Turnover in health care: the mediating effects of employee engagement.
| Autor: | Collini, Stevie A., Guidroz, Ashley M., Perez, Lisa M. |
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| Předmět: |
CORPORATE culture
GOAL (Psychology) HEALTH facility employees INTERPERSONAL relations LABOR turnover METROPOLITAN areas NURSES NURSE supply & demand SENSORY perception PERSONNEL management CULTURAL pluralism REGRESSION analysis RESPECT RURAL conditions STATISTICS SURVEYS SAMPLE size (Statistics) EDUCATIONAL attainment INTER-observer reliability ORGANIZATIONAL goals DESCRIPTIVE statistics |
| Zdroj: | Journal of Nursing Management; Mar2015, Vol. 23 Issue 2, p169-178, 10p |
| Abstrakt: | Aim This study aimed to understand the interaction between interpersonal respect, diversity climate, mission fulfilment and engagement to better predict turnover in health care. Background Registered nurse turnover has averaged 14% and current nursing shortages are expected to spread. Few studies have studied employee engagement as a mediator between organisational context and turnover. Method Study participants were employees working within 185 departments across ten hospitals within a large healthcare organisation in the USA. Although a total of 5443 employees work in these departments, employee opinion survey responses were aggregated by department before being linked to turnover rates gathered from company records. Result Engagement fully mediated the relationship between respect and turnover and the relationship between mission fulfilment and turnover. Diversity climate was not related to turnover. Conclusion Turnover in health care poses a significant threat to the mission of creating a healing environment for patients and these results demonstrate that workplace respect and connection to the mission affect turnover by decreasing engagement. Implications for nursing management The findings demonstrated that to increase engagement, and improve turnover rates in health care, it would be beneficial for organisations, and nurse management to focus on improving mission fulfilment and interpersonal relationships. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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