High Job Demands and Low Job Control Increase Nurses' Professional Leaving Intentions: The Role of Care Setting and Profit Orientation.
Autor: | Wendsche, Johannes, Hacker, Winfried, Wegge, Jürgen, Rudolf, Matthias |
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Předmět: |
MEDICAL care for older people
AUTONOMY (Psychology) STATISTICAL correlation DISMISSAL of employees FACTOR analysis GERIATRIC nursing PROPRIETARY health facilities HOME care services HOME nursing INTENTION JOB descriptions JOB satisfaction LABOR turnover LONG-term health care NONPROFIT organizations NURSES NURSING practice NURSING care facility administration PATH analysis (Statistics) PROBABILITY theory PROFESSIONS QUESTIONNAIRES RESEARCH evaluation RESEARCH funding STATISTICAL sampling SCALE analysis (Psychology) STATISTICAL hypothesis testing EMPLOYEES' workload SECONDARY analysis STRUCTURAL equation modeling CROSS-sectional method DATA analysis software WORK experience (Employment) INTRACLASS correlation |
Zdroj: | Research in Nursing & Health; Oct2016, Vol. 39 Issue 5, p353-363, 11p, 1 Diagram, 1 Chart |
Abstrakt: | We investigated how two types of care setting (home care and nursing home) and type of ownership (for‐profit vs. public/non‐profit) of geriatric care services interacted in influencing registered nurses’ intention to give up their profession. In prior research, employment in for‐profit‐organizations, high job demands, and low job control were important antecedents of nurses’ intent to leave. However, the impact of care setting on these associations was inconclusive. Therefore, we tested a mediated moderation model predicting that adverse work characteristics would drive professional leaving intentions, particularly in for‐profit services and in nursing homes. A representative German sample of 304 registered nurses working in 78 different teams participated in our cross‐sectional study. As predicted, lower job control and higher job demands were associated with higher professional leaving intentions, and nurses reported higher job demands in public/non‐profit care than in for‐profit care, and in nursing homes compared to home care. Overall, RNs in nursing homes and home care reported similar intent to leave, but in for‐profit settings only, nurses working in nursing homes reported higher professional leaving intentions than did nurses in home care, which was linked to lower job control in the for‐profit nursing home setting, supporting mediated moderation. Taken together, our results indicate that the interplay of care setting and type of ownership is important when explaining nurses’ intentions to give up their profession. © 2016 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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