Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care

doi:10.1111/jonm.12943

. 2020 Nov;28(8):1940-1947.

doi: 10.1111/jonm.12943. Epub 2020 Feb 19.

Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care

Jessica G Smith¹, Jeannette A Rogowski², Eileen T Lake³

Affiliations

¹ College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA.
² Department of Health Policy and Administration, The Pennsylvania State University, State College, PA, USA.
³ Nursing and Sociology, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

PMID: 31891425
PMCID: PMC7575421
DOI: 10.1111/jonm.12943

Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care

Jessica G Smith et al. J Nurs Manag. 2020 Nov.

. 2020 Nov;28(8):1940-1947.

doi: 10.1111/jonm.12943. Epub 2020 Feb 19.

Authors

Jessica G Smith¹, Jeannette A Rogowski², Eileen T Lake³

Affiliations

¹ College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA.
² Department of Health Policy and Administration, The Pennsylvania State University, State College, PA, USA.
³ Nursing and Sociology, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.

PMID: 31891425
PMCID: PMC7575421
DOI: 10.1111/jonm.12943

Abstract

Aim(s): To determine relationships among missed nursing care, job enjoyment and intention to leave for neonatal nurses.

Background: Being unable to provide required nursing care to infants could contribute to poorer neonatal nurse job outcomes, which may exacerbate staffing challenges. Little evidence exists about how missed nursing care relates to neonatal nurse job outcomes.

Method(s): The design was cross-sectional. Secondary data from the 2016 National Database of Nursing Quality Indicators Registered Nurse Survey were used, which included nurse ratings of job enjoyment, intention to leave and missed nursing care. American Hospital Association data from 2016 were used to describe hospitals. Linear and logistic regressions were calculated.

Results: There were 5,824 neonatal nurses. Mean nurse job enjoyment was 4.26 out of 6 (SD = 0.97). On average, 15% of nurses intended to leave their position. Each one unit increase in missed nursing care was associated with a 0.26 decrease in job enjoyment and a 29% increased odds of intention to leave after controlling for nursing and hospital characteristics.

Conclusions: Missed nursing care can influence nurse job enjoyment and intention to leave in neonatal care units.

Implications for nursing management: Neonatal nurse managers should address missed nursing care to improve neonatal nurse job outcomes.

Keywords: intention to leave; job enjoyment; missed nursing care; neonatal intensive care unit; nurse job outcomes.

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Conflict of interest statement

Conflict of Interests: None to declare.

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References

1. Aiken LH, Clarke SP, Sloane DM, Lake ET, & Cheney T (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223–229. doi:10.1097/01.NNA.0000312773.42352.d7 - DOI - PMC - PubMed
1. Brayfield AH, & Rothe HF (1951). An index of job satisfaction. Journal of Applied Psychology, 35(5), 307–311. doi:10.1037/h0055617 - DOI
1. Jones TL, Hamilton P, & Murry N (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121–1137. doi:10.1016/j.ijnurstu.2015.02.012 - DOI - PubMed
1. Kalisch BJ, Landstrom GL, & Hinshaw AS (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. doi:10.1111/j.1365-2648.2009.05027.x - DOI - PubMed
1. Kalisch BJ, & Lee KH (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241. doi:10.1016/j.outlook.2010.06.004 - DOI - PubMed

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[1] Aiken LH, Clarke SP, Sloane DM, Lake ET, & Cheney T (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223–229. doi:10.1097/01.NNA.0000312773.42352.d7 - DOI - PMC - PubMed

[2] Aiken LH, Clarke SP, Sloane DM, Lake ET, & Cheney T (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223–229. doi:10.1097/01.NNA.0000312773.42352.d7 - DOI - PMC - PubMed

[3] Brayfield AH, & Rothe HF (1951). An index of job satisfaction. Journal of Applied Psychology, 35(5), 307–311. doi:10.1037/h0055617 - DOI

[4] Brayfield AH, & Rothe HF (1951). An index of job satisfaction. Journal of Applied Psychology, 35(5), 307–311. doi:10.1037/h0055617 - DOI

[5] Jones TL, Hamilton P, & Murry N (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121–1137. doi:10.1016/j.ijnurstu.2015.02.012 - DOI - PubMed

[6] Jones TL, Hamilton P, & Murry N (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121–1137. doi:10.1016/j.ijnurstu.2015.02.012 - DOI - PubMed

[7] Kalisch BJ, Landstrom GL, & Hinshaw AS (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. doi:10.1111/j.1365-2648.2009.05027.x - DOI - PubMed

[8] Kalisch BJ, Landstrom GL, & Hinshaw AS (2009). Missed nursing care: A concept analysis. Journal of Advanced Nursing, 65(7), 1509–1517. doi:10.1111/j.1365-2648.2009.05027.x - DOI - PubMed

[9] Kalisch BJ, & Lee KH (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241. doi:10.1016/j.outlook.2010.06.004 - DOI - PubMed

[10] Kalisch BJ, & Lee KH (2010). The impact of teamwork on missed nursing care. Nursing Outlook, 58(5), 233–241. doi:10.1016/j.outlook.2010.06.004 - DOI - PubMed

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Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care

Affiliations

Missed care relates to nurse job enjoyment and intention to leave in neonatal intensive care

Authors

Affiliations

Abstract

Conflict of interest statement

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