The relationship between practice environment, job satisfaction and intention to leave in critical care nurses

2021 ◽  
Author(s):  
Faisal S. Alenazy ◽  
Zoe Dettrick ◽  
Samantha Keogh
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Intention To Leave ◽  
Critical Care Nurses ◽  
Practice Environment ◽  
The Relationship

Practice environment, job satisfaction and burnout of critical care nurses in South Africa

2012 ◽  
Vol 20 (5) ◽  
pp. 685-695 ◽  
Author(s):  
HESTER C. KLOPPER ◽  
SIEDINE K. COETZEE ◽  
RONEL PRETORIUS ◽  
PETRA BESTER
Keyword(s):  
South Africa ◽  
Job Satisfaction ◽  
Critical Care ◽  
Critical Care Nurses ◽  
Practice Environment

Relationship between moral distress and ethical climate with job satisfaction in nurses

2017 ◽  
Vol 26 (2) ◽  
pp. 346-356 ◽  
Author(s):  
Sharareh Asgari ◽  
Vida Shafipour ◽  
Zohreh Taraghi ◽  
Jamshid Yazdani-Charati
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Social Security ◽  
Ethical Climate ◽  
Moral Distress ◽  
Correlation Study ◽  
Critical Care Nurses ◽  
Quality Of Work Life ◽  
Distress Scale ◽  
The Relationship

Background: Moral distress and ethical climate are important issues in the workplace that appear to affect people’s quality of work life. Objectives: This study was conducted to determine the relationship of moral distress and ethical climate to job satisfaction in critical care nurses. Materials and methods: This descriptive-correlation study was conducted on 142 critical care nurses, selected from five social security hospitals in north Iran through census sampling. Data were collected using a demographic questionnaire, the Moral Distress Scale–Revised, the Olson’s Hospital Ethical Climate Survey, and the Brayfield and Rothe Job Satisfaction index. Ethical considerations: The research project was approved by the Ethics Committee of Mazandaran University of Medical Sciences and the Medical Deputy of the Social Security Organization. Findings: The mean scores obtained by the critical care nurses for moral distress, ethical climate, and job satisfaction were 87.02 ± 44.56, 3.51 ± 0.53, and 62.64 ± 9.39, respectively. Although no significant relationships were observed between moral distress and job satisfaction, the relationship between ethical climate and job satisfaction was statistically significant (p < 0.05). Conclusion: Identifying ethical stressors in the workplace and giving proper feedback to the authorities to eliminate these factors and improve the ethical climate in these workplaces can help enhance job satisfaction in nurses and lead to higher quality care.

Predictors of Moral Distress in a US Sample of Critical Care Nurses

2018 ◽  
Vol 27 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Catherine A. Hiler ◽  
Ronald L. Hickman ◽  
Andrew P. Reimer ◽  
Kimberly Wilson
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Patient Safety ◽  
Moral Distress ◽  
Organizational Factors ◽  
National Sample ◽  
Critical Care Nurses ◽  
Practice Environment ◽  
Bivariate Correlation ◽  
Distress Scale

BackgroundMoral distress in registered nurses causes decreased job satisfaction, turnover in staffing, burnout, and heightened states of psychological distress. To date, investigation of modifiable factors, such as perceptions of the practice environment and patient safety, among a diverse sample of critical care nurses has been limited.ObjectiveTo explore the relationships among the severity of moral distress, the practice environment, and patient safety in a national sample of critical care nurses.MethodsCritical care nurses experienced in working with adults (&gt; 1 year of intensive care unit experience) and who were subscribers to the American Association of Critical-Care Nurses’ e-mail listserv and social media sites anonymously participated in this descriptive study. Participants completed a demographic questionnaire, the Moral Distress Scale–Revised, and the Practice Environment Scale of the Nursing Work Index. Descriptive statistics, bivariate correlation coefficients, and a hierarchical regression analysis were used to describe the sample characteristics and to assess relationships among the study variables.ResultsOf a national sample of 328 critical care nurses, 56% had less than 20 years of experience as a registered nurse. Moral distress was modestly associated with negative perceptions of the practice environment and patient safety. Job satisfaction, practice environment, and the participant’s age were statistically significant predictors of moral distress in this sample.ConclusionsModifications of organizational factors such as the development of healthy work environments that promote collegial relationships could reduce moral distress among critical care nurses.

Nursing practice environment, resilience, and intention to leave among critical care nurses

2020 ◽  
Vol 26 (6) ◽  
pp. 432-440
Author(s):  
Luk Ying Ying ◽  
Vimala Ramoo ◽  
Lee Wan Ling ◽  
Sri Theyshaini Nahasaram ◽  
Chui Ping Lei ◽  
...  
Keyword(s):  
Critical Care ◽  
Nursing Practice ◽  
Intention To Leave ◽  
Critical Care Nurses ◽  
Practice Environment ◽  
Nursing Practice Environment

scholarly journals Assessing the caring behaviors of critical care nurses

2018 ◽  
Vol 8 (10) ◽  
pp. 77 ◽  
Author(s):  
Samah Anwar Shalaby ◽  
Nouf Fahad Janbi ◽  
Khairiah Khalid Mohammed ◽  
Kholud Mohammed Al-harthi
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Educational Background ◽  
Critical Care Nurses ◽  
Affecting Factors ◽  
Caring Behaviors ◽  
Factors Affecting ◽  
Critical Care Units ◽  
Depth Analysis ◽  
The Impact

