No description available.

Intensive care unit nursing shortages are an ongoing issue within the Canadian healthcare system. The goal of this thesis research was to better understand Manitoban intensive care unit (ICU) nurses’ intent to leave or stay. An adapted version of the Conceptual Framework for Predicting Nurse Retention provided the framework to examine ICU nurses’ perceived empowerment, caring, job satisfaction and intent to leave or stay. An online survey was distributed by the College of Registered Nurses of Manitoba to 630 ICU nurses in Manitoba. Ethical approval was obtained from the Education Nursing Research Ethics Board at the University of Manitoba. Findings indicate the majority of ICU nurses who participated in this research were satisfied with their job. Multivariate analyses indicated that job satisfaction was statistically significantly associated with intent to stay. / October 2016

Background: High nursing turnover and early nursing career exit rates evidenced by the current global nursing shortage is the impetus for effective strategies aimed at retaining nurses in their current positions. Nurses’ behavioral intentions to leave or stay are not well understood. Aim: This thesis aims to increase understanding of why clinical nurses choose to remain in their current positions and to assess the influence that nursing leaders have on staff nurses’ intent to stay. Methods: Two systematic literature reviews were conducted; one to synthesize current research on clinical nurses’ intentions to stay and the influence of leadership practices on those intentions; the other to determine the appropriateness of conceptualizing intentions to stay and leave as opposite ends of a continuum. Building on two published conceptual models (Boyle et al. 1999; Tourangeau & Cranley (2006), a new theoretical model of nurses’ intent to stay was developed and tested as a structural equation model using LISREL 8.8 and a subset of the QWEST study data provided by 415 nurses working in nine hospitals in one Canadian province. Results: The systematic reviews identified positive relationships between relational leadership practices and nurses’ intentions to stay, supporting the assertion that managers influence the behavioral intentions of nurses and their intentions to stay and leave. Intentions to stay and leave were found to be separate but correlated concepts. Model testing results, χ2=169.9, df=148 and p=0.105, indicated a fitting model that explained 63% of the variance in intentions to stay. Concepts with the strongest direct effects on intent to stay were empowerment, organizational commitment, and desire to stay. Leadership had strong total effects and indirectly influenced intent to stay through empowerment. Conclusions: Findings suggested that intent to stay or leave should be investigated as separate but correlated concepts. Relational leadership that focuses on individual nurses and supports empowering work environments will likely affect nurses choosing to remain in their current positions.

The system of General Health Insurance was carried out since 1995 promoting the convenience for people seeking the medical care and helping a lot of medical disadvantaged minority. Moreover, this system also makes the medical resource differential obviously in the area of off-shore and main islands of Taiwan. The medical resource in main island of Taiwan is centralized and syndicated which reveals the helpless plight of poor medical resources and isolated geography in the remote area of off-shore islands conspicuously. This study researches into the mutual moderating effects of the doctors' perception of the work environment, job satisfaction, role stress, and intent to stay for the doctors in the off-shore islands of Penghu. This study retrieves 102 effective questionnaires by a census-taking. The collected data is carried on SPSS15.0 statistical analysis and test by utilizing t-test and ANOVA analysis to calculate the differences of the demographic statistics parameters, perception of the work environment, job satisfaction, role stress, and intent to stay in isolated island area. Moreover, the mutually influenced degree of constructs is scrutinized by multi-regression and path analyses. This research finds that: 1. Sufficient medical and human resources, good medical cooperation, and high working aspiration can improve the doctors' job satisfaction in the off-shore islands of Penghu. 2. Ample medical and human resources and good medical cooperation can reduce the role stress of doctors. 3. Application of the factors in stimulation and sound health care will lead negative and positive influences on doctors. 4. Good medical cooperation encourages the doctors to concentrate their attention on medical work and seldom interference in the doctor's medical work or values can further their intent to stay in the off-shore islands of Penghu.

The purpose of this prospective, descriptive, cross-sectional, correlational study was to explore the relationship between staff nurses' perceptions of first line manager coaching behaviors and nursing work environment characteristics, professional work satisfaction, job satisfaction, and intent to stay. Staff nurses perceived managers as engaging in certain coaching behaviors more frequently than others. Behaviors that established a mutually trusting and supportive relationship were reported as the most frequently occurring behaviors. Behaviors that supported the development of a mutually trusting and respectful relationship were reported as the most frequently occuring behaviors. Behaviors that supported one-on-one interactions focusing on individual development occurred less frequently. Managerial coaching behaviors were positively correlated with eight work environment characteristics which comprise professional work satisfaction, with medium to large effect sizes noted. Coaching behaviors also demonstrated positive relationships with job satisfaction and intent to stay. Correlational analyses and regression analyses illuminated the relationships between the variables. Mediation analysis of managerial coaching and the eight work environment characteristics defining professional work satisfaction provided more complete understanding of the relationship in prediction of intent to stay. The eight characteristics acted as either total or partial mediators of managerial coaching when predicting intent to stay. Demographic characteristics, managerial coaching and professional work satisfaction explained 41.4% of the variance in job satisfaction. Demographic characteristics, managerial coaching, professional work satisfaction, and job satisfaction explained 37% of the variance in intent to stay. / text

No description available.

