The Effects of Health Care Reforms on Job Satisfaction and Voluntary Turnover Among Hospital-Based Nurses

Abstract

The authors conclude that although many aspects of job satisfaction are diminished, some factors predicting low satisfaction and turnover may be amenable to change by hospital administrators.

Relationship between Turnover and Periodic Health Check‐Up Data among Japanese Hospital Nurses: A Three‐Year Follow‐Up Study

“…The present study had three limitations. First, our questionnaire did not include socioeconomic status and psychological factors related to turnover which were suggested by previous studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] , that is, parental or children care demands, salary level, social support, job demand, and job discretion. Secondly, we were unable to collect the reasons for the turnover.…”

“…It can cause decreases in numbers of high-skilled nurses and has an adverse impact on the nursing department, the hospital environment, and the quality of care in medical institutions 1,2) , as well as incurring high costs 3) . Many studies have explored the factors affecting nurses' turnover and their intention of leaving [1][2][3][4][5][6][7][8][9][10][11][12] . They have indicated that the factors affecting intention of leaving were low job satisfaction, inadequacy of staffing, poor salary and welfare, high job stress, low group cohesion, weak leadership by superiors, and work schedule.…”

Accounting For Variation In Hospital Outcomes: A Cross-National Study

“…Indeed, evidence to date suggests that reengineering creates considerable organizational turmoil and employee dissatisfaction that is costly and detrimental to patients. 13 We have demonstrated in other research that the organization of hospital resources, net of actual staffing differences, is an important and underrated factor in explaining variations in hospital outcomes. 14 …”

La réorganisation du travail infirmier en soins de longue durée : une nécessaire évaluation en termes d’impact sur le sens du travail et la santé mentale des infirmières

“…Ainsi, un environnement de travail adéquat a le potentiel de réduire le taux de roulement et de burnout des infirmières et d'améliorer la satisfaction des patients par rapport à leurs soins (Vahey et al, 2004). Par contre, un environnement de travail déficient affecte négativement la satisfaction des infirmières et augmente le roulement de celles-ci, entraînant par voie de conséquence des coûts organisationnels accrus (Davidson et al, 1997 ;Irvine et Evans, 1995 ;Lake, 1998 ;Levek et Jones, 1996).…”