Impact of staff engagement on nurse satisfaction/retention and patient outcomes of patient satisfaction and NDNQI® indicators

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
Dawn Marie Neuhauser (Creator)
Institution
Western Carolina University (WCU )
Web Site: http://www.wcu.edu/404.asp
Advisor
Sharon Jacques

Abstract: This study will seek to determine the influence that programs possessing Magnet® characteristics have on nurse work engagement and subsequently job satisfaction, retention, and patient outcomes. Studies to date support the impact of workplace empowerment structures on fostering employee engagement and reducing burnout. These studies have linked increased engagement or decreased burnout to outcomes such as job retention and patient safety. Results of these studies provide valuable insight into concepts that influence nurses’ perceptions of their work environment, which can be utilized by organizational leadership to enhance recruitment and retention strategies as well as quality initiatives impacting patient safety and outcomes. The focus of this thesis will be on whether increased engagement through staff involvement and development impacts practice and thus improves patient outcomes. Data analysis will be done comparing nurse satisfaction, nurse retention, patient satisfaction, and patient outcomes as measured by the National Database of Nursing Quality Indicators (NDNQI®) prior to the implementation of Magnet® initiatives and at the time of submission of application for Magnet® designation. This aspect of nursing practice and professionalism is important because it demonstrates the influence of nursing development through engagement and intellectual capital on job satisfaction and retention as well as evidenced-based practices and patient outcomes. Kanter’s (1977/1993) theory on structural empowerment is the framework for this study. Kanter purported that structural factors within the workplace have a greater influence on employee work attitudes and behaviors than their own personal predispositions. Further literature review revealed studies on the impact of developing human capital on nurse turnover as well as suggesting a relationship between the concepts of Magnet® Nursing Services and patient and organizational outcomes. The impetus for achieving Magnet® goals requires the engagement of nursing staff in the processes that impact their professional and clinical practice. In turn, nursing satisfaction, retention, and the patient outcomes of satisfaction and NDNQI® indicators are affected. Engaging staff in the processes that impact their own professional practice remains a challenge for nursing management. This study will add to existing evidence on how staff engagement and development of intellectual capital influences job satisfaction and patient outcomes, thus giving management additional resources to influence staff involvement.

Additional Information

Publication
Thesis
Language: English
Date: 2011
Keywords
empowerment, engagement, Magnet, nurse satisfaction, patient outcomes
Subjects
Nurses -- Job satisfaction
Nurses -- Supply and demand
Employee empowerment