Stordeur_2007 - JAN ORIGINAL RESEARCH Organizational...

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Organizational confguration oF hospitals succeeding in attracting and retaining nurses Sabine Stordeur 1 , William D’Hoore 2 & the NEXT-Study Group   Accepted for publication 28 July 2006 1 Sabine Stordeur MA PhD RN Senior Researcher 2 William D’Hoore MD PhD Professor Unite ´ d’Epide ´miologie, de Biostatistique et de Me ´thodes Ope ´rationnelles en Sante ´, Publique, Brussels, Belgium Correspondence to Sabine Stordeur: e-mail: [email protected] *This study is part of the European NEXT- Study (Nurses’ Early Exit Study – http://   Germany – H.M. Hasselhorn, B.H. Mu ¨ller (coordinators), P. Tackenberg, A. Ku ¨mmerling, M. Simon, University of Wuppertal; A. Bu ¨scher, University of Witten- Herdecke; Belgium – W. D’Hoore, S. Stordeur, Universite ´ catholique de Louvain; L. Braeckman, P. Kiss, R. Verpraet, Ghent University; Finland – M. Laine, G. Wickstro ¨m, Turku Regional Institute of Occupational Health; France – M. Estryn- Behar, O. Le Nezet, Assistance Publique Ho ˆpitaux de Paris; Great Britain – D. Gould, St. Bartholomew School of Nursing and Midwifery, City University, London; Italy D. Camerino, P. Conway, University of Milan; Netherlands – B. Van der Heijden, E. van der Schoot, University of Twente; Poland – H. Oginska, J. Pokorski, Jagiellonian University in Krakow; P. Radkiewicz, M. Widerszal-Bazyl, Central Institute for Labour Protection, Warsaw; Slovakia – A. Hanzlikova, M. Kovarova, Department of Social Medicine, P.J. Safarik University, Kosice; Sweden – M. Josephson, P. Lindberg, Karolinska Institute. STORDEUR S., D’HOORE W. & THE NEXT-STUDY GROUP (2007) Organiza- tional con±guration of hospitals succeeding in attracting and retaining nurses*. Journal of Advanced Nursing 57 (1), 45–58 doi: 10.1111/j.1365-2648.2006.04095.x Abstract Title. Organizational confguration oF hospitals succeeding in attracting and retaining nurses Aim. This paper contrasts structural and managerial characteristics of low- and high-turnover hospitals, and describes the organizational con±guration of attractive hospitals. Background. In countries facing nurse shortages and turnover, some hospitals succeed in recruiting and retaining nurses. In Magnet Hospitals, managerial prac- tices and environmental characteristics increase nurses’ job satisfaction and their commitment to the organization, which in turn decreases nurse turnover. Such an approach suggests that organizations are best understood as clusters of intercon- nected structures and practices, i.e. organizational con±gurations rather than enti- ties whose components can be understood in isolation. Method. From a sample of 12 hospitals whose nurse turnover was studied for 1 year, structural and organizational features of hospitals in the ±rst and fourth quartiles, i.e. attractive (turnover < 3 Æ 1%) vs. conventional (turnover > 11 Æ 8%) were contrasted. A questionnaire, including perceptions of health-related factors, job demands, stressors, work schedules, organizational climate, and work adjustments antecedent to turn- over, was received from 401 nurses working in attractive hospitals (response rate - 53 Æ
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This note was uploaded on 05/30/2010 for the course GE DZMBGS0100 taught by Professor Sofieverhaeghe during the Spring '10 term at Ghent University.

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Stordeur_2007 - JAN ORIGINAL RESEARCH Organizational...

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