Zusammenfassung
Purpose of the Project: This study analyzed the effect of evidence-based nursing management practices on nurses’ levels of job satisfaction, organizational commitment, and intent to leave. Design and Methods: This research employed a single group quasi-experimental pretest-posttest design with repeated measures. The project was conducted in a 127-bed private accredited hospital by Joint Commission International in Turkey. In this research, the intervention was facilitation of evidence-based decision of the nurse managers’ to increase job satisfaction and organizational commitment and reduce intent to leave. For this reason, methods of the project included a review of research on nurses’ job satisfaction, organisational commitment and intent to leave were recapitulated and edited for easier implementation of evidence-based recommendations developed with nurse managers. There were three separate measurement occasions comprising of base-line, first follow-up at month 5 and second follow-up at month 10. Results: An increase in the nurses’ intrinsic, extrinsic and total satisfaction levels was observed at months 5 and 10 after the intervention, and their normative commitment showed an increase at month 10. There were no statistically significant differences between the three measurements in the dimensions of affective commitment, continuance commitment and nurses’ intention to leave. Nurse managers stated that they benefited from collaborating with the researchers and nurse managers. Implications: Evidence-based nursing management practices could pave the way to alleviating human resources problems experienced in nursing and bridge the gap between theory and practice in nursing management.
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Literatur
Baotham S, Hongkhuntod W, Rattanajun S (2010) The effects of job satisfaction and organizational commitment on voluntary turnover intentions of Thai employees in the new university. Rev Bus Res 10(1):73–82
Baycan AF (1985) Analysis of several affects of job satisfaction between occupational groups. Unpublished Master Dissertation, Bogazici University Institute of Social Science, Istanbul
Bericht über Gesundheitsbildung und den Status der Gesundheitsarbeitskräfte in der Türkei (2010) Türkiye’de sağlık eğitimi ve sağlık insan gücü durum raporu, 2010. Hazırlayanlar: Yükseköğretim Kurulu Başkanlığı, Sağlık Bakanlığı, Devlet Planlama Teşkilatı Müsteşarlığı, Uyum Ajans, Ankara
Bero LA, Grili R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA (1998) Getting research findings into practice: closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 317:465–468
Chan EY, Morrison P (2000) Factors influencing the retention and turnover intentions of registered nurses in a Singapore hospital. Nurs Health Sci 2:113–121
Chan KS, Morton SC, Shekelle PG (2004) Systematic reviews for evidence-based management: how to find them and what to do with them. AJMC 10(11):806–812
Clarke R (1999) A primer in diffusion of innovations theory. http://www.anu.edu.au/people/Roger.Clarke/SOS/InnDiff.html. Zugegriffen: 16. Jan 2012
Clugston M (2000) The mediating effects of multidimensional commitment on job satisfaction and intent to leave. J Organ Behav 21:477–486
Contino DS (2002) How to slash costly turnover. Nurs Manage 33(2):12–13
Cakar ND, Ceylan A (2005) Impact of job motivation on employee’ commitment and intent to leave. J Doğuş Univ 6(1):52–66
Damore JF (2006) Making evidence-based management usable in practice. Front Health Serv Manage 22(3):37–39
Duffield C, Roche M, O’Brien-Pallas L, Catling-Paull C, King M (2009) Staff satisfaction and retention and the role of the nursing unit manager. Collegian 16:11–17
Duygulu S, Abaan S (2007) Organizational commitment: a determinant of employees’ decision to leave or to remain the organization. J Hacettepe Univ Sch Nurs 14(2):61–73
Fagerström L (2009) Evidence-based human resources management: a study of nurse leaders’ resource allocation. J Nurs Manag 17:415–425
Firth L, Mellor DJ, Moore KA, Loquet C (2004) How can managers reduce employee intention to quit. J Manag Psychol 19(2):170–187
Gesetzesdekret der Organisation und Aufgaben des Gesundheitsministeriums (2011) Sağlık Bakanlığı ve Bağlı Kuruluşlarının Teşkilat ve Görevleri Hakkında Kanun Hükmünde Kararname (2011) Resmî Gazete 2 Kasım 2011 ÇARŞAMBA, Sayı : 28103 (Mükerrer)
Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N (2006) Lost in knowledge translation: time for a map. J Contin Educ Health Prof 26(1):13–24
Grimshaw J, Eccles M, Tetroe J (2004) Implementing clinical guidelines: current evidence and future implications. J Contin Educ Health Prof 24:31–37
Hayes LJ, Pallas LB, Duffield C, Shamian J, Buchan J, Hughes F, Laschinger HKS (2006) Nurse turnover: a literature review. Int J Nurs Stud 43:237–263
Hemşirelik Kanunu: Kanun No. 5634 RG: 2.5.2007/26510 (Türkisches Pflegegesetz)
Hemşirelik Yönetmeliğinde (2010) Türkische Pflegeregelung
Hemşirelik Yönetmeliğinde, Değişiklik Yapılmasına, Dair Yönetmelik (2011) http://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm. Zugegriffen: 16. Aug 2013
Hom PV, Hulin CL (1981) A competitive test of the prediction of reenlistment by several models. J Appl Psychol 66(1):23–39
ICN – International Council of Nurses. www.icn.ch. Zugegriffen: 16. Aug 2013
Irvine D, Evans MG (1995) Job satisfaction and turnover among nurses: integrating research findings across studies. Nurs Res 44:246–253
