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This study used causal modeling to trace the effects of manager leadership characteristics on staff registered nurse (RN) retention in 4 urban hospitals. Unique to the study were the all-RN sample, using Leavitt's (1958) model of behavior within an organization to group variables, manager characteristics and unit structure variables as predictors, and focus(More)
BACKGROUND Cyclical fluctuations in turnover of critical care nurses are a large and complex problem. Managers' leadership characteristics may be a determinant of critical care nurses' intent to stay in the job. OBJECTIVE To examine the direct and indirect effects of nurse-managers' characteristics of power, influence, and leadership style on critical(More)
Findings are reported from a replicated evaluation of the psychometric properties of the Organizational Job Satisfaction Scale. Data lend strong support for the scale which assesses four dimensions of organizational job satisfaction. Principal component factor analysis of data from two independent samples of urban staff registered nurses (RNs) (n = 496; n =(More)
Even though good communication among clinicians, patients, and family members is identified as the most important factor in end-of-life care in ICUs, it is the least accomplished. According to accumulated evidence, communication about end-of-life decisions in ICUs is difficult and flawed. Poor communication leaves clinicians and family members stressed and(More)
OBJECTIVE To test an intervention to enhance collaborative communication among nurse and physician leaders (eg, nurse manager, medical director, clinical nurse specialist) in two diverse intensive care units (ICUs). BACKGROUND Collaborative communication is associated with positive patient, nurse, and physician outcomes. However, to date,(More)
Although nursing care hours (NCH) is commonly used to examine factors related to adverse events among inpatients, the reliability of the NCH measure has rarely been examined. This study assessed the reliability of NCH data from the National Database of Nursing Quality Indicators® by estimating intraclass correlation coefficients (ICCs) with data from the(More)
The objective of this study was to examine nursing specialty certification trends by Magnet® status and unit type. Research exploring organizational and unit attributes associated with higher specialty certification rates is timely given the beginning evidence that certification is associated with lower patient adverse events. The sample included 6047 units(More)
OBJECTIVE To examine the modified contingency theory of role socialization with new graduate nurses in critical care. DESIGN Descriptive comparative. SETTING Six midwestern hospitals with 12 types of critical care units. SAMPLE Fifty new graduate nurses and 89 experienced registered nurses in critical care. OUTCOME MEASUREMENTS The socialization(More)