The Relationship Among Nursing Unit Structure, Autonomy, Professional Job Satisfaction, and Nurse-Patient Interaction in Ambulatory Care Clinics

Hdl Handle:
http://hdl.handle.net/10675.2/344540
Title:
The Relationship Among Nursing Unit Structure, Autonomy, Professional Job Satisfaction, and Nurse-Patient Interaction in Ambulatory Care Clinics
Authors:
Colgrove, Susan R.
Abstract:
In this study the relationships among nursing unit structure, autonomy, professional job satisfaction, and nurse-patient interaction in ambulatory care clinics were investigated. A conceptual framework was derived from the Structure Interaction model for Health Care Behavior, a model developed by the researcher that combined and synthesized concepts from quality of care, organization theory, and client-centered care. The hypothesized relationships were investigated using LISREL VI analysis. A sample of 134 registered nurses and 375 patients from 5 ambulatory care settings was used in this study. Nurses’ perceptions of nursing unit structure, autonomy, and professional job satisfaction and patients’ perceptions of the nurse-patient interaction were measured using five instruments. Testing of the proposed casual model resulted in beginning support for the casual chain between the theoretical constructs of nursing unit structure, autonomy, professional job satisfaction, and nurse-patient interaction. These relationships pointed to the impact of structural factor on professional factors and professional factors on the process of care, namely the nurse-patient interaction. The findings were that positive perceptions of unit nursing structure had a direct positive effect on perceptions of nursing autonomy and indirectly affected perceptions of professional satisfaction when mediated by autonomy; positive perceptions of autonomy by the nurses had a direct positive effect on nurses’ perceptions of professional job satisfaction; and finally, positive perceptions of professional job satisfaction had a direct positive effect on patient perceptions of the nurse-patient interaction.
Affiliation:
Not Listed
Issue Date:
Jun-1992
URI:
http://hdl.handle.net/10675.2/344540
Additional Links:
http://ezproxy.gru.edu/login?url=http://search.proquest.com/docview/304017233?accountid=12365
Type:
Dissertation
Appears in Collections:
Theses and Dissertations

Full metadata record

DC FieldValue Language
dc.contributor.authorColgrove, Susan R.en
dc.date.accessioned2015-02-17T20:51:52Z-
dc.date.available2015-02-17T20:51:52Z-
dc.date.issued1992-06-
dc.identifier.urihttp://hdl.handle.net/10675.2/344540-
dc.description.abstractIn this study the relationships among nursing unit structure, autonomy, professional job satisfaction, and nurse-patient interaction in ambulatory care clinics were investigated. A conceptual framework was derived from the Structure Interaction model for Health Care Behavior, a model developed by the researcher that combined and synthesized concepts from quality of care, organization theory, and client-centered care. The hypothesized relationships were investigated using LISREL VI analysis. A sample of 134 registered nurses and 375 patients from 5 ambulatory care settings was used in this study. Nurses’ perceptions of nursing unit structure, autonomy, and professional job satisfaction and patients’ perceptions of the nurse-patient interaction were measured using five instruments. Testing of the proposed casual model resulted in beginning support for the casual chain between the theoretical constructs of nursing unit structure, autonomy, professional job satisfaction, and nurse-patient interaction. These relationships pointed to the impact of structural factor on professional factors and professional factors on the process of care, namely the nurse-patient interaction. The findings were that positive perceptions of unit nursing structure had a direct positive effect on perceptions of nursing autonomy and indirectly affected perceptions of professional satisfaction when mediated by autonomy; positive perceptions of autonomy by the nurses had a direct positive effect on nurses’ perceptions of professional job satisfaction; and finally, positive perceptions of professional job satisfaction had a direct positive effect on patient perceptions of the nurse-patient interaction.en
dc.relation.urlhttp://ezproxy.gru.edu/login?url=http://search.proquest.com/docview/304017233?accountid=12365en
dc.rightsCopyright protected. Unauthorized reproduction or use beyond the exceptions granted by the Fair Use clause of U.S. Copyright law may violate federal law.en
dc.subjectNursing Unit Structureen
dc.subjectNursing Autonomyen
dc.subjectProfessional Job Satisfactionen
dc.subjectNurse-Patient Interactionen
dc.subjectCausal Modelen
dc.subjectLISRELen
dc.titleThe Relationship Among Nursing Unit Structure, Autonomy, Professional Job Satisfaction, and Nurse-Patient Interaction in Ambulatory Care Clinicsen
dc.typeDissertationen
dc.contributor.departmentNot Listeden
dc.description.advisorLowenstein, Arleneen
dc