Nurses' and Supervisors' Value Congruence, Leadership Support and Patient Outcomes and the Effect on Job Satisfaction and Intent to Leave.

摘要

The issue of patient outcomes, nurse turnover, and retention impacts healthcare on a local, national, and global level. Turnover usually has a negative effect on an organization and may cause financial instability, low staff morale, decreased quality of care, poor patient outcomes, and decreased job satisfaction. Leadership has been cited to be one important influence on these factors.;The purpose of this study was to examine the factors among congruency of leadership support and congruency and value of patient outcomes between supervisors and nurses, nurses' job satisfaction and their turnover intent. The theoretical framework of Person-Environment Fit guided this study. The nurses' and supervisors' experience, educational level and amount and type of interaction between them was also measure The sample included 92 staff nurses and 21 nurse managers who were working on medical-surgical and telemetry nursing units in a large metropolitan area in the Mid-Atlantic area of the United States.;Data were collected via a survey booklet that contained four instruments: that measured the study's factors. The results of this study indicated that there was a relationship between value congruence and leadership support and nurse satisfaction. In this study congruency on leadership support was positively correlated with nurse satisfaction. However, in this study value congruence and leadership support were negatively correlated with turnover intent.;Nurse administrators can utilize the results of this study to guide their organizations in the development of policies that will address the issue of turnover and retention. Nursing research should continue to investigate nurse turnover in order to utilize current evidence in the development of nurse retention programs.