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Barriers to the Retention of Registered and Licensed Practical Nurses in Small Rural Hospitals

Bibliographic Data

ID19431068
AuthorsElvira Szigeti (University of North Dakota), Sharon Laxdal, Bruce J Eberhardt
Year1991
Volume7
Issue3
Pages266-277
Publication date1991-06-01
Open AccessYes
TypeARTICLE
VenueThe Journal of Rural Health (JOURNAL)
Journal identifiersISSN: 0890-765X • E-ISSN: 1748-0361
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1748-0361.1991.tb00727.x
PMID10114087
OpenAlexW2132451677
LanguageEN
Citations received2
References cited9

The availability of nursing resources is one of the most critical issues facing health care organizations in the country. The study investigated the potential factors that relate to the desire of registered nurses (RNs) and licensed practical nurses (LPNs) to continue practicing in rural hospitals of North Dakota. All RNs and LPNs who worked in North Dakota hospitals with fewer than 100 beds (490 hospitals) were mailed survey questionnaires. Approximately eight weeks later, responses were received from 291 respondents for an overall return rate of 59 percent. Correlational analyses were used to examine the subjects' responses. A moderate relationship was found among the work‐related variables. Overall job satisfaction and performance constraints were the only variables to make significant contributions to the prediction of turnover intention for both RNs and LPNs. Overall job satisfaction accounted for the largest percentage of the variance (R2=0.42 and R 2 =0.44) for RNs and LPNs, respectively. Satisfaction with promotion was the only work‐related variable to make a significant contribution to the prediction of turnover intention for RNs (R 2 =0.23). Performance constraints, role ambiguity, and shift worked were the only work‐related variables contributing to the prediction of turnover for LPNs. These results are discussed in terms of their implications for the management of RNs and LPNs in rural hospitals. Clinical ladders for promotions, the identification of potential performance constraints, and supervisory training are suggested as target areas in which rural hospitals might focus attention for managing turnover in RNs and LPNs

Business · Family medicine · Job satisfaction · Management · Statistics · Turnover · Variables · Geriatric Care and Nursing Homes · Healthcare professionals’ stress and burnout · Medicine · Nursing · Nursing education and management · Psychology · Social Psychology

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  • Determinants of Physician Vacancy Rates in Rural Hospitals

    Open Access•John Hyde, John C Hyde et al.•The Journal of Rural Health•1994

  • An Exploratory Study of the Correlates of Intent to Quit among Certified Registered Nurse Anesthetists in North Dakota

    Open Access•Elvira Szigeti, Rebecca N Largent et al.•The Journal of Rural Health•1990

  • Determinants of Hospital Staff Nurse Turnover

    Carol S Weisman, Cheryl S Alexander et al.•Medical Care•1981

Citations per year0.06
Citation span1994 - 2019 (26)
Highly citedNo
Open DOISci-Hub
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