Influence of the Nursing Practice Environment on Job Satisfaction and Turnover Intention

Abstract

Objectives:To examine whether the nursing practice environment at the hospital-level affects the job satisfaction and turnover intention of hospital nurses. Methods:Among the 11 731 nurses who participated in the Korea Health and Medical Workers’ Union’s educational program, 5654 responded to our survey. Data from 3096 nurses working in 185 general inpatient wards at 60 hospitals were analyzed using multilevel logistic regression modeling. Results:Having a standardized nursing process (odds ratio [OR], 4.21; p<0.001), adequate nurse staffing (OR, 4.21; p<0.01), and good doctor-nurse relationship (OR, 4.15; p<0.01), which are hospital-level variables based on the Korean General Inpatients Unit Nursing Work Index (KGU-NWI), were significantly related to nurses’ job satisfaction. However, no hospital-level variable from the KGU-NWI was significantly related to nurses’ turnover intention. Conclusions:Favorable nursing practice environments are associated with job satisfaction among nurses. In particular, having a standardized nursing process, adequate nurse staffing, and good doctor-nurse relationship were found to positively influence nurses’ job satisfaction. However, the nursing practice environment was not related to nurses’ turnover intention.

The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross‐sectional study

“…Findings in this study indicate that the career success and work environment of nurses with a master's or doctoral degree in China are far from being satisfactory, and work environment is positively correlated with career success. Previous investigators mostly concentrated on work environment as a factor affecting job satisfaction (Hayes et al, 2015;Lee et al, 2014;Nantsupawat et al, 2017;Poghosyan et al, 2017), while within this study, the impact of work environment on career satisfaction, perceived within organization competitiveness, and perceived external organization competitiveness as well as job satisfaction were studied.…”

The Relationship among Practice Environment, Organizational Justice, and Job Satisfaction of Male Nurses

“…직무공정성은 조직 내에 서 시행되고 있는 제도와 의사결정이 얼마만큼 공정하게 시 행되고 있는가에 대한 조직구성원들이 인식하는 정도로 (Lee, Park, & Kim, 2014) (Lake, 2002). 선행연구에 따르면, 이러한 특성인 간호업무환경에 대 해 긍정적으로 인식할수록 직무만족도 높다고 하여 (Lee & Kim, 2013;Lee, Kim, Kang, Yoon, & Kim, 2014;Wang et al, 2015) (Kim, 2015), 표준화된 간호지침, 적절한 간호인력 배치, 좋은 의사-간호사 관계도 직무만족을 높인다고 하였다 . …”

The nursing practice environment and nurse job outcomes: A path analysis of survey data

“…Evidence suggests that in order to reduce nurse turnover, healthcare leaders should pursue retention strategies such as improving the quality of the nursing practice environment. Studies in Western countries, such as the United States, the United Kingdom, Canada, Germany and New Zealand, have demonstrated that favourable practice environments are associated with better job outcomes, including higher job satisfaction, less burnout and less intention to leave the job (factor which often precedes turnover) (Aiken et al., 2012; Ganz & Toren, 2014; Hinno, Partanen, & Vehviläinen‐Julkunen, 2012; Lee, Kim, Kang, Yoon, & Kim, 2014; Leone et al., 2015; Li et al., 2013; Shang, Friese, Wu, & Aiken, 2013). These results were consistent with studies conducted in Far Eastern countries (Liu et al., 2012; You et al., 2013; Zhang et al, 2014).…”

“…Poor practice environments were found to have negative consequences not only on nurses, but also on patients (Friese, Lake, Aiken, Silber, & Sochalski, 2008; Swiger et al, 2017; Warshawsky & Havens, 2011). Studies conducted in Western and some Eastern countries have assessed different work units, such as psychiatric, oncology, haemodialysis, medical and surgical units (Friese, 2005; Friese et al, 2008; Hanrahan, Aiken, McClaine, & Hanlon, 2010; Lee et al., 2014). The results consistently indicate a need for good practice environments to improve patient, nurse and organisational outcomes.…”