in this process, yet their efforts are often challenged by resource limitations, workforce shortages, and organizational resistance to change. This study aimed to explore the perspectives, good practices, and challenges faced by nursing program heads in implementing strategic plans within nursing education. A qualitative narrative inquiry design was employed. Data were gathered through in-depth interviews with nursing program heads and clinical coordinators from one nursing school in Cabanatuan City, Philippines, until data saturation was reached with three participants. Narrative data analysis was conducted, leading to six themes: quality audits, accountability, employee and staff development, scarcity of nurse educators, resource constraints, and resistance to change. Findings suggest that strategic plan implementation requires a holistic approach, balancing accountability and workforce development while addressing systemic barriers. Grounding in leadership and change management theories highlights the need for adaptive and transformational leadership. The study recommends resource investment, structured professional development, and enhanced organizational support. Implications include strengthening nursing leadership and management within academic institutions and informing future policy reforms.