The Effect of Nurse‐Physician Collaboration on Job Satisfaction, Team Commitment, and Turnover Intention in Nurses

Abstract

Voluntary turnover in nursing can lead to nursing shortages that affect both individuals and the entire hospital unit. We investigated the relationship between group- and individual-level variables by examining the association of nurses' job satisfaction and team commitment at the individual level, and nurse-physician collaboration at the group level, with individuals' intention to leave the unit at the individual level. A self-report questionnaire was administered to 1,024 nurses on 72 units in 3 Italian hospitals. At the individual level, affective commitment partially mediated the relationship between job satisfaction and nursing turnover intention. Moreover, a cross-level interaction was found. Nurses with high levels of job satisfaction showed high levels of identification with their team, and this relationship was stronger when the group perception of nurse-physician collaboration was high. Results suggested that managerial strategies to promote nurse-physician collaboration may be important to increase nurses' affective commitment to the team. At the individual level, job satisfaction and team affective commitment are important factors for retaining staff, and at the group level, good work collaboration with physicians is instrumental in developing nurses' affective identification with the team. © 2016 Wiley Periodicals, Inc.

The relationship between work environment and career success among nurses with a master's or doctoral degree: A national cross‐sectional study

“…Firstly, researchers have concluded that participating in hospital affairs could improve registered nurses' job satisfaction (Dekeyser & Toren, 2014), and we found that hospital affair participation could enhance nurses' career success. Secondly, researchers have found that in clinical work, active cooperation could improve job satisfaction (Galletta, Portoghese, Carta, D'Aloja, & Campagna, 2016), which in an indirect way confirmed our finding that collegial nurse-physician relations positively affected career success. Meanwhile, a previous study showed that adequate staffing and resources could effectively improve nurses' job satisfaction (Squires et al, 2015), and we expanded job satisfaction to career success by showing that staffing and resource adequacy positively affected nurses' career success.…”

Good nurse–nurse collaboration implies high job satisfaction: A structural equation modelling approach

“…Conversely, poor nurse – nurse relationships may increase nurse turnover (Tuckett, Winters‐Chang, Bogossian, & Wood, ). These findings are consistent with those of Galleta, Portoghese, Carta, D'Aloja, and Campagna (), whose results suggest that nurses who have higher levels of job satisfaction and experience positive collaboration with physicians are more committed to their teams.…”

From job stress to intention to leave among hospital nurses: A structural equation modelling approach

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