The Effects of Health Care Reforms on Job Satisfaction and Voluntary Turnover Among Hospital-Based Nurses
Bibliographic Data
| ID | 9103210 |
|---|---|
| Authors | Harriet Davidson (0000-0002-4222-4358, Massachusetts Department of Public Health, corresponding author), Patricia H Folcarelli, Patricia Folcarelli (0000-0001-8802-8531, Beth Israel Deaconess Hospital), Sybil L Crawford (0000-0001-6621-0439, Beth Israel Deaconess Hospital), Sybil Crawford, Laura J Duprat (Beth Israel Deaconess Hospital), Joyce C Clifford (Beth Israel Deaconess Hospital) |
| Year | 1997 |
| Volume | 35 |
| Issue | 6 |
| Pages | 634-645 |
| Publication date | 1997-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199706000-00008 |
| PMID | 9191707 |
| OpenAlex | W2039702801 |
| Language | EN |
| Citations received | 8 |
| References cited | 8 |
OBJECTIVES: Among the consequences of downsizing and cost containment in hospitals are major changes in the work life of nurses. As hospitals become smaller, patient acuity rises, and the job of nursing becomes more technical and difficult. This article examines the effects of changes in the hospital environment on nurses' job satisfaction and voluntary turnover between 1993 and 1994. METHODS: Data were collected in a longitudinal survey of 736 hospital nurses in one hospital to examine correlates of change in aspects of job satisfaction and predictors of leaving among nurses who terminated in that period. RESULTS: Unadjusted results showed decline in most aspects of satisfaction as measured by Hinshaw and Atwood's and Price and Mueller's scales. Multivariate analysis indicated that the most important determinants of low satisfaction were poor instrumental communication within the organization and too great a workload. Intent to leave was predicted by the perception of little promotional opportunity, high routinization, low decision latitude, and poor communication. Predictors of turnover were fewer years on the job, expressed intent to leave, and not enough time to do the job well. CONCLUSIONS: The authors conclude that although many aspects of job satisfaction are diminished, some factors predicting low satisfaction and turnover may be amenable to change by hospital administrators
Demographic economics · Job attitude · Job performance · Job satisfaction · Perception · Turnover · Workload · Hospital Admissions and Outcomes · Medicine · Nursing · Nursing education and management · Organizational Downsizing and Restructuring · Psychology · Social Psychology
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La réorganisation du travail infirmier en soins de longue durée
The effects of hospital restructuring that included layoffs on individual nurses who remained employed
The Impact of Social Work Environment, Teamwork Characteristics, Burnout, and Personal Factors Upon Intent to Leave Among European Nurses
Counselor Turnover in Substance Abuse Treatment Centers
Healthcare Reform and the Workplace Experience of Nurses
Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States
| Unique citing works | 8 |
|---|---|
| Citations per year | 0,32 |
| Citation span | 2001 - 2007 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |