Factor Analysis of Increasing the Rate of Nurse Retention in Taiwan

4469 Words Mar 22nd, 2014 18 Pages
Factors That Contribute to Nurse Manager Retention
Mickey L. Parsons, Jana Stonestreet
Disclosures
Nurs Econ. 2003;21(3) * Print * Email
Introduction
The purpose of this study was to describe factors that contribute to a health system's successful retention of nurse managers. This study is the first of a series that will provide the foundation for developing the nursing organization as a "health-promoting organization." The background and significance, theoretical framework, study findings, and executive strategies are discussed. The results and implications are intended to guide executive strategies, including organizational interventions, to build the nursing organization for quality patient care and positive working
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Reports documenting the shortage of nurse managers and challenges for the chief nurse executive to maintain clinical services are emerging. In a management case study, Silvetti, Rudan, Frederickson, and Sullivan (2000) articulated concern with the development of nurse managers and the decreasing numbers of qualified managers to handle the expanded and multifaceted responsibilities.
With the plethora of health system problems affecting patient care and nursing, today's nurse manager is on the front line, the firing line. As the department manager, the expectation of the nurse manager is to sustain a viable, productive workforce to provide quality, cost-effective patient care. For executives to provide leadership and direction for nursing unit managers, it is essential to learn about factors that support nurse manager retention.
Conceptual Framework
Due to the complexity of issues in the nursing and nurse manager shortage, a comprehensive theoretical framework is required. An ecological framework was used to develop a Health Promoting Organizations Model (Parsons, 1999). A health promoting organization is "defined as a community that designs activities and programs, to improve social and environmental living conditions, that enable people to increase control over and improve their health. Organizations,

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