This article poses the problem of whether or not the environments in which nurses evolve and their job satisfaction level have an effect on turnover rates. It has been determined that poor nurses turnover …show more content…
The literature review was very thorough and has included references from as far as 1980 and studies that have been conducted in different states. The framework used by the authors of this article is based on structural contingency theory (SCT). Donalson (2001) argues that, "according to SCT, context, structure and effectiveness are related such that an organization 's effectiveness depends on a match between its context and structure" (as cited in Baernholdt & Mark, 2009 ). The structure internal to this study has to include the environment of the organization and the works it does, in order for effectiveness to occur. This article used Mark et al.’s (1996) "theoretical model for nursing systems to develop a conceptual model in which context was conceptualized as hospital and nursing unit characteristics, structure was conceptualized as the nurse work environment and effectiveness was conceptualized as nurse job satisfaction and turnover" (as cited in Baernholdt & Mark, …show more content…
These hospitals were constituted of ninety-nine beds or more, did not belong to federal governement, were not psychiatric units, and were not-for profit and accredited as acute care hospital by the Joint Commission. This study has also integrated a subsample of one hundred and ninety four nusing units from the twenty-two rural hospitals for a number of bed ranged from ninety- nine to four hundreds and fifty beds. For the same number of beds, these rural hospitals were included in the subsample along with seventy-five hospitals in urban area. "According to the American Hospital Association (AHA), a hospital was designated rural if it was located in a non-metropolitan statistical area, i.e. a geographic area with <50 000 population" (Baernholdt & Mark,