Critique Of Nursing Research

Improved Essays
The nursing research article that I chose to critic for this assignment is entitled "The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units" written by Marianne Baernholdt and Barbara A. Mark. The goal of this publication is to determine if there is a relationship between the nurse work environment and the level of satisfaction and the rate of nurses ' turnover. Urban hospitals have been the subject of research to examine this association but not rural hospitals, thus the subject of this research article.
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,

Related Documents

  • Improved Essays

    In the VHA Workforce and Succession Strategic Plan of 2016, VISN aggregated data cites Registered Nurse as the 2nd highest Mission Critical Occupation in FY 2016 through 2022. VHA projects 39,256 RN losses from attrition over that six year span. Turnover is expected to be high because of early career quit rates, staffing shortages, voluntary retirement, staff satisfaction issues, and from the overall high mission critical nature of the RN position within VHA. On top of nurse attrition, the VHA continues to face increased competition for skilled nurses from private sector medical facilities. When competing against private sector facilities, recruitment and retention is particularly difficult for nurses with advanced professional skills, knowledge…

    • 1053 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nurse’s retention and recruitment is one of the many dilemmas facing hospitals and community employers. According to research, there is a rising global shortage in nurses creating the need to develop better strategies to recruit and retain them. Successful recruitment and retention initiatives require healthcare organizations to address concerns expressed by nurses. Also, creating work settings that attract new nurses and understands the nurse’s perceptions helps in successful recruitment and retention activities. Nurse’s recruitment and retention in the workplace is often associated with different factors that limit the effectiveness of the practices.…

    • 385 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The structure of the nursing department in Ohio Health including whether it is a centralized or decentralized model will be explored. Lastly, two pros and two cons of Ohio Health’s nursing model will be listed. Mission, Vision and Values, Stated Goals: Organization Our company mission is to improve the health of those we serve.…

    • 1037 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In 2013, the Bureau of Labor Statistics reported data listing Registered Nurses (RNs) among the top occupations in terms of job growth through 2022 and due to the expected growth of the RN workforce, the Bureau also projects the need for 525,000 replacement nurses in the workforce. Consequently, the ability of the nursing workforce to sustain itself is severely threatened (Laschinger, Grau, Finegan, & Wilk, 2010). Newly graduated nurses, representing the future of the profession, are a key resource for addressing the nursing shortage and will become a precious health human resource. Stressful working conditions, however, result in an alarmingly high rate of burnout and turnover within their first few years of practice; the high nurse turnover…

    • 186 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Nursing Shared Governance

    • 1598 Words
    • 6 Pages

    Nursing staff improved in their quality of care being delivered, less nurses felt overworked, and scheduling concerns were decreased. (Kear, Duncan, Fansler, and Hunt, 2012). A conclusion was drawn that through shared governance, an organization can improve nurse job satisfaction and reduce burnout and turnover…

    • 1598 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Research done about Certified Nurse Assistants (CNA) has shown that improvingthe quality and effectiveness of a nursing home begins with improving the satisfaction ofworkers. When CNAs are committed and happy with their job, it is easier for them toplease the residents. Research found that in order to improve the satisfaction of CNAsthere needs to be an increase of teamwork, wages, benefits, job advancementopportunities, and involvement of frontline workers. I agree with this statement. I believethat it is hard to have happy residents without happy workers.…

    • 578 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Nurse Patient Ratio Essay

    • 1527 Words
    • 7 Pages

    Mandating Nurse-Patient Ratios • Data shows that lowering the nurse-patient ratio similar to the California mandated ratios will result in lower mortality rates (Aiken et al., 2010). • When the workload is decreased nurses are more successful in identifying a change in patients’ health status, therefore able to intervene and provide a better outcome for the patient (Aiken et al., 2010). • Reports of job dissatisfaction and nurses’ burnout decreased when the nurse-patient ratio in other states were equaled to the California mandated ratios (Aiken et al., 2010). • Research shows that lowering the amount of workload for nurses’ results in fewer mistakes, improved nursing care, a supportive staff, and an overall better working environment (Aiken…

    • 1527 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Nurse Retention Paper

    • 689 Words
    • 3 Pages

    Article Critique Lartey et al. (2014) discuss the scope of the problem by identifying that increasing turnover nurse rates contribute to the nursing shortage, decrease overall job satisfaction, decrease the quality of care, and increase organizational…

    • 689 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Patient and employee satisfaction is an essential component of a successful organization. If the patients are unhappy with their care or service they will not return; patients have a choice in where they receive healthcare. Without substantial patient flow the hospital loses revenue and eventually jobs. Patient satisfaction is absolutely necessary and priority for every nurse leader. Employees must also be satisfied with their work.…

    • 1603 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Jean Watson’s Caring theory has a great place in nursing practice. Her theory consists of three major elements, carative factors, the transpersonal caring relationship and caring occasion (Lachman, 2012). In her carative factors, nurses should develop a trusting, supportive and caring relationship with patients. This can be accomplished by making awareness of feelings that could foster the intimacy. Caring requires nurses to make a deep connection to the spirit of self and to the spirit within the patient.…

    • 1200 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    1. Staff shortage is one of the biggest issues in many health care organizations in the united states. It has a direct relationship with the poor patient outcomes and unstable health care system. In our department as we all noticed that every month we have to provide orientation to the new nurses and other health care providers, which has a negative impact on the health status of patients. Old staffs are more experienced than new staffs so they have better skills and knowledge to deal with health care challenges so it is most crucial to minimize the shortage of staffs.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The economic downturn of the 1990s created a need for more cost effective health care practices in Canada. Baumann & Blythe (2003) observed that during this time, reducing expenses became the focus for governments and institutions, and the majority of hospitals used a bookkeeping method of restructuring (p. 1566). Thus, the easy option of reducing human resources, the largest expenditure in running health care institutions, was taken without carefully planning and considering indirect or long-term outcomes (Baumann & Blythe, 2003, p. 1566). This resulted in many cuts to the nursing workforce, the largest group of health care professionals (for example, the number of registered nurses in Ontario dropped by 8000 from 1995 to 1998) (Baumann &…

    • 1494 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    The Australian Nursing and Midwifery Council defines the enrolled nurse (EN) as, an associate to the registered nurse who demonstrates competence in the provision of patient-centred care as specified by the registering authority’s license to practice, educational preparation and context of care (Monash, 2013). As the enrolled nursing is on an on-going learning career, critical thinking, reflection and analysis are vital criteria that a nurse should concern during her duties and studies. Mainly these three points are significant to deliver a quality patient-centred care. Because some nurses that have been learnt these criteria are not applying in their clinical practice. Critical thinking helps ENs to make judgments related to client’s human…

    • 1570 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…

    • 839 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Critical Appraisal of Quantitative Research Introduction Abstract. The abstract consisted of one paragraph, total of ten sentences, which includes the purpose, design, sampling, and results. Researchers expanded on results but did not include conclusion.…

    • 1451 Words
    • 6 Pages
    Great Essays