Patricia A Patrician1, Danielle M Olds, Sara Breckenridge-Sproat, Tanekkia Taylor-Clark, Pauline A Swiger, Lori A Loan. 1. Author Affiliations: Professor and Rachel Z. Booth Endowed Chair in Nursing (Dr Patrician) and Associate Professor (Dr Loan), School of Nursing, University of Alabama at Birmingham; Research Assistant Professor (Dr Olds), School of Nursing, University of Kansas, Kansas City; Retired (Dr Breckenridge-Sproat), US Army, Santa Fe, New Mexico; Chief (Dr Taylor-Clark), Center for Nursing Science & Clinical Inquiry, Womack Army Medical Center, Fort Bragg, North Carolina; and Chief (Dr Swiger), Center for Nursing Science & Clinical Inquiry, Madigan Army Medical Center, Tacoma, Washington.
Abstract
OBJECTIVE: This study aimed to compare the nurse work environment, job satisfaction, and intent to leave (ITL) among military, Magnet®, Magnet-aspiring, and non-Magnet civilian hospitals. BACKGROUND: The professional nurse work environment is an important, modifiable, organizational trait associated with positive nurse and patient outcomes; creating and maintaining a favorable work environment should be imperative for nursing leaders. METHODS: Secondary data from the Army Nurse Corps and the National Database of Nursing Quality Indicators included the Practice Environment Scale of the Nursing Work Index (PES-NWI) and single-item measures of job satisfaction and ITL. RESULTS: Magnet and military hospitals had identical PES-NWI composite scores; however, statistically significant differences existed among the subscales. Military nurses were the most satisfied among all groups, although this difference was not statistically significant, yet their ITL was highest. CONCLUSIONS: Favorable work environments may exist in other organizational forms besides Magnet; however, the specific components must be considered.
OBJECTIVE: This study aimed to compare the nurse work environment, job satisfaction, and intent to leave (ITL) among military, Magnet®, Magnet-aspiring, and non-Magnet civilian hospitals. BACKGROUND: The professional nurse work environment is an important, modifiable, organizational trait associated with positive nurse and patient outcomes; creating and maintaining a favorable work environment should be imperative for nursing leaders. METHODS: Secondary data from the Army Nurse Corps and the National Database of Nursing Quality Indicators included the Practice Environment Scale of the Nursing Work Index (PES-NWI) and single-item measures of job satisfaction and ITL. RESULTS: Magnet and military hospitals had identical PES-NWI composite scores; however, statistically significant differences existed among the subscales. Military nurses were the most satisfied among all groups, although this difference was not statistically significant, yet their ITL was highest. CONCLUSIONS: Favorable work environments may exist in other organizational forms besides Magnet; however, the specific components must be considered.
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