RESUMEN
OBJECTIVE: To determine if Black nurses are more likely to report job dissatisfaction and whether factors related to dissatisfaction influence differences in intent to leave. BACKGROUND: Minority nurses report higher job dissatisfaction and intent to leave, yet little is known about factors associated with these differences in community settings. METHOD: Cross-sectional analysis of 11 778 nurses working in community-based settings was conducted. Logistic regression was used to estimate the association among race, job satisfaction, and intent to leave. RESULTS: Black nurses were more likely to report job dissatisfaction and intent to leave. Black nurses' intent to leave decreased in adjusted models that accounted for dissatisfaction with aspects of their jobs including salary, advancement opportunities, autonomy, and tuition benefits. CONCLUSION: Nurse administrators may find opportunities to decrease intent to leave among Black nurses through focused efforts to target areas of dissatisfaction.
Asunto(s)
Diversidad Cultural , Intención , Satisfacción en el Trabajo , Enfermeras y Enfermeros/psicología , Negro o Afroamericano/etnología , Negro o Afroamericano/psicología , Negro o Afroamericano/estadística & datos numéricos , California/etnología , Estudios Transversales , Florida/etnología , Humanos , Modelos Logísticos , New Jersey/etnología , Enfermeras y Enfermeros/estadística & datos numéricos , Pennsylvania/etnología , Reorganización del Personal/estadística & datos numéricos , Encuestas y Cuestionarios , Lugar de Trabajo/psicología , Lugar de Trabajo/normas , Lugar de Trabajo/estadística & datos numéricosRESUMEN
AIMS AND OBJECTIVES: To explore the experiences of nurses caring for socially at-risk patients and gain an understanding of the challenges nurses face when providing care. BACKGROUND: Nurses play a pivotal role in caring for hospitalised patients with social risk factors and preparing them for discharge. Few studies have explored whether acute care nurses are adequately supported in their practice environments to address the unique needs of socially at-risk patients as they transition back into community settings. DESIGN: A qualitative descriptive study of nurses working in a large urban academic medical centre. METHODS: We conducted six semi-structured focus groups of nurses (n = 21). Thematic content analysis was performed to analyse the transcripts from the focus groups. We adhered to COREQ guidelines for reporting this qualitative study. RESULTS: Six key themes emerged: (a) nurses' assessments of social risk factors, (b) experiences providing care, (c) barriers to care, (d) fear of "labelling" socially at-risk patients, (e) unmet social care needs and (f) recommendations to improve care. CONCLUSIONS: Our findings suggest that nurses are able to identify social risk factors. However, prioritisation of medical needs during acute care hospitalisation and lack of organisational supports may deter nurses from fully addressing social concerns. RELEVANCE TO CLINICAL PRACTICE: Acute care nurses should be involved in the development of future efforts to address the needs of socially at-risk patients and be provided with additional supports in their practice environments. This could include continuing education to build nursing competencies in community-based care and social vulnerability.