Factors affecting the job stress and job satisfaction of Australian nurses: Implications for recruitment and retention
Timothy Bartram
School of Business, Faculty of Law and Management, La Trobe University
Therese A Joiner
School of Business, La Trobe University, VIC
Pauline Stanton
Senior Lecturer, School of Management, La Trobe University, VIC
PP: 293 - 304
Abstract
Against a background of nurse shortages in Australian hospitals, a significant challenge facing the healthcare sector is the recruitment and retention of nurses. The job stress and job satisfaction of nurses has been associated with recruitment and retention.
The aim of this study is to consider two factors that may contribute to the job satisfaction and job stress of nurses: social support and empowerment. Using a sample of 157 registered nurses in a private hospital in Melbourne, Australia, we found that social support derived from the nurse's supervisor and work colleagues lowers job stress and at the same time increases job satisfaction. The presence of nurse empowerment, meaning, impact, competence and self-determination, also lowered job stress and increased job satisfaction.
Finally, we discuss contributions of this study and implications for recruitment and retention of nurses in the health sector.
Keywords
social support; job stress; job satisfaction; empowerment; nurse recruitment; nurse retention
References
Abu Al Rub, R.F. (2004) Job stress, job performance, and social support, Journal of Nursing Scholarship, 36(1), 73-79.
Aiken, L. Smith, H. and Lake, E.T. (1994), 'Lower Medicare mortality among a set of hospitals known for good nursing care' Medical care, 32, 771-87.
Aiken, L.H., Havens, D.S. and Sloane, D.M. (2000) The magnet nursing services recognition program: a comparison of two groups of magnet hospitals, The American Journal of Nursing, 100(3), 26-36.
Allan, C. 1998. Stabilising the non standard workforce: managing labour utilisation in private hospitals. Labour and Industry 8 (3), 61-76.
Australian Nursing Federation (1999); New report: nursing numbers falling, Australian Nursing Journal, 7(4), 7.
Bolton, L. & Goodenough, A. (2003) A Magnet Nursing Service Approach to Nursing's Role in Quality Improvement, Nursing Administration Quarterly, 27(4), 344-354.
Conger, J.A. (1989), Leadership: the art of empowering others, Academy of Management Executive, 1(3), 17-24.
Conger, J A and Kanungo, R. N. 1988, The empowerment process: integrating theory and practice, Academy of Management Review, 13(3), 471-82.
Considine, G. and Buchanan, J. (1999), The hidden costs of understaffing: an analysis of contemporary nurses' working conditions in Victoria, Australian Centre for Industrial Relations Research and Training University of Sydney, Sydney.
Creegan, R., Duffield, C. & Forrester, K. (2003), Casualisation of the nursing workforce in Australia: driving forces and implications, Australian Health Review, 26(1), 201-208.
Cunning, S.M. (2004) Recruitment and retention report: avoid common management pitfalls, Nursing Management, 35(2), 18.
Daniels, K and Guppy, A. (1995), Occupational stress, social support, job control and psychological well-being, Human Relations, 47(1), 1523-1538.
Deeter-Schmelz, D & Ramsey, R (1997), Considering sources and types of social support: A psychometric evaluation of the
House and Wells (1978) Instrument, The Journal of Personal Selling and Sales Management 17(1), 49-62.
Disch, J. (2002),The nursing shortage is a symptom, Journal of Professional Nursing, 18 (2), 62.
Fitzgerald, D. (2002), Nurse shortage: A crisis for the next decade, Contemporary Nurse, 13(2-3), 209-112.
French, S., Lenton, R., Walters, V. and Eyles, J. (2000), An empirical investigation of an expanded nursing stress scale, Journal of Nursing Measurement, 8(2), 161-178.
Hackman, J. R. and E. E. Lawler (1971), 'Employee reactions to job characteristics', Journal of Applied Psychology, 55(3), 259-85.
Hardy, G.E., woods, D. & Wall, T.D. (2003),The impact of psychological distress on absence from work, Journal of Applied Psychology, 88, 306-314.
Healy, C. & McKay, M. (1999), Identifying sources of stress and job satisfaction in the nursing environment, Australian Journal of Advanced Nursing, 17(2), 30-35.
House, J.S. (1981), Work stress and social support, University of Michigan: Addison-Wesley.
House, J.S. and Wells, J.A. (1978), Occupational stress, social support and health, in A. McLean, G. Black and C. Colligan (Eds), Reducing Occupational Stress, Conference Proceedings, DHEW (NIOSH), 8-29.
