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Dissertation/Thesis Abstract

Registered Nurses' Perceptions of Work Engagement and Turnover Intentions in a Long-Term Care Facility: A Case Study
by Binney, Ishaque, Ed.D., Northcentral University, 2014, 177; 3641466
Abstract (Summary)

Research studies show that work engagement is credited with having a positive effect on business outcomes. As health care leaders and administrators continue to make efforts to improve work engagement, the global nursing shortage has become a major problem that can affect registered nurses (RNs') work engagement and turnover intentions. RNs are important to the nation's well-being as everyone's health care needs involve the role of a nurse, but RNs currently in practice experience higher demands in an environment already constrained. This qualitative case study explored the perceptions of eight RNs in a long-term health care facility located in a Northeastern region of the United States utilizing semi-structured open-ended interviews. The study illustrated how RNs' work engagement could be improved and strengthened, turnover intentions minimized to make nurses' practice environment more attractive to motivate and retain nurses in long-term care setting. Study results suggest that nurses are highly engaged in their work though they encounter several issues including understaffing that creates work overload leading to burnout and job-related stress that challenge and undermine their engagement. Results also indicate that in order to improve RNs' practice environment and minimize turnover intentions and turnover, concerns regarding understaffing, job role stress, and nurse-management conflicts need to be addressed. Study results imply that to be effective as a nurse one has to be dedicated and committed to his or her work and the profession. Additionally, organizational leaders should make concerted effort to identify and address nurses' issues to create practice environments that attract and retain nurses.

Indexing (document details)
Advisor: Halkias, Daphne
Commitee: Dereshiwsky, Mary
School: Northcentral University
Department: School of Education
School Location: United States -- Arizona
Source: DAI-B 76/02(E), Dissertation Abstracts International
Subjects: Behavioral psychology, Nursing
Keywords: Long-term care, Nursing homes, Registered nurses, Turnover, Turnover intentions, Work engagement
Publication Number: 3641466
ISBN: 978-1-321-27662-6
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