Objective: To assess the critical care nurses’ perception of their caring behaviors and factors affecting these behaviors.Methods: Participants of this descriptive correlational exploratory study included 277 critical care nurses selected conveniently from nurses worked in all critical care units in King Khalid Hospital, Jeddah. A self-reported questionnaire namely, “Critical Care Nurses Caring Behavior Perception” developed by the researchers after reviewing related literature was used to assess caring behaviors and their affecting factors as perceived by critical care nurses.Results: Seventy percent of the nurses aged between 31 to 50 years old and more than half of nurses had ICU experience ranged from 6 to 10 years, while two thirds of nurses had no previous training about caring behaviors. The study findings revealed that the majority of nurses had high scores of perceived caring behaviors, whereas the mean of their perception was 296.96 ± 18.32. There was a statistical significant positive relationship between nurses’ perception and their work circumstances, workload, job satisfaction, educational background and patient characteristics.Conclusions: It is important to consider critical units’ circumstances, nurses’ educational background, job satisfaction, as well as the nature of critically ill patients in order to promote nurses awareness and implementation of caring behaviors. Moreover, replication of the current study using qualitative approach for in-depth analysis of the impact of factors could affecting caring behaviors on nurses’ perception in various highly specialized critical care units.

Managers' leadership and critical care nurses' intent to stay

1999 ◽  
Vol 8 (6) ◽  
pp. 361-371 ◽  
Author(s):  
DK Boyle ◽  
MJ Bott ◽  
HE Hansen ◽  
CQ Woods ◽  
RL Taunton
Keyword(s):  
Job Satisfaction ◽  
Critical Care ◽  
Nurse Managers ◽  
Intent To Stay ◽  
Reliability And Validity ◽  
Group Cohesion ◽  
Critical Care Nurses ◽  
Staff Nurse ◽  
Power And Influence ◽  
Instrumental Communication

BACKGROUND: Cyclical fluctuations in turnover of critical care nurses are a large and complex problem. Managers' leadership characteristics may be a determinant of critical care nurses' intent to stay in the job. OBJECTIVE: To examine the direct and indirect effects of nurse-managers' characteristics of power, influence, and leadership style on critical care nurses' intent to stay in the nurses' employment positions. METHODS: The sample was 255 staff nurses in intensive care units at 4 urban hospitals. Established instruments with sound reliability and validity were used to assess the predictor, intervening, and outcome variables. Path analysis was used to examine the relationships in a conceptual model of intent to stay. RESULTS: The model explained 52% of the variance in intent to stay, and managers' characteristics were significant at each stage. Managers' position power and influence over work coordination had a direct link to intent to stay; structuring expectations and consideration contributed indirectly through the variables of instrumental communication, autonomy, and group cohesion. Instrumental communication, autonomy, and group cohesion decreased job stress and thus increased job satisfaction. Job satisfaction was directly linked with intent to stay. CONCLUSIONS: Inclusion of nurse-managers' characteristics explained more variance in intent to stay than did previous models. Managers with leadership styles that seek and value contributions from staff, promote a climate in which information is shared effectively, promote decision making at the staff nurse level, exert position power, and influence coordination of work to provide a milieu that maintains a stable cadre of nurses.

A survey of pain assessment and management practices among critical care nurses

1994 ◽  
Vol 3 (2) ◽  
pp. 123-128 ◽  
Author(s):  
MC Gujol
Keyword(s):  
Critical Care ◽  
Pain Assessment ◽  
Management Practices ◽  
Critical Care Nurses ◽  
Opioid Use ◽  
Convenience Sample ◽  
Policy Makers ◽  
Survey Results ◽  
Medication Decisions ◽  
The Relationship

BACKGROUND: Postoperative pain is one of the major obstacles in the prevention of complications during patient recovery. Pain and its management have gained great interest among researchers, clinicians and policy-makers. PURPOSES: To explore the relationship between two variables in pain assessment (length of time after surgery and ventilator status) and medication decisions made by critical care nurses, and to identify nurses' concerns about opioid use. METHODS: A convenience sample of 71 critical care nurses participated in the survey. RESULTS: Certain patient conditions such as length of time after surgery and ventilator status affected nurses' assessment and management of pain. Nurses' knowledge about pain assessment and management may affect patient care and outcomes.

Nurses’ Accuracy in Estimating Backrest Elevation

2002 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Amy Dillon ◽  
Cindy L. Munro ◽  
Mary Jo Grap
Keyword(s):  
Critical Care ◽  
Basic Education ◽  
Critical Care Nurses ◽  
Care Practice ◽  
Demographic Information ◽  
Convenience Sample ◽  
Control And Prevention ◽  
Random Number Table ◽  
The Difference ◽  
The Relationship

• Background Positioning patients is a key component of nursing care and can affect their morbidity and mortality. The Centers for Disease Control and Prevention recommend that patients receiving mechanical ventilation have the head of the bed elevated 30°to 45°to prevent nosocomial pneumonia. However, use of higher backrest positions for critically ill patients is not common nursing practice. Backrest elevation may be affected by the accuracy of nurses’ estimates of patients’ positions. • Objectives To determine the difference between nurses’ estimates of bed angles and measured bed angles and to describe the relationship between nurses’ characteristics and the accuracy of their estimates. • Methods A convenience sample of 67 nurses attending the 1999 American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition in New Orleans, La. Each subject provided demographic information and estimated 3 bed angles. The angles were preselected by using a random number table. Summary statistics were used and were categorized according to the demographic information provided by participants. Estimated angles were correlated with measured angles, and accuracies in estimating angles were correlated with demographic characteristics. • Results Nurses were accurate in estimating bed angles (correlation, 0.8488). Demographic information, including sex, age, years of practice, years of critical care practice, basic education, highest educational level, and present position had no relationship to accuracy. • Conclusions Nurses are able to estimate backrest elevation accurately. Other explanations are needed to understand why recommendations for backrest elevation are not used in practice.

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