Nancy Blake1, Linda Searle Leach, Wendy Robbins, Nancy Pike, Jack Needleman. 1. Critical Care Services, Children's Hospital Los Angeles, Valencia, California (Dr Blake); and UCLA School of Nursing (Drs Leach, Robbins, and Pike) and UCLA Fielding School of Public Health (Dr Needleman), Los Angeles, California.
Abstract
BACKGROUND: A healthy work environment can improve patient outcomes and registered nurse (RN) turnover. Creating cultures of retention and fostering healthy work environments are 2 major challenges facing nurse leaders today. SPECIFIC AIMS: Examine the effects of the healthy work environment (communication, collaboration, and leadership) on RN turnover from data collected from a research study. METHODS: Descriptive, cross-sectional, correlational design. Pediatric critical care RNs from 10 pediatric intensive care units (PICU) completed the Practice Environment Scale of the Nursing Work Index Revised and a subscale of the Intensive Care Unit Nurse-Physician Communication Questionnaire. These staff nurses were asked whether they intend to leave their current job in the next 6 months. Statistical analysis included correlations, multiple linear regression, t tests (2-tailed), and 1-way analysis of variance. RESULTS: A total of 415 RNs completed the survey. There was a statistically significant relationship between leadership and the intent to leave (P < .05). There was also an inverse relationship between years of experience and intent to leave. None of the communication variables between RNs and among RNs and MDs or collaboration were significantly associated with PICU nurses' intention to leave. CONCLUSION: Effective leadership in the PICU is important to PICU RNs and significantly influences their decisions about staying in their current job.
BACKGROUND: A healthy work environment can improve patient outcomes and registered nurse (RN) turnover. Creating cultures of retention and fostering healthy work environments are 2 major challenges facing nurse leaders today. SPECIFIC AIMS: Examine the effects of the healthy work environment (communication, collaboration, and leadership) on RN turnover from data collected from a research study. METHODS: Descriptive, cross-sectional, correlational design. Pediatric critical care RNs from 10 pediatric intensive care units (PICU) completed the Practice Environment Scale of the Nursing Work Index Revised and a subscale of the Intensive Care Unit Nurse-Physician Communication Questionnaire. These staff nurses were asked whether they intend to leave their current job in the next 6 months. Statistical analysis included correlations, multiple linear regression, t tests (2-tailed), and 1-way analysis of variance. RESULTS: A total of 415 RNs completed the survey. There was a statistically significant relationship between leadership and the intent to leave (P < .05). There was also an inverse relationship between years of experience and intent to leave. None of the communication variables between RNs and among RNs and MDs or collaboration were significantly associated with PICU nurses' intention to leave. CONCLUSION: Effective leadership in the PICU is important to PICU RNs and significantly influences their decisions about staying in their current job.
Authors: Adrienne Martinez-Hollingsworth; Linda Kim; Tabia Graham Richardson; Marco Angulo; Roger Liu; Theodore Friedman; Kristen Choi Journal: J Ambul Care Manage Date: 2021 Jul-Sep 01
Authors: Haitham Khatatbeh; Annamária Pakai; Dorina Pusztai; Szilvia Szunomár; Noémi Fullér; Gyula Kovács Szebeni; Adrienn Siket; Miklós Zrínyi; András Oláh Journal: Nurs Open Date: 2020-12-04