Part-time nurse faculty play an important role in the production and quality of the nursing workforce. However, the shortage of nurse faculty exacerbates current shortages of nurses. In Canada, the shortage is predicted to reach 60,000 full-time equivalent RNs by 2022. Therefore, retaining qualified part-time nurse faculty in academia is a key component in managing the shortage problem. The purpose of this study was to test and refine a model of part-time nurse faculty intent to remain employed in the academic organization. Cross-sectional survey methods were employed. A total of 282 part-time nurse faculty employed within Ontario, Canada colleges or universities were invited to participate. Survey instruments and items measured demographic, workplace, nurse responses to the workplace, and external variables. Correlation and multiple regression analyses were conducted using data from 119 participants (47.6% true response rate). Of the 19 variables hypothesized to affect intent to remain employed in the academic organization, seven influenced intent to remain. The resulting model indicated that the older the part-time nurse faculty member, the lower the level of intent to remain and the more years worked in the organization, the higher the level of intent to remain. The more opportunities perceived to exist outside of the employing organization, the higher the level of intent to remain. Additionally, the more satisfied part-time nurse faculty were with their job overall, the higher their level of intent to remain. In the workplace, the more support from the leader, the more formal or informal recognition received, and the more fair work procedures were perceived to be, the higher levels of part-time nurse faculty intent to remain employed in the academic organization, mediated by job satisfaction. Although age, organizational tenure, and external career opportunities are non-modifiable variables, deans and directors can encourage part-time nurse faculty to remain employed in their academic job by focusing on enhancing overall job satisfaction. Effective strategies may include formal or informal acknowledgement of good performance, consistent verbal and behavioural support, and implementation of procedural practices, such as performance evaluations and pay raises in a fair manner.

Part-time nurse faculty play an important role in the production and quality of the nursing workforce. However, the shortage of nurse faculty exacerbates current shortages of nurses. In Canada, the shortage is predicted to reach 60,000 full-time equivalent RNs by 2022. Therefore, retaining qualified part-time nurse faculty in academia is a key component in managing the shortage problem. The purpose of this study was to test and refine a model of part-time nurse faculty intent to remain employed in the academic organization. Cross-sectional survey methods were employed. A total of 282 part-time nurse faculty employed within Ontario, Canada colleges or universities were invited to participate. Survey instruments and items measured demographic, workplace, nurse responses to the workplace, and external variables. Correlation and multiple regression analyses were conducted using data from 119 participants (47.6% true response rate). Of the 19 variables hypothesized to affect intent to remain employed in the academic organization, seven influenced intent to remain. The resulting model indicated that the older the part-time nurse faculty member, the lower the level of intent to remain and the more years worked in the organization, the higher the level of intent to remain. The more opportunities perceived to exist outside of the employing organization, the higher the level of intent to remain. Additionally, the more satisfied part-time nurse faculty were with their job overall, the higher their level of intent to remain. In the workplace, the more support from the leader, the more formal or informal recognition received, and the more fair work procedures were perceived to be, the higher levels of part-time nurse faculty intent to remain employed in the academic organization, mediated by job satisfaction. Although age, organizational tenure, and external career opportunities are non-modifiable variables, deans and directors can encourage part-time nurse faculty to remain employed in their academic job by focusing on enhancing overall job satisfaction. Effective strategies may include formal or informal acknowledgement of good performance, consistent verbal and behavioural support, and implementation of procedural practices, such as performance evaluations and pay raises in a fair manner.

Juvenile Correctional officers are important to the function of secure facilities because they maintain constant contact with offenders. This quantitative study sought to determine why turnover rates continue to rise and offered insight into retaining officers. This study utilized Abraham Maslow's Hierarchy of Needs theory as the foundation for explaining relationships between the variables: quality supervision and intent to stay and job satisfaction, job search, and job embeddedness of juvenile correctional officers across the United States. Survey data were collected from 247 juvenile correctional officers using a web-based survey containing 5 scales including Quality of Supervision and Intent to Stay, and Job Embeddedness, Job Satisfaction, and Job Search. The relationship between quality of supervision and intent to stay and job embeddedness, job satisfaction, and job search, were analyzed through correlational and multiple regression analyses. An ordinal regression analysis determined that of the variables examined, job satisfaction was a significant factor in the quality of supervision for juvenile correctional officers supervising female youth in secure facilities. A multiple linear regression analysis determined that of the variables analyzed only job satisfaction and job search had a significant effect on juvenile correctional officers supervising female youth intent to stay employed at secure female facilities. This research enhances the body of knowledge examining the cause of individuals' intent to stay and quality of supervision. Reduction of employee turnover increase of job satisfaction, and quality of supervision can positively benefit juvenile justice organizations by enabling correctional staff to meet the overall mission of keeping youth and communities safe.

No description available.