“…Today's health care environment is dynamic and ever changing and requires organizations to continually adapt and improve (Lasky, Datnow, Stringfield, & Sundell, 2007;Senge, 1990). The complexity of hospitals is intensified by the nursing workforce shortage (Blendon et aI., 2001;Buerhaus et aI., 2009;10M, 2010) and brings challenges to hospital and nursing administrators regarding staff nurse job satisfaction and retention.…”