House, R. J. and Rizzo J. R. (1972), Role conflict and ambiguity as critical variables in a model of organizational behaviour, Organizational Behavior and Human Performance, 7, 467-505.
Hunter, D. (1996),The changing roles of health care personnel in health and health care management, Social Science and Medicine, 43(5), 799-808.
Kahn, R.L., Wolfe, D., Quinn, R. and Snoek, J. (1964), Organisational stress: studies in role conflict and ambiguity. Wiley, New York.
Karasek, R.A., Jr. (1979), Job demands, job decision latitude, and mental strain: implications for job redesign, Administrative Science Quarterly, 24, 285-307.
Kinicki, A., McKee-Ryan, Schriesheim, C., Carson, K. (2002): Assessing the construct validity of the job descriptive index: a review and meta-analysis, Journal of applied Psychology 87(1), 14-26.
Kramer, M. and Schmalenberg, C. (2004) Essentials of a magnetic work environment: part 1, Nursing, 34 (6), 50-54.
Kuokkanen, L., Leino-Kilpi, H. & Katjisto, J. (2003) Nurse empowerment, job-related satisfaction, and organisational commitment, Journal of Nursing Care Quality, 18 (3), 184-192.
Laschinger H. K. and Havens D S., (1997), The effect of workplace empowerment on staff nurses' occupational mental health and work effectiveness, Journal of Nursing Administration, 27(6), 42-50.
Laschinger H K, Finegan J and Shamian J, (2001), 'Promoting nurses health: effect of empowerment on job strain and work satisfaction', Nursing Economics, 19(2), 42-52.
Liden, R.C., Wayne, S.J., and Sparrowe, R.T. (2000), An examination of the mediating role of psychological empowerment on the relations between the job, interpersonal relationships, and work outcomes, Journal of Applied Psychology, 85(3), 407-416.
Lumley, C., Stanton, P. & Bartram,T. (2004) Casualisation friend or foe? A case study of two Australian hospitals, New Zealand Journal of Employment Relations (forthcoming).
Manning, M.R., Jackson, C.N.& Fusilier, M.R. (1996), Occupational stress, social support and the costs of health care, Academy of Management Journal, 39(3), 738-751.
Mimura, C. and Griffiths, P. (2003), The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review, Occupational and Environmental Medicine, 60(1), 10-15.
Pinkerton, S. (2003), Recruitment and retention: mentoring new graduates, Nursing Economics, 21(4), 202-203.
Ramano, M. (2002), A strong attraction, Modern Healthcare, 32(50), 28-33.
Sarros , J & Sarros, A (1992): Social support and teacher burnout, Journal of educational administration 30(1), 55-70.
Savery, L.K. and Luks, J.A. (2001), The relationship between empowerment, job satisfaction and reported stress levels: some Australian evidence, Leadership and Organisational Development Journal, 22(3), 97-104.
Schroeder, M. and Worrall-Carter, L. 2002, Perioperative managers: role stress and strategies for coping, Contemporary Nurse, 13(2-3), 229-238.
Smith, P.C., Kendall, L.M. & Hulin, C.L. (1969), The measurement of satisfaction in work and retirement, Skokie, IL: Rand McNally.
Southon, G. and Braithwaite, J. (1998), The end of professionalism, Social Science and Medicine, 46(1), 23-28.
Spector, P.E., Cooper, C.L., and Sanchez, J.I., (2002), locus of control and well-being at work: how generalizable are western findings?, Academy of Management Journal, 45(2), 453-466.
Spreitzer G (1995), Psychological empowerment in the workplace: dimensions, measurement and validation, Academy of Management Journal, (38), 1442-1465.
Stanton, P., Bartram, T. & Harbridge, R. (2004), People management practices in the public health sector: developments from Victoria, Australia, Journal of European Industrial Training, 28(2), 310-328.
Stordeur, S., D'hoore, W. and Vandenberghe, C. (2001), Hospital nursing staff, Journal of Advanced Nursing, (35)4, 533-542.
Upenieks, V.V. (2003),The interrelationship of organizational characteristics of magnet hospitals, nursing leadership, and nursing job satisfaction, The Health Care Manager, 22 (2), 83-98.
Victorian Government Department of Human Services (2001) The Nurse Recruitment and Retention Committee Final Report, Melbourne, Vic.
Weekes, K. Peterson, C. and Stanton, P. (2001), Stress and the workplace: the medical scientists' experience, Labour and Industry, 11 (3), 95-120.

eContent Home




