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Dissertation/Thesis Abstract

Relationship of organizational work climate to nurse turnover in operating room settings
by Jay, Rita A., Ph.D., Capella University, 2015, 251; 3724927
Abstract (Summary)

Organizational work climates in healthcare organizations were described in the literature using a social framework of structured interactions, defined roles, and behavioral responses between team members of physicians and nurses. It was hypothesized that the characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy in socially complex work settings have relationships to turnover intent in nurses who work in operating room settings. In an era of nursing shortages the challenge of nurse retention and the evidence of challenging work climate become even more critical for healthcare organizations. This research study examined a gap in knowledge regarding the extent to which aspects of organizational work climate predict nurse turnover in operating room work settings. A quantitative correlational study using three work climate characteristics of physician-nurse collaboration, physician dominance, and nurse autonomy was conducted using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (Hojat & Herman, 1985, Developing an Instrument to Measure Attitudes toward Nurses: Preliminary Psychometric Findings) and the Anticipated Turnover Scale (Hinshaw & Atwood, 1983, Nursing Staff Turnover, Stress, and Satisfaction: Models, Measures, and Management). Responses from 322 Operating Room staff nurses who were members of a national professional nursing organization were examined in the analyses. The study concluded that the independent variables of collaboration, dominance, and autonomy were not significant in predicting turnover among nurses in the operating room setting.

Indexing (document details)
Advisor: Karjalainen, Terry
Commitee: Grohman, Kerry, Lazar, Bruce
School: Capella University
Department: School of Public Service Leadership
School Location: United States -- Minnesota
Source: DAI-B 77/02(E), Dissertation Abstracts International
Subjects: Nursing, Occupational psychology, Health care management
Keywords: Nurse autonomy, Nurse turnover intent, Operating room, Organizational work climate, Physician dominance, Physician-nurse collaboration
Publication Number: 3724927
ISBN: 978-1-339-08722-1
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