Attributes of nursing work environment as predictors of registered nurses’ job satisfaction and intention to leave

Feb 16, 2013Journal of nursing management

How nursing work conditions relate to nurses' job satisfaction and plans to quit

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Abstract

A survey of 1271 registered nurses identified five dimensions of the nursing work environment.

Professionalism, management, and ward practice are significant factors predicting nurses' turnover intention.
Staffing and resources are associated with nurses' job satisfaction.
Nurses' perception of their work environment may influence their intent to leave the profession.
The study highlights the importance of work conditions in relation to nurse outcomes.
Findings suggest that improving work environment attributes could enhance job satisfaction and reduce turnover.

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AIM: To examine how front-line registered nurses' perception of their work environment associates with and predicts nurse outcomes in terms of job satisfaction and turnover intention.

BACKGROUND: Mounting evidence has pointed to an inseparable link between attributes of the nursing work environment and nurse outcomes. However, there is a paucity of research examining nurses' perception of their work environment beyond the Western context.

METHODS: This cross-sectional survey involved 1271 registered nurses working in 135 inpatient units in 10 public hospitals in Hong Kong. The instrument comprised items developed from in-depth interviews with front-line nurses that explored nurses' perception of their work environment.

RESULTS: Factor analysis identified five dimensions (professionalism, co-worker relationship, management, staffing and resources, and ward practice) of the nursing work environment. Logistic regression analysis further identified professionalism, management and ward practice as significant factors in predicting nurses' turnover intention, and staffing and resources as an additional factor in predicting their job satisfaction.

CONCLUSIONS: Attributes of the nursing work environment have a significant bearing on nurses' job satisfaction and intention to leave.

IMPLICATIONS FOR NURSING MANAGEMENT: Managerial effort should focus on improving nurses' work conditions through detailed resource planning, effective management and removal of work constraints that affect nursing practice.

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Attributes of nursing work environment as predictors of registered nurses’ job satisfaction and intention to leave

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