A Retrospective Study Of A Nurse Residency Program And Reports Of Job Satisfaction Organizational Commitment And Turnover
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A Retrospective Study Of A Nurse Residency Program And Reports Of Job Satisfaction Organizational Commitment And Turnover
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Author : Kenneth Walter Dion
language : en
Publisher:
Release Date : 2011
A Retrospective Study Of A Nurse Residency Program And Reports Of Job Satisfaction Organizational Commitment And Turnover written by Kenneth Walter Dion and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with categories.
The aging population in the United States and greater access to healthcare due to recent legislative reforms will result in an increased demand for registered nurses. However, meeting this demand will challenge healthcare organizations due to an aging nursing workforce that will be retiring, a lack of new nurses entering the profession due to lack of employment opportunities related to the current macro-economic environment, and the lack of capacity to produce nursing graduates. Furthermore, reported turnover rates of newly graduated registered nurses range from 18 to 60% during the first year of employment. Healthcare organizations implementing structured nurse residency programs have reported success in stemming the tide of new graduate turnover. However, there is a lack of empirical evidence in the nurse residency literature regarding variables that have been shown to decrease turnover of registered nurses. The purpose of this study was to examine the outcome variables of job satisfaction, organizational commitment, and turnover among newly graduated nurse residents in Magnet, Magnet Aspiring, and Non-Magnet Hospital work environments across the US. A descriptive correlational retrospective secondary analysis was completed examining the outcome variables in a sample of 628 newly graduated nurses completing a structured nurse residency program between January 1, 2007 and December 31st, 2009 in general acute care hospitals. The findings from this study demonstrated the difference between job satisfaction at two months, six months, and 12 months among nurse residents in the different work environments. Furthermore, the influence of the residency program on organizational commitment in the context of differing work environments is reported. Moreover, turnover rates following the completion of the nurse residency were found to be lower than the national average for newly graduated nurses. Finally, the relationships between the outcome variables are explicated. The findings of this study will assist in informing healthcare executive's decision making when considering interventions to decrease turnover of newly graduated nurses.
A Comparative Study Of Reported Job Satisfaction Of Nurses Who Attended A Nurse Internship Program And Nurses Who Attended Traditional Orientation
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Author : Dina McDade Culpepper
language : en
Publisher:
Release Date : 1994
A Comparative Study Of Reported Job Satisfaction Of Nurses Who Attended A Nurse Internship Program And Nurses Who Attended Traditional Orientation written by Dina McDade Culpepper and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Nurses categories.
Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 1999
Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medicine categories.
The Future Of Nursing
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2011-02-08
The Future Of Nursing written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-02-08 with Medical categories.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Examining The Relationship Between Work Environment Desired Field Of Clinical Practice And Job Satisfation Of Nurse Resident Graduates
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Author : Mary Elizabeth Cignarella
language : en
Publisher:
Release Date : 2016
Examining The Relationship Between Work Environment Desired Field Of Clinical Practice And Job Satisfation Of Nurse Resident Graduates written by Mary Elizabeth Cignarella and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016 with categories.
Objective: To examine whether work environment and desired field of clinical practice play a role in determining job satisfaction of nurse resident graduates. Background: Nurse Residency Programs were created to help transition new graduate nurses to the bedside and decrease turnover rates. It is essential for hospitals to consider ways to improve long term retention due to the economic impact hiring replacement nurses can impose. Retention has been linked with job satisfaction; however few studies examine its connection to desired field of clinical practice and work environment in this population. Methods: Data were collected from nurse resident graduates at a large academic medical center utilizing a 62-item survey based on the Casey-Fink Revised Retention Survey. Results/Conclusions: Overall, respondents reported satisfaction with their job demonstrated by a mean score of 3.08 on a scale of one to four. A significant relationship between work environment and job satisfaction was identified. Mentorship, a subscale of work environment affected job satisfaction the greatest; therefore institutions could maximize benefits of Nurse Residency Programs if resources are routed toward establishing healthy work environments and supporting the mentor relationship. A relationship was not identified between desired field of clinical practice and job satisfaction due to the small sample size, however further research is needed to examine the possibility of a congruent relationship between desired field of clinical practice and work environment and their combined effect on retention.