Jones CB (2004) The costs of nurse turnover. Part 1: an economic perspective. J Nurs Adm 34(12):562–570
Karsh B, Booske BC, Sainfort F (2005) Job and organizational determinants of nursing home employee commitment, job satisfaction and intent to turnover. Ergonomics 48(10):1260–1281
Kerfoot K (2000) The leader as a retention specialist. Nurs Econ 18:216–218
Kitson AL, Harvey G, McCormack B (1998) Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care 7:149–158
Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A (2008) Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges. Implement Sci 3(1). doi:10.1186/1748-5908-3-1
Kocaman G, Seren Ş, Kurt S, Danış B, Erer T (2010) Üç Üniversite Hastanesinde Hemşire Devir Hızı. Hemşirelikte Eğitim ve Araştırma Dergisi 7(1):34–38
Locke EA (1976) The nature and causes of job satisfaction. In: Dunnette MD (Hrsg) Handbook of industrial and organizational psychology. Rand McNally, Chicago
Loke JCF (2001) Leadership behaviours: effects on job satisfaction, productivity and organizational commitment. J Nurs Manag 9:191–204
Lum L, Kervin J, Clark K, Reid F, Sirola W (1998) Explaning nursing turnover intent: job satisfaction, pay satisfaction or organizational commitment. J Organ Behav 19:305–320
Meyer JP, Allen NJ (1991) A three-component conceptualization of organizational commitment. Hum Resour Manage Rev 1(1):61–89
Mrayyan MT (2008) Hospital organizational climates and nurses’ intent to stay: differences between units and wards. Contemp Nurse 27(2):223–236
Murrels T, Robinson S, Griffiths P (2008) Is satisfaction a direct predictor of nursing turnover? Modelling the relationship between satisfaction, expressed intention and behavior in a longitudinal cohort study. Hum Resour Health 6(22). doi:10.1186/1478-4491-6-22
Rogers EM (2003) Diffusion of innovations, 5. Aufl. Free Press, New York
Rousseau DM (2006) Is there such a thing as “evidence-based management”? Acad Manag Rev 31(2):256–269
Rousseau DM, McCarthy S (2007) Educating managers from an evidence-based perspective. Acad Manag Learn Educ 6(1):84–101
Shields MA, Ward M (2001) Improving nurse retention in the national health service in England: the impact of job satisfaction on intentions to quit. J Health Econ 20:677–701
Simpson MR (2009) Predictors of work engagement among medical-surgical registered nurses. West J Nurs Res 31:44–65
Stewart L, Hanson J, Usher K (2006) Evidence-based management in clinical governance. Collegian 13(4):12–15
Sürer P, Kocaman G, Hastanede Çalışan Hemşirelerin İşten Ayrılma Nedenleri, DOKUZ Eylül Üniversitesi Hemşirelik Yüksekokulu Yaz Konferansi 6, İZMİR, Haziran 2009 (Gründe, warum Pflegefachkräfte ihre Stellen in Krankenhäusern aufgeben – Vortrag auf der Sommerkonferenz in Izmir)
Tai TWC, Bame SI, Robinson CD (1998) Review of nursing turnover research, 1977–1996. Soc Sci Med 47(12):1905–1924
THD – Türkischer Pflegeverband, Türk Hemşireler Derneği (THD). http://www.turkhemsirelerdernegi.org.tr/. Zugegriffen: 16. Aug 2013
Tourangeau AE, Cummings G, Cranley LA, Ferron EM, Harvey S (2010) Determinants of hospital nurse intention to remain employed: broadening our understanding. J Adv Nurs 66(1):22–32
Tourangeau AE, Cranley LA (2006) Nurse intention to remain employed: understanding and strengthening determinants. J Adv Nurs 55(4):497–509
TUIK (2011) Türkisches Institut für Statistiken: http://www.tuik.gov.tr/PreTablo.do?tb_id=39&ust_id=. Zugegriffen: 16. Aug 2013
Türkiye sağlıkta dönüşüm programı: ilerleme raporu Eylül (2010) Türkisches Gesundheitstransformations-Programm
Tzeng HM (2002) The influence of nurses’ working motivation and job satisfaction on intention to quit: an empirical investigation in Taiwan. Int J Nurs Stud 39:867–878
Wagner CM (2007) Organizational commitment as a predictor variable in nursing turnover research: literature review. J Adv Nurs 60(3):235–247
Wallin L (2009) Knowledge translation and implementation research in nursing: a discussion paper. Int J Nurs Stud 46(4):576–587
Wasti SA (2000) The reliability and validity of Meyer and Allen’s three component organizational commitment scale. Paper presented at the eighth annual national conference of Administrative Sciences, Nevsehir
Watson CA (2004) Evidence-based management practices the challenge for nursing. JONA 34(5):207–209
Weiss DJ, Dawis RV, England GW, Lofquist LH (1967) Manual for the Minnesota satisfaction questionnaire. University of Minnesota, Minneapolis
Williams LL (2006) What goes around comes around evidence based management. Nurs Admin Q 30(3):243–251
Yaprak E. Hemşirelerin işten ayrılma niyetlerini belirleyen faktörler: örgüt iklimi, sosyodemografik ve çalışma özellikleri. Dokuz Eylül Üniversitesi, Sağlık Bilimleri Enstitüsü, Yayımlanmamış Yüksek lisans Tezi, 2009, İzmir. (Bestimmende Faktoren für die Intention der Pflegefachkräfte ihren Job aufzugeben)
Zurn P, Dolea C, Stilwell B (2005) Nurse retention and recruitment: developing a motivated workforce. International Council of Nursing, World Health Organization. http://www1.icn.ch/global/Issue4Retention.pdf. Zugegriffen: 01. Nov 2010
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Gözüm, S., Yürümezoglu, H.A., Kocaman, G. (2014). Evidenzbasiertes Management verbessert die Berufszufriedenheit in der Türkei. In: Tewes, R., Stockinger, A. (eds) Personalentwicklung in Pflege- und Gesundheitseinrichtungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37324-4_9
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