The relationship between nursing leadership and nurses' job satisfaction in Canadian oncology work environments

被引：54

作者：

Cummings, Greta G. ^{[1
]}

Olson, Karin ^{[1
]}

Hayduk, Leslie ^{[2
]}

Bakker, Debra ^{[3
]}

Fitch, Margaret ^{[4
]}

Green, Esther ^{[5
]}

Butler, Lorna ^{[6
]}

Conlon, Michael ^{[7
]}

机构：

[1] Univ Alberta, Fac Nursing, Edmonton, AB T6G 2G3, Canada

[2] Univ Alberta, Dept Sociol, Edmonton, AB T6G 2G3, Canada

[3] Laurentian Univ, Sch Nursing, Sudbury, ON P3E 2C6, Canada

[4] Toronto Sunnybrook Reg Canc Ctr, Psychosocial & Behav Res Unit, Toronto, ON, Canada

[5] Canc Care Ontario, Toronto, ON, Canada

[6] Univ Saskatchewan, Coll Nursing, Saskatoon, SK S7N 0W0, Canada

[7] HRSRH, Reg Canc Program, Sudbury, ON, Canada

来源：

JOURNAL OF NURSING MANAGEMENT | 2008年 / 16卷 / 05期

基金：

加拿大健康研究院;

关键词：

job satisfaction; nurse/physician relationships; oncology work environments; relational leadership; structural equation modeling; theory;

D O I：

10.1111/j.1365-2834.2008.00897.x

中图分类号：

C93 [管理学];

学科分类号：

12 ; 1201 ; 1202 ; 120202 ;

摘要：

Background Current Canadian oncology work environments are challenged by the same workforce statistics as other nursing specialties: nurses are among the most overworked, stressed and sick workers, and more than 8% of the nursing workforce is absent each week due to illness. Aim To develop and estimate a theoretical model of work environment factors affecting oncology nurses' job satisfaction. Methods The sample consisted of 515 registered nurses working in oncology settings across Canada. The theoretical model was tested as a structural equation model using LISREL 8.54. Results The final model fitted the data acceptably (chi(2) = 58.0, d.f. = 44, P = 0.08). Relational leadership and physician/nurse relationships significantly influenced opportunities for staff development, RN staffing adequacy, nurse autonomy, participation in policy decisions, support for innovative ideas and supervisor support in managing conflict, which in turn increased nurses' job satisfaction. Conclusions These findings suggest that relational leadership and positive relationships among nurses, managers and physicians play an important role in quality oncology nursing environments and nurses' job satisfaction. Implications for nursing management Oncology nursing work environments can be improved by focusing on modifiable factors such as leadership, staff development and staffing resources, leading to better job satisfaction and hopefully retention of nurses.

引用

页码：508 / 518

页数：11

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