Arizona’s acute nursing shortage and emphasis on quality patient care are factors that make retention of bedside nurses an important issue for healthcare organizations. Legislated staffing ratios as one means of addressing inadequate staffing is subject to controversy and debate by many healthcare professionals. The quantitative dominant mixed methods study with correlation design used an online survey to examine the impact of Arizona hospital RNs’ attitudes toward legislated staffing ratios on intent to turnover. Study participants were registered nurses working at the bedside in acute care facilities in the state of Arizona; 69 participants completed the survey. After controlling for work satisfaction, findings suggested a negative, moderate, and statistically significant relationship between nurses’ attitudes toward legislated staffing ratios and turnover intent ( r=−0.242, p=.048). Nurses who support legislated staffing ratios appear more likely to leave their current position within the next 12 months than those who do not support legislated ratios. Five key themes emerged from qualitative analysis regarding the work environment: nurse-to-patient ratio, high patient acuity, inadequate staffing, safety issues, and not being able to meet the needs of the patient. The implication of findings for leaders and policy-makers is that attention to nurses’ beliefs about staffing concerns could assist in developing effective interventions and contribute to a more satisfying work environment that attracts and retains nurses at the bedside. Recommendations for future research include replication with a larger sample and a study that includes attitudes of bedside and managerial nurses.
|Advisor:||Archbold, Ricardo H.|
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-B 72/04, Dissertation Abstracts International|
|Subjects:||Management, Nursing, Organizational behavior|
|Keywords:||Nursing shortage, Staffing ratios|
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