Whereas informal job search (i.e., using personal contacts for job search) is positively associated with the receipt of job offers, research has yet to consider the extent to which informal job search translates into current employees’ turnover decisions or to investigate factors that may restrain (or facilitate) the translation of informal job search into turnover decisions. In this study, we propose that on-the-job and off-the-job embeddedness play distinct roles in strengthening or weakening the positive relationship between informal job search and turnover intentions and behavior. We assert that on-the-job embeddedness reduces the likelihood that informal job search translates into turnover decisions, whereas off-the-job embeddedness strengthens the positive association between informal job search and turnover decisions. We tested these hypotheses across two samples of employed nurses. Although results were mixed, we found evidence that on-the-job embeddedness dampened the positive relationships of informal job search with turnover intentions and behaviors, whereas off-the-job embeddedness facilitated the positive relationships between informal job search and turnover decisions. Taken together, findings suggest that on-the-job and off-the-job embeddedness influence informal job search processes differently. We discuss the implications of these findings for how organizations manage employees’ informal job search activities as well as how researchers approach the study of job embeddedness.
This review of the published case studies and current expert recommendations supports a redesign of connectors to ensure incompatibility between enteral and IV systems. Despite the cumulative evidence, little progress has been made to safeguard patients from tubing misconnections.
Nurse retention is of extreme importance in modern healthcare given the ever increasing nursing shortage and the high cost of training newly hired nurses. Research has repeatedly demonstrated that stress is strongly correlated with nursing staff turnover. This study examines the relationship of Secondary Traumatic Stress, Burnout, Compassion Satisfaction, personal life stress and nurse demographic characteristics with having considered leaving the nursing profession due to work-related stress. A survey was administered to nurses at a large pediatric and women’s hospital in the southern United States. Bivariate analyses (n = 496) indicated being Caucasian (p < .001), working fewer hours per week (p = .009), experiencing more personal life stress (p < .001), having higher Burnout (p < .001), or Secondary Traumatic Stress (p < .001) scores or lower Compassion Satisfaction (p = .015) scores were significantly associated with increased likelihood of having considered leaving the nursing profession. In multivariable logistic regression analysis, after variable selection, higher levels of Burnout (p < .001), more life stress (p = .010), being Caucasian (p < .001) and working fewer hours (p = .004) were all significantly associated with higher odds of considering leaving the nursing profession. Interventions to reduce work-related Burnout and help nurses cope with stressful life events are needed to increase retention of nurses in the profession.
A growing body of scientific evidence demonstrates negative effects of fatigue on human performance. Nursing practice encompasses many tasks that require optimal performance. Fatigue can be the result of a multitude of contributing causes. Nurses and nursing leaders must be aware of the causes and effects of fatigue and ensure that its impact is considered where staffing and patient safety intersect.
Frequently, the most critical calculations, considerations, and preparations for patient care and medication administration are made in noisy, dimly lit, and chaotic areas of the nursing unit. Healthcare has begun to recognize the impact of the physical work environment plays in the ability of humans to perform reliably and safely. This article reviews the draft guidelines recently released by the United States Pharmacopeia for public comment for the physical environment to promote safe medication administration.
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