Abstract:Using cross-sectional data from the 2004 National Database of Nursing Quality Indicators (NDNQI) RN Satisfaction Survey, differences in RN workgroup job satisfaction were examined among 10 unit types--medical-surgical, step-down, critical care, pediatric, maternal-newborn, psychiatric, emergency department, rehabilitation, surgical services, and outpatient clinics and labs. The national sample included RN workgroups in 2,900 patient care units (55,516 RNs; 206 hospitals in 44 states). Workgroup satisfaction ac… Show more
“…This finding is aligned with those in previous studies using data from RNs in NDNQI hospitals, which found that RNs working in combined medical-surgical units reported the least favorable nursing practice environments and job satisfaction among unit types included in the study, such as critical care and step-down units (Boyle et al, 2006;Choi & Boyle, 2013. RNs working in critical care units were more likely to report appropriate assignments, whereas RNs working in medical-surgical units were more likely to report inappropriate assignments.…”
To create nursing work environments that significantly affect nurse and patient outcomes, nursing administrators or managers should pay attention to ensure not only adequate nurse staffing levels, but also optimal nurse-to-patient assignments.
“…This finding is aligned with those in previous studies using data from RNs in NDNQI hospitals, which found that RNs working in combined medical-surgical units reported the least favorable nursing practice environments and job satisfaction among unit types included in the study, such as critical care and step-down units (Boyle et al, 2006;Choi & Boyle, 2013. RNs working in critical care units were more likely to report appropriate assignments, whereas RNs working in medical-surgical units were more likely to report inappropriate assignments.…”
To create nursing work environments that significantly affect nurse and patient outcomes, nursing administrators or managers should pay attention to ensure not only adequate nurse staffing levels, but also optimal nurse-to-patient assignments.
“…Several studies have indicated that the NDNQI RN Satisfaction Survey is a valid and reliable instrument. 22,23 Nurse turnover data were collected throughout the year by clinical nurse managers, clinical nursing directors, the chief nursing officer, and the nursing department financial analyst and then reported annually. The nurse turnover data that were collected and monitored in the study hospital were focused on clinical RNs.…”
“…In the nursing literature, several authors (Lum et al. 1998; Wagner 2007) also found that organizational commitment directly and negatively influenced nurses' turnover, more so than JS (Boyle et al. 2006).…”
The results suggest that when studying turnover phenomena in health organizations, the extra-work domains (WFC and JE) can contribute to a decrease in the intention to leave, in addition to the more typically emphasized attitude dimension.
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