Impact of intelligent healthscape quality on nurse job outcomes and job satisfaction: A test of the moderating effect of innovativeness

J Nurs Manag. 2020 Jan;28(1):43-53. doi: 10.1111/jonm.12875. Epub 2019 Nov 17.

Abstract

Aim: The purpose of this study is to demonstrate the impact of intelligent healthscape quality on job outcomes and job satisfaction via the pleasure feeling of nurses, a positive emotion towards the work environment. The moderating effect of innovativeness as a personal trait is also investigated.

Background: High quality of intelligent healthscape can improve nurses' job outcomes and satisfaction.

Methods: A descriptive, cross-sectional, survey design was used. A total of 222 experienced nurses from a general hospital were surveyed in their working environment, pleasure feeling, job outcomes and job satisfaction. Structural equation modelling was used to test the theoretical model and hypotheses between constructs.

Results: The final model explained 88% of the variance in nurse job outcomes and job satisfaction. The result shows that (a) intelligent healthscape quality had a positive effect on nurse job outcomes and job satisfaction through pleasure feeling, and all the paths of the suggested model were statistically significant. Moreover, (b) a pleasure feeling showed stronger effects on job outcomes in nurses with higher levels of innovativeness.

Conclusions: This model provides a better understanding of the mechanisms between perceived nursing work environment, job outcomes and psychological empowerment. Based on these results, nurse managers can facilitate job satisfaction of nurses by establishing a highly advanced and supportive work environment.

Implications for nursing management: The results of this study provide empirical evidence linking intelligent healthscape quality, pleasure feeling, job outcomes and job satisfaction derived from a theoretical model of intelligent healthscape quality. These findings further elucidate the significance of the technology embedded physical nurse work environment as well as provide new academic approaches by demonstrating novel applications of a theoretical framework.

Keywords: health care environment; intelligent healthscape; intelligent healthscape quality; job outcomes; job satisfaction; structural equation model.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Nurses / psychology*
  • Nurses / standards
  • Nurses / statistics & numerical data
  • Outcome Assessment, Health Care / standards*
  • Outcome Assessment, Health Care / statistics & numerical data
  • Quality of Health Care / standards*
  • Quality of Health Care / statistics & numerical data
  • Surveys and Questionnaires