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The purpose of this study was to explore and describe the factors relating to registered nurse job satisfaction on 11 hospital units in a 200 hundred bed community hospital in the southeastern United States. Exploration of these factors can lead to recommendations of appropriate interventions leading to increased nurse satisfaction with the goal being increased patient satisfaction and nurse retention. A descriptive methodology utilizing quantitative data from Dr. Paul Spector's Job Satisfaction Survey was used to explore factors relating to registered nurse satisfaction. The survey results assisted the researcher in determining the positive and negative factors recognized by registered nurses. By identifying the areas of least and most satisfaction, the researcher was able to recommend possible solutions in order to improve nursing satisfaction ratings.
Abstract: The objective of the study was to determine the factors that contribute to the retention of new registered nurses in their first employment situation. The hypothesis, which stated that there would be a positive relationship between job satisfaction and retention, was tested on 33 new RNs who worked in one community hospital. Each subject answered two questionnaires: McCloskey/Mueller Satisfaction Scale tool that categorized the sources of job satisfaction into eight subcategories and the demographic data sheet. Pearson Product Moment Correlations, t-tests, and one-way ANOVA were used as appropriate. The results did not support the hypothesis, that retention was related to job satisfaction. Maslow's Hierarchy of Needs theory was used to explain the findings. The overall nurse satisfaction was rated at 3.57 on a 5 point scale or at the 71.48%. The range was from 63 to 83% level. In spite of the low satisfaction level, nurses tended to stay at their first job. This was possibly due to the current adverse economic conditions of the state of California. A closer look at the eight subscales of satisfaction tool revealed that nurses were happier with their coworkers and level of interaction with other healthcare professionals, and least happy with their lack of opportunity for decision-making and control over the work situation. Implications were made to Nursing Administration to improve the conceptual environment to help improve the work conditions of the new nurses.
Patient satisfaction is receiving greater attention due to the rise in pay-for-performance and public release of data from the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) (HHS, 2006). Incorporating this survey into reimbursement plans and quality monitoring systems has ensured that measuring and reporting patient satisfaction is important to value-based healthcare, including nurses' care delivery. Watson's Caring Theory (1979) was the lens through which registered nurses' reports were examined. Benner's landmark work (1984) was also used to examine levels of competence in novice and expert nurses. The purpose of this study was to determine whether, and to what degree, acute care novice and expert registered nurses reported how their caring behaviors, based on Watson's 10 carative factors (1979), impacted patient satisfaction. The unit of analysis included novice and expert nurses who practiced in a community hospital. A descriptive, correlational, mixed methods study was employed. This study concluded that novice and expert registered nurses reported their caring behaviors greatly impacted patient satisfaction. In addition, patient satisfaction was greatly impacted by novice nurses' task-oriented behaviors, reliance on past experiences, and instilled personal values, as well as expert nurses' emotional needs and clinical wisdom. Incongruence existed among study participants' reports that caring behaviors greatly impacted organizational patient satisfaction scores. Hospital-based nurse educators need to consider pedagogical and programmatic innovations inclusive of the nursing domains reported on the HCAHPS survey. Research is needed that focuses on bridging the incongruence between novice and expert registered nurses' reports of their impact on patient satisfaction and actual patient satisfaction scores.
The purpose of the study was to investigate the quality of nursing care as perceived by patients and as perceived by registered nurses who worked a compressed workweek. There were 33 patients and 35 registered nurses in the sample. The study was conducted in a 100-bed, private, investor-owned hospital in the southeast United States within an urban setting. Data were collected using a modified version of Risser's Patient Satisfaction Scale and two researchers-devised questions. A mean rating and a t test for independent samples were used for analysis of data. Significance was set at the 0.05 level. Three hypotheses were established: H1: Patients will perceive the care received from registered nurses who work a compressed workweek as quality nursing care. H2: Registered nurses who work a compressed workweek will perceive care administered to patients as quality nursing care. H3: There will be no difference between the perception of registered nurses and the perception of patients as to the quality of nursing care. All three hypotheses were supported.