Changes in Hospital Nurse Work Environments and Nurse Job Outcomes: An Analysis of Panel Data

TitleChanges in Hospital Nurse Work Environments and Nurse Job Outcomes: An Analysis of Panel Data
Publication TypeJournal Article
Year of Publication2013
AuthorsKutney-Lee, Ann M., Evan S. Wu, Douglas M. Sloane, and Linda H. Aiken
JournalInternational Journal of Nursing Studies
Volume50
Pagination195-201
Type of ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.
ISBN Number0020-7489
Accession NumberPMID: 22902135
AbstractBackground One strategy proposed to alleviate nursing shortages is the promotion of organizational efforts that will improve nurse recruitment and retention. Cross-sectional studies have shown that the quality of the nurse work environment is associated with nurse outcomes related to retention, but there have been very few longitudinal studies undertaken to examine this relationship. Objectives To demonstrate how rates of burnout, intention to leave, and job dissatisfaction changed in a panel of hospitals over time, and to explore whether these outcomes were associated with changes in nurse work environments. Methods A retrospective, two-stage panel design was chosen for this study. Survey data collected from large random samples of registered nurses employed in Pennsylvania hospitals in 1999 and 2006 were used to derive hospital-level rates of burnout, intention to leave current position, and job dissatisfaction, and to classify the quality of nurses’ work environments at both points in time. A two-period difference model was used to estimate the dependence of changes in rates of nurse burnout, intention to leave, and job dissatisfaction on changes in nurse work environments between 1999 and 2006 in 137 hospitals, accounting for concurrent changes in nurse staffing levels. Results In general, nurse outcomes improved between 1999 and 2006, with fewer nurses reporting burnout, intention to leave, and job dissatisfaction in 2006 as compared to 1999. Our difference models showed that improvements in work environment had a strong negative association with changes in rates of burnout (β = −6.42%, p < 0.01) intention to leave (β = −4.10%, p < 0.01), and job dissatisfaction (β = −8.00%, p < 0.01). Conclusions Improvements in nurse work environments over time are associated with lower rates of nurse burnout, intention to leave current position, and job dissatisfaction.
URLhttp://dx.doi.org/10.1016/j.ijnurstu.2012.07.014
PMCIDPMCID: PMC3589738