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Related Experiment Videos

Creating a favorable practice environment for nurses.

Howard L Smith1, Jacqueline N Hood, J Deane Waldman

  • 1Anderson Schools of Management, University of New Mexico, Albuquerque, NM 87131, USA. smith@mg.unm.edu

The Journal of Nursing Administration
|December 14, 2005
PubMed
Summary

High nurse turnover impacts patient care, driven by dissatisfaction with pay and benefits. A positive practice environment, focusing on supervisors, job characteristics, and management style, can significantly improve nurse satisfaction and reduce turnover.

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Area of Science:

  • Healthcare Management
  • Nursing Workforce Studies
  • Organizational Psychology

Background:

  • Chronic nurse turnover and staffing shortages pose significant risks to patient care quality.
  • Inadequate compensation and benefits are commonly cited as primary drivers of nurse job dissatisfaction and turnover.
  • Emerging research suggests that the practice environment may play a crucial role in enhancing nurse satisfaction and retention.

Purpose of the Study:

  • To analyze the impact of the practice environment on job satisfaction among nurses in a large academic medical center.
  • To identify key factors within the practice setting that contribute to a positive work milieu for nurses.
  • To explore strategies for improving nurse job satisfaction and reducing turnover through environmental enhancements.

Main Methods:

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  • A study was conducted in a large academic medical center to evaluate the practice environment's influence on nurse job satisfaction.
  • Key factors analyzed included nurse supervisors, job characteristics, management style, and emphasis on service quality.
  • Data was collected and analyzed to determine correlations between these environmental factors and nurse satisfaction levels.

Main Results:

  • Factors beyond just salary and benefits significantly influence nurses' job satisfaction.
  • Positive practice environments are characterized by supportive nurse supervisors, engaging job characteristics, effective management styles, and a strong emphasis on service quality.
  • These environmental elements were found to be key contributors to a positive practice milieu.

Conclusions:

  • Improving the practice environment is a critical strategy for enhancing nurse job satisfaction.
  • Addressing factors such as management style and supervisor support can help mitigate nurse turnover.
  • Optimizing the practice setting has the potential to improve overall care delivery by retaining a satisfied nursing workforce.