A meta‐analysis of studies of nurses' job satisfaction

Zangaro, George A.; Soeken, Karen L.

doi:10.1002/nur.20202

Cited by 397 publications

(369 citation statements)

References 80 publications

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“…17 Nurse-physician collaboration has been identified as a way of redressing the power relationship and supporting nurses' autonomy. [18][19][20] For example, Baggs et al 18 reported that effective nursephysician collaboration was associated with significantly better clinical outcomes. Professional collaboration, in particular, is a precondition and an outcome of autonomy.…”

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confidence: 99%

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Papathanassoglou

Karanikola

Kalafati

et al. 2012

American Journal of Critical Care

189

262

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Background Discretionary autonomy is a key factor in enhanced patient outcomes and nurses' work satisfaction. Among nurses, insufficient autonomy can result in moral distress. Objectives To explore levels of autonomy among European critical care nurses and potential associations of autonomy with nurse-physician collaboration, moral distress, and nurses' characteristics. Methods Descriptive correlational study of a convenience sample of 255 delegates attending a major European critical care conference in 2009. Respondents completed a selfadministered questionnaire with validated scales for nurses' autonomy, nurse-physician collaboration, and moral distress. Results The mean autonomy score (84.26; SD, 11.7; range, and the mean composite (frequency and intensity) moral distress score (73.67; SD, 39.19; range, were both moderate. The mean collaboration score was 47.85 (SD, 11.63; range,. Italian and Greek nurses reported significantly lower nurse-physician collaboration than did other nurses (P < .001). Greek and German nurses reported significantly higher moral distress (P < .001). Autonomy scores were associated with nurse-physician collaboration scores (P < .001) and with a higher frequency of moral distress (P = .04). Associations were noted between autonomy and work satisfaction (P = .001). Frequency of moral distress was associated inversely with collaboration (r = -0.339; P < .001) and autonomy (r = -0.210; P = .01) and positively with intention to quit (r = 0.257; P = .004). Autonomy is defined as the freedom to make decisions within the domain of an individual's profession and to act accordingly. 10,11 The ability to make discretionary and autonomous decisions based on comprehensive knowledge, clinical expertise, and evidence-based findings is a hallmark of professionalism. In general, ICU nurses make 1 care decision every 30 seconds 12 and approximately 9 important patient-care decisions per hour, 13 suggesting that exercising judgment is a core nursing activity and influences the quality of care provided. Previous studies 11,[14][15][16] in European ICUs indicated that the levels of nurse autonomy differ between countries and that the decision-making capacity of these clinicians needs to be developed and strengthened. However, factors that may be associated with low autonomy among European ICU nurses have not been systematically studied. Although, presumably, poor nursephysician collaboration may limit a nurse's ability to implement care-and unit-related decisions, associations between these 2 constructs have not been investigated. Evidence of the association between nurse-physician collaboration and ICU nurses' moral distress is likewise scant. Although the design of the study we report here was unsuitable for exploring either causative factors or antecedents of autonomy-and inferences may be limited by differences in responders' context of practice-we wished to address autonomy, nurse-physician collaboration, and moral distress simultaneously in a sample of European ICU nurses to gain preliminary insigh...

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mentioning

confidence: 99%

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Papathanassoglou

Karanikola

Kalafati

et al. 2012

American Journal of Critical Care

189

262

View full text Add to dashboard Cite

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“…A capacitação também foi associada a satisfação profissional por melhorar a qualidade e a segurança do cuidado de enfermagem, além de conferir reconhecimento e independência ao profissional 18,20,82,102,104 .…”

Section: A Maior Flexibilidade No Horário Proposta Pelos Hospitais Amunclassified

“…Um importante aspecto da organização e do suporte do ambiente das práticas profissionais diretamente associado à satisfação profissional é a gerência participativa, que insere a equipe na organização do cuidado e da unidade e apoia a capacitação para a qualidade e segurança do paciente 80,104 .…”

Section: íNdice De Satisfação Profissional (Isp)unclassified

“…Além dos domínios estruturais do ambiente das práticas, as relações e a autonomia também foram encontrados na literatura correlacionados com a satisfação profissional 89,104 .…”

Section: íNdice De Satisfação Profissional (Isp)unclassified

“…Uma meta análise que investigou a associação do ambiente das práticas com a satisfação profissional, também sob a perspectiva das relações e autonomia, encontrou que ambientes favoráveis aos domínios relações entre médicos e enfermeiros e autonomia estão relacionados com oportunidades de crescimento pessoal e com a satisfação profissional do enfermeiro 104 .…”

Section: íNdice De Satisfação Profissional (Isp)unclassified

See 2 more Smart Citations

Segurança do paciente em unidades de terapia intensiva: ambiente das práticas profissionais de enfermagem e satisfação profissional na ocorrência de eventos adversos

Oliveira¹

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Patient-Centered Medical Home Characteristics and Staff Morale in Safety Net Clinics

Lewis

Nocon²,

Tang³

et al. 2012

Arch Intern Med

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Background We sought to determine whether perceived patient-centered medical home (PCMH) characteristics are associated with staff morale, job satisfaction, and burnout in safety net clinics. Methods Self-administered survey among 391 providers and 382 clinical staff across 65 safety net clinics in 5 states in 2010. The following 5 subscales measured respondents’ perceptions of PCMH characteristics on a scale of 0 to 100 (0 indicates worst and 100 indicates best): access to care and communication with patients, communication with other providers, tracking data, care management, and quality improvement. The PCMH sub-scale scores were averaged to create a total PCMH score. Results Six hundred three persons (78.0%) responded. In multivariate generalized estimating equation models, a 10% increase in the quality improvement subscale score was associated with higher morale (provider odds ratio [OR], 2.64; 95% CI, 1.47–4.75; staff OR, 3.62; 95% CI, 1.84–7.09), greater job satisfaction (provider OR, 2.45; 95% CI, 1.42–4.23; staff OR, 2.55; 95% CI 1.42–4.57), and freedom from burnout (staff OR, 2.32; 95% CI, 1.31–4.12). The total PCMH score was associated with higher staff morale (OR, 2.63; 95% CI, 1.47–4.71) and with lower provider freedom from burnout (OR, 0.48; 95% CI, 0.30–0.77). A separate work environment covariate correlated highly with the quality improvement subscale score and the total PCMH score, and PCMH characteristics had attenuated associations with morale and job satisfaction when included in models. Conclusions Providers and staff who perceived more PCMH characteristics in their clinics were more likely to have higher morale, but the providers had less freedom from burnout. Among the PCMH subscales, the quality improvement subscale score particularly correlated with higher morale, greater job satisfaction, and freedom from burnout.

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A meta‐analysis of studies of nurses' job satisfaction

Cited by 397 publications

References 80 publications

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Segurança do paciente em unidades de terapia intensiva: ambiente das práticas profissionais de enfermagem e satisfação profissional na ocorrência de eventos adversos

Patient-Centered Medical Home Characteristics and Staff Morale in Safety Net Clinics

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