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Deteriorated External Work Environment, Heavy Workload and Nurses' Job Satisfaction and Turnover Intention

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  • Isik U. Zeytinoglu
  • Margaret Denton
  • Sharon Davies
  • Andrea Baumann
  • Jennifer Blythe
  • Linda Boos

Abstract

Health system reform experienced in Canada since the 1990s profoundly affected health-care workplaces and workers' attitudes. In this paper we examine associations between deteriorated external work environment, heavy workload and nurses' job satisfaction and turnover intention. Data are from our 2002 survey responses of 1,396 nurses employed in three teaching hospitals in southern Ontario. Data are analyzed first for all nurses and then separately for full-time, part-time, and casual nurses. External work environment refers to nurses' perceptions of important decisions being made outside the hospital, limited resources, and budget cuts. Results show that when nurses perceive a deteriorated external work environment and consider their workload to be heavy, they also report low job satisfaction. Low job satisfaction and heavy workload, in turn, are associated with nurses' turnover intention. However, when nurses perceive a deteriorated external work environment they are more inclined to stay. When data are examined separately for each employment status group, the effect of external work environment and workload are different on turnover intentions for fulltime, part-time, and casual nurses. We suggest managers and policymakers pay attention to the impact of deteriorated external work environment and heavy workload in developing strategies for nurses' job satisfaction and retention. More importantly, the different impact of these factors according to employment contracts should be considered in developing human resources policies for nurses' job satisfaction and retention.

Suggested Citation

  • Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Linda Boos, 2007. "Deteriorated External Work Environment, Heavy Workload and Nurses' Job Satisfaction and Turnover Intention," Canadian Public Policy, University of Toronto Press, vol. 33(s1), pages 31-48, January.
    • Handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:31-48
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    References listed on IDEAS

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    1. Isik Urla Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Ann Higgins, 2005. "Survey Results of the New Health Care Worker Study: Implications of Changing Employment Patterns," Quantitative Studies in Economics and Population Research Reports 394, McMaster University.
    2. Isik Urla Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Ann Higgins, 2005. "Survey Results of the New Health Care Worker Study: Implications of Changing Employment Patterns," Social and Economic Dimensions of an Aging Population Research Papers 129, McMaster University.
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    Cited by:

    1. Paola Gatti & Chiara Ghislieri & Claudio G Cortese, 2017. "Relationships between followers’ behaviors and job satisfaction in a sample of nurses," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-16, October.
    2. Danjun Feng & Shan Su & Yang Yang & Jinghua Xia & Yonggang Su, 2017. "Job satisfaction mediates subjective social status and turnover intention among Chinese nurses," Nursing & Health Sciences, John Wiley & Sons, vol. 19(3), pages 388-392, September.
    3. Muhammad Ali Raza & Noor Ul-Hadi & Majid Khan & Bahaudin G. Mujtaba, 2022. "Behavioral Orientation to Organizational Justice: Moderating Role of Islamic Work Ethics and Trust in Leader in Tourism Industry," Public Organization Review, Springer, vol. 22(4), pages 1279-1296, December.
    4. Abdul Faris Makarim & Muafi Muafi, 2021. "The effect of green human resource management (GHRM) practices on turnover intention: Mediating role of work environment," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 10(5), pages 83-94, July.
    5. Peter Koch & Max Zilezinski & Kevin Schulte & Reinhard Strametz & Albert Nienhaus & Matthias Raspe, 2020. "How Perceived Quality of Care and Job Satisfaction Are Associated with Intention to Leave the Profession in Young Nurses and Physicians," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    6. Dana Hayward & Vicky Bungay & Angela C Wolff & Valerie MacDonald, 2016. "A qualitative study of experienced nurses' voluntary turnover: learning from their perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(9-10), pages 1336-1345, May.
    7. Martina Buljac-Samardžić & Marianne van Woerkom, 2018. "Improving quality and safety of care in nursing homes by team support for strengths use: A survey study," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-16, July.

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