The Effects of Nursing Satisfaction and Turnover Cognitions on Patient Attitudes and Outcomes: A Three‐Level Multisource Study

Leeman

et al. 2021

Preprint

Background Nurse attitudes such as job satisfaction and burnout affect nurses’ ability to do their job well. Positive nurse attitudes have been associated with better patient outcomes, while negative job attitudes have been associated with increased nurse turnover and negative patient outcomes. The Job Demand Resource Model theorized that job attitude mediates the relationship between a job’s demands and resources and organizational outcomes. In Namibia’s outlying located hospitals, health centers and clinics, nurses are key prescribers and managers of antiretroviral therapy. It is vital to understand nurses’ job attitudes, factors that contribute to nurses’ job attitudes and how nurses perceive the impact of their job attitudes, in order to best understand how policy makers can empower nurses to do their jobs well. This paper seeks to examine: 1) factors that contribute to nurses’ job attitudes, and 2) how nurses’ job attitudes affect their ability to do their jobs well. Methods This study is a qualitative descriptive study of 18 semi-structured interviews with nurses working in outlying located hospitals, health centers, and clinics in northern Namibia. Interviews were analyzed using directed content analysis, with codes derived from the Job Demand Resource Model. Results Job factors that influence job attitudes included support from coworkers, workload, access to material resources, access to information, and patient rapport. Personal resilience factors included spirituality and emotional awareness. Patient outcomes were reported to shape nurses’ job attitudes by increasing the drive to learn more at work, improve patients’ satisfaction, decrease mistakes, decrease peer conflicts, increase the drive to coach patients on medication adherence, increase focus while at work, and decrease missed nursing care. Conclusions This study’s finding support the importance of investing in factors that promote positive nurse attitudes such as making investments when feasible in human resources (improving support form coworkers), providing material resources, facilitating positive patient relations, and supporting nurses by providing opportunities to increase their knowledge. This study also highlights the importance of nurse resilience against negative job attitudes, coming from intrinsic factors amongst nurses helping them to deal with stress at work.

Section: How Nurses' Job Attitudes Affect Their Ability To Do Their Jobssupporting

confidence: 84%

Nurses’ Attitudes Towards Their Job in Outpatient HIV Facilities in Namibia: A Qualitative Descriptive Study

Leeman

et al. 2021

Preprint

“…Extant literature on employee satisfaction has shown that while its determinants may vary among different jobs, it has a crucial influence on worker's performance (Jalagat, 2016; Torlak & Kuzey, 2019). In the case of healthcare, nurse satisfaction is a consistent predictor of nursing performance and patient satisfaction (Ahmad et al., 2017; Perry et al., 2018; Putra et al., 2017). This link is also observed when using longitudinal data (Shazadi et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

Effects of internal service quality on nurses’ job satisfaction, commitment and performance: Mediating role of employee well‐being

et al. 2020

Aim The attitudes and behaviours of nursing staff are critical to determine patients’ satisfaction and to have a competitive advantage for any healthcare organization. This study is set to investigate the effects of internal service quality (ISQ) on nurses’ job satisfaction, employee commitment, well‐being and job performance in the healthcare sector of Pakistan. Further, this study also examines the mediating role of nurses’ well‐being for the relationship of job satisfaction and commitment with their job performance. Methods This was a cross‐sectional quantitative research. A self‐administered survey was used to collect data from 412 nursing employees of 20 private sector healthcare centres operating in Pakistan. Partial least square of structural equation model (PLS‐SEM) and structural equation modelling (SEM) were employed through Smart PLS 3.2.8 for data analysis. Results Study results revealed that ISQ directly effects employees’ satisfaction, commitment, well‐being of the nursing employees. Moreover, employees’ well‐being has mediated job satisfaction and job performance relationship; however, well‐being did not mediate the relationship between commitment and job performance.

“…A successful nurse drifted injection clinic relies on satis ed nurses, as increased well-being rises the quality of the work [7] and leads to satis ed patients [8][9][10]. Job satisfaction among nurses is a recurring theme in the literature [11][12][13], but studies of nurses' satisfaction concerning task shifting and training are scarce.…”

Section: Introductionmentioning

confidence: 99%

Task shifting of intravitreal injections from physicians to nurses: a qualitative study

Bolme

Austeng

Gjeilo

2021

Preprint

Background: Intravitreal injections of anti-vascular endothelial growth factor are a high-volume procedure and represent a considerable workload on ophthalmology departments. Several departments have tried to meet this increase by shifting the task to nurses. To maintain high quality patient care, we developed a training program for nurses certifying them to administer injections. This qualitative study aimed to evaluate if the nurses were confident and in control after participating in the training program, and if they were satisfied with the training and the new task. Methods: During 2014-2018, twelve registered nurses were trained in a tertiary hospital in Central Norway. All nurses were interviewed individually (n=7) or in a group (n=5). We analyzed the interviews using Graneheim and Lundmans qualitative content analysis. Results: Twelve sub-themes clustered in four main themes 1) responsibility and safety, 2) motivation and respect, 3) collaboration and 4) reflection and evaluation. The nurses felt confident and in control when administering injections, but experienced moments of insecurity. The new task gave the nurses a sense of achievement and they highlighted improvement of patient’s lives as positive. A greater level of responsibility gave the nurses pride in their profession. They had suggestions that could improve training efficiency but were overall satisfied with the training program.Conclusion: Our study showed that the nurses were satisfied with the training and that learning a new task led to higher self-esteem and gained respect. Suggestions to improve the training were identified, which should be considered before implemented at other departments.