Aim Using Social Exchange Theory, this study examines links between
supervisor–nurse relationships, teamwork, psychological wellbeing and turnover
intentions for nurses in the USA.
Background Nurses in the USA comprise the biggest workforce of any country in
the world. However, nurses continue to be in short supply even with an
aggressive campaign to attract foreign nurses. The shortage of qualified registered
nurses has negative implications for patient care and mortality because it affects
problem-solving and teamwork as a result of poor communication among nurses.
Methods The study uses a cross-sectional design and 730 completed surveys were
obtained using a self-report strategy.
Results The findings indicate that supervisor–nurse relationships, teamwork and
wellbeing explain almost half of nurses’ commitment to their hospital and their
intentions to leave. Further, there was evidence of a generational effect in that
Baby Boomer nurses perceived higher levels of wellbeing and commitment, and
lower intention to leave.
Implications for nursing managementThese findings suggest that management
must focus on improving the quality of workplace relationship as a first step in
retaining skilled nurses. It may be time for management to embed performance
indicators for all levels of management, linked to ensuring effective workplace
relationships.
Aim Using Social Exchange Theory, this study examines links between
supervisor–nurse relationships, teamwork, psychological wellbeing and turnover
intentions for nurses in the USA.
Background Nurses in the USA comprise the biggest workforce of any country in
the world. However, nurses continue to be in short supply even with an
aggressive campaign to attract foreign nurses. The shortage of qualified registered
nurses has negative implications for patient care and mortality because it affects
problem-solving and teamwork as a result of poor communication among nurses.
Methods The study uses a cross-sectional design and 730 completed surveys were
obtained using a self-report strategy.
Results The findings indicate that supervisor–nurse relationships, teamwork and
wellbeing explain almost half of nurses’ commitment to their hospital and their
intentions to leave. Further, there was evidence of a generational effect in that
Baby Boomer nurses perceived higher levels of wellbeing and commitment, and
lower intention to leave.
Implications for nursing managementThese findings suggest that management
must focus on improving the quality of workplace relationship as a first step in
retaining skilled nurses. It may be time for management to embed performance
indicators for all levels of management, linked to ensuring effective workplace
relationships.
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