Text

theses

ETD doctoral

Rationale: In order to compete with the private sector in retaining highly competent and skilled nurses, it is critical to identify, through rigorous research methods, those system characteristics that contribute to or reduce attrition so that evidenced-based retention strategies can be designed and implemented in US Army primary care settings within the Military Health System.

Hypotheses: This study tested three hypotheses: (a) the nursing practice environment is positively associated with team performance, clinic staff perception of overall patient safety, and staff nurse job satisfaction, and negatively associated with staff nurse intent to leave, (b) team performance is positively associated with clinic staff perception of overall patient safety and staff nurse job satisfaction, and negatively associated with staff nurse intent to leave, and (c) team performance mediates the relationship between the nursing practice environment and clinic staff perception of overall patient safety, staff nurse job satisfaction, and staff nurse intent to leave.

Method: This is a cross-sectional, correlational study examining secondary data from 2016 representing 39 US Army primary care clinics located in eighteen states and Germany.

Purpose: The purpose of this study is to examine the relationships among the nursing practice environment, team performance, clinic staff perception of overall patient safety, staff nurse job satisfaction, and staff nurse intent to leave in US Army primary care clinics.
Findings: The findings of this study highlight the importance of a positive nursing practice environment, especially nurse manager ability, leadership, and support for nurses to clinic and staff nurse outcomes including intent to leave as an indicator of attrition.

ETD_11223

Ph.D.

Includes bibliographical references

doi:10.7282/t3-cg5k-cq24

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