• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Work stress/strain, low job satisfaction, and intent to leave home health care nursing among Home Health Care Registered Nurses (HHC RNs)

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Barker_umaryland_0373D_10231.pdf
    Size:
    7.712Mb
    Format:
    PDF
    Download
    Author
    Barker, Dorothy Paxson
    Advisor
    Lipscomb, Jane
    Date
    2011
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    Background: The U.S. shortage of Home Health Care (HHC) Registered Nurses (RNs) is growing and the demand for HHC RNs is estimated to increase 109% by 2020. Factors associated with this shortage of HHC nurses include job stress/strain and low job satisfaction. Predictors of intent to leave their present HHC nursing position are not clear. To date, no published studies have been found that apply the effort-reward imbalance (ERI) model to HHC RNs. Purpose: The purpose of this study was to measure the level of job stress/strain associated with a low job satisfaction and intent to leave reported by HHC RNs practicing in the state of Maryland. Methods: This is a secondary analysis of the data collected from 794 HHC RNs participating in a 2006 study exploring hazard exposures in homecare. A mixedmethods analysis was conducted including quantitative and qualitative analysis. Results: Of the 206 HHC RNs that provided a narrative, 27.2% (n=56) reported an intent to leave or had already left their HHC positions. The six most frequent categories reported in the HHC RNs narratives included; negative organizationaltraits, work stress, love homecare, overwhelming paperwork, inadequate financial compensation, nurse attrition/intent to leave. Logistic regression analysis demonstrated reward as a significant predictor of good job satisfaction for all groups. Overcommitment and effort were significant predictors of low job satisfaction. Elevated ERI scores were reported for respondents with (77.2%) and without (35.0%) narratives indicating the respondents with narratives reported a higher incidence of elevated ERI scores compared to those without narratives. Conclusions: Many HHC RNs noted improvement is needed in their work environment. Job strain/stress is evident among HHC RNs and aspects of effort, reward, and overcommitment were found to be associated with low job satisfaction but no association with intent to leave.
    Description
    University of Maryland in Baltimore. Nursing. Ph.D. 2011
    Keyword
    effort reward imbalance
    home health care
    intent to leave
    nursing shortage
    registered nurses
    work stress
    Job Satisfaction
    Home Health Nursing--manpower
    Nurses
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1692
    Collections
    Theses and Dissertations All Schools
    Theses and Dissertations School of Nursing

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.