Factors Associated With New Graduate Nurse Work Satisfaction And Turnover Intention
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Author : Ashleigh Ella-Dawn Weir
language : en
Publisher:
Release Date : 2018
Factors Associated With New Graduate Nurse Work Satisfaction And Turnover Intention written by Ashleigh Ella-Dawn Weir and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
The purpose of this study was to examine the relationship of personal (psychological capital), situational (structural empowerment, leader empowerment and support, and unit characteristics: job demands, job resources, and work-life balance), and relational (workplace incivility and group cohesion) factors with new graduate nurse work satisfaction and turnover intention in the United States. This dissertation utilized the two-manuscript option. This study was a secondary data analysis utilizing a cross-sectional, descriptive correlational design of an existing database. The study sample consisted of 540 new graduate nurses that participated in the Versant New Graduate Nurse Residency [trademark] program. Manuscript one was focused on the experiences of incivility and how well personal and situational factors explained experiences of incivility. The study found new nurses have high experiences of general incivility, nurse-nurse incivility, physician-nurse incivility, and patient/family-nurse incivility. On the other hand, these nurses are experiencing low levels of incivility from their leaders. Further, personal and situational variables had significant relationships with incivility. Structural empowerment served to explain experiences in general, nurse-nurse, and leader-nurse incivility. Having a manageable workload explained experiences in physician-nurse and patient/family-incivility. Manuscript two was focused on whether or not incivility impacted work satisfaction and turnover intention. The manuscript also focused on how well personal, situational, and relational factors explained the variance in work satisfaction and turnover intention. Incivility had significant relationships with both work satisfaction and turnover intention. Further, situational and relational factors had significant relationships with work satisfaction and turnover intention. Lastly, personal, situational, and relational factors combined to explain a significant amount of the variance in work satisfaction and turnover intention. This study has implications for educators, nurse managers, and healthcare organizations. Positive relationships with the nurse leader put them in position to impact outcomes of the new graduate. Improving experiences of incivility, promoting empowerment and support, and providing adequate resources while reducing job demands are critical to retaining the new graduate nurse.
The Effects Of Collaboration Organizational Climate And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing
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Author : Jaynelle F. Stichler
language : en
Publisher:
Release Date : 2021
The Effects Of Collaboration Organizational Climate And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing written by Jaynelle F. Stichler and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Nurses categories.
The purpose of this study was to examine the effects of collaborative behavior, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. The path analytic model of anticipated turnover was temporally ordered with all exogenous variables proposed to directly affect job satisfaction and anticipated turnover and indirectly affect anticipated turnover through job satisfaction. Subjects (N = 188) were female Registered Nurses from six hospitals in Southern California. The majority of the respondents were clinical nurses who worked full time on the day shift, although a significant percentage of the sample also worked part-time or perdiem and were assigned to evening, nights, or rotating shifts. The mean age of the sample was 39 years of age with 6 years of seniority in their current position. Collaborative behavior between nurses and physicians and between nurses and managers, organizational climate, and job stress had significant predictive validity with job satisfaction and explained 41% of the variance in job satisfaction. Organizational climate and job stress were the strongest predictors of job satisfaction. Age, nurse-manager collaborative behavior and job satisfaction had predictive validity with anticipated turnover and accounted for 31% of the explained variance in anticipated turnover. Job satisfaction was the strongest predictor of anticipated turnover. A post hoc regression analysis of the dimensions of each exogenous variable with the endogenous variables supported the earlier findings. The post hoc model explained 44% of the variance in job satisfaction and 31% of the variance in anticipated turnover. Post hoc analysis of variance revealed several significant group differences in the study variables. Overall job satisfaction scores between evening and night nurses differed significantly (p ≤ .02) with night nurses reporting higher mean scores than evening nurses. Night nurses also reported the lowest mean scores for anticipated turnover with significant group differences related to the assigned shift reported for anticipated turnover. The current study supported the findings of other researchers related to job satisfaction and anticipated turnover.
Registered Nurses Job Satisfaction And Intent To Stay Following Participation In Or Completion Of A Nurse Residency Program At An Urban Eastern North Dakota Acute Care Setting
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Author : Carol Jean Roth
language : en
Publisher:
Release Date : 2015
Registered Nurses Job Satisfaction And Intent To Stay Following Participation In Or Completion Of A Nurse Residency Program At An Urban Eastern North Dakota Acute Care Setting written by Carol Jean Roth and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Intensive care nursing categories.
The purpose of this study was to describe and correlate job satisfaction and intent to stay, among registered nurses who had completed or were currently participating in a nurse residency program while working at an acute care setting in eastern urban North Dakota with a nurse residency program. This study surveyed a sample of registered nurses (N = 12) who had completed or were currently participating in a nurse residency program at the acute care setting. The nurses were asked to self-report their level of job satisfaction utilizing the McCloskey/Mueller Satisfaction Scale (MMSS) and intent to remain employed at this facility with their response to one survey question. The two theoretical models utilized in this study were Maslow's Hierarchy of Needs and the Hildegard E. Peplau Theory of Interpersonal Relations. The outcomes of this study indicate that the Nurse Residency Program is successful in keeping nurses employed at the setting, improving the transition from school to work environments, and providing ongoing support for the new graduate.
Outcome Comparison Of An Evidence Based Nurse Residency Program To Other Orientation Models
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Author : Debra A. Harrison
language : en
Publisher:
Release Date : 2012
Outcome Comparison Of An Evidence Based Nurse Residency Program To Other Orientation Models written by Debra A. Harrison and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Employee retention categories.
The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP). NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur continuously over a 12-month period designed to assist NLRNs as they transition into their first professional nursing role. This cross-sectional, descriptive study utilized the Casey-Fink Graduate Nurse Experience Survey and intent to stay questions to collect data on NLRNs at one year post hire. Results indicated no statistically significant differences between the three sites and the subscales of the survey. There was a trend of a more positive score for professional satisfaction with Site A. Turnover was also similar between sites and lower than the reported 10% average, with Site A at 2%, Site B at 5%, and Site C at 4%. There was a statistically significant difference between Site A and C in the intent to stay in their current position, with Site A longer than Site C. The study supports the literature and evidence that a NRP is an effective strategy to decrease first year turnover. Further study is needed related to the effectiveness of the components of the NRP, length of time for mentorship, and the impact of accumulation of cohorts.
Influences On Transition To Practice Outcomes Among New Nurses
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Author : Felecia S. Williams
language : en
Publisher:
Release Date : 2013
Influences On Transition To Practice Outcomes Among New Nurses written by Felecia S. Williams and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
This research explored the investigation of influences on transition to practice outcomes among new graduate nurses in a nurse residency program. The study participants consisted of 641 nurse residents from the Versant RN RegistryTM from 2010-2011. They represented 84 facilities in 14 states across the United States. A descriptive correlational design was utilized to gain insight on the impact mentoring and debriefing had on gains in competence and confidence, the degree of comfort in assuming a staff nurse role at the end of the residency, and job satisfaction. A secondary data analysis was conducted using the Versant RN Nurse ResidencyTM database. Frequencies and percentages, chi-square analysis, and independent t-tests were applied to the data set. The study results showed mentoring and debriefing as positive influences on gains in competence and confidence, comfort in assuming a staff nurse role at the end of the nurse residency, and job satisfaction. The results were moderated by nursing educational preparation and previous healthcare experience. Bachelor-prepared new graduate nurses and nurses with previous healthcare experience related a higher degree of comfort in assuming a staff nurse role at the end of the nurse residency. Future research should include expanded analysis of the new outcome variable of degree of comfort in assuming a staff nurse role at the end of nurse residency programs. Continued evaluation of the effectiveness of mentoring circles would also contribute to the nursing literature with regard to economic feasibility. Key words: transition-to-practice, new graduate nurse, mentoring, debriefing, nurse residency.