uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Organizational configuration of hospitals succeeding in attracting and retaining nurses.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
2007 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 57, no 1, 45-58 p.Article in journal (Refereed) Published
Abstract [en]

Aim. This paper contrasts structural and managerial characteristics of low- and high-turnover hospitals, and describes the organizational configuration of attractive hospitals.

Background. In countries facing nurse shortages and turnover, some hospitals succeed in recruiting and retaining nurses. In Magnet Hospitals, managerial practices and environmental characteristics increase nurses' job satisfaction and their commitment to the organization, which in turn decreases nurse turnover. Such an approach suggests that organizations are best understood as clusters of interconnected structures and practices, i.e. organizational configurations rather than entities whose components can be understood in isolation.

Method. From a sample of 12 hospitals whose nurse turnover was studied for 1 year, structural and organizational features of hospitals in the first and fourth quartiles, i.e. attractive (turnover <3·1%) vs. conventional (turnover >11·8%) were contrasted. A questionnaire, including perceptions of health-related factors, job demands, stressors, work schedules, organizational climate, and work adjustments antecedent to turnover, was received from 401 nurses working in attractive hospitals (response rate = 53·8%) and 774 nurses in conventional hospitals (response rate = 54·5%).

Findings. Structural characteristics did not differentiate attractive and conventional hospitals, but employee perceptions towards the organization differed strikingly. Differences were observed for risk exposure, emotional demands, role ambiguity and conflicts, work-family conflicts, effort-reward imbalance and the meaning of work, all in favour of attractive hospitals (P < 0·001). Relationships with nursing management, work ability and satisfaction with working time, handover shifts and schedules were also better in attractive hospitals (P < 0·001). Job satisfaction and commitment were higher in attractive hospitals, whereas burnout and intention to leave were lower (P < 0·001).

Conclusion. Organizational characteristics are key factors in nurse attraction and retention. Nurses face difficulties in their work situations, but some hospitals are perceived as healthy organizations. The concept of attractive institutions could serve as a catalyst for improvement in nurses' work environments in Europe.

Place, publisher, year, edition, pages
2007. Vol. 57, no 1, 45-58 p.
Keyword [en]
Adult, Attitude of Health Personnel, Female, Hospitals/*manpower, Humans, Interprofessional Relations, Job Satisfaction, Male, Nursing Staff; Hospital/psychology/*supply & distribution, Organizational Culture, Personnel Staffing and Scheduling/standards, Personnel Turnover, Questionnaires
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-11675DOI: 10.1111/j.1365-2648.2006.04095.xPubMedID: 17184373OAI: oai:DiVA.org:uu-11675DiVA: diva2:39444
Available from: 2007-10-11 Created: 2007-10-11 Last updated: 2010-03-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=17184373&dopt=Citation

Search in DiVA

By author/editor
Josephson, malin
By organisation
Department of Medical Sciences
In the same journal
Journal of Advanced Nursing
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 200 hits
ReferencesLink to record
Permanent link

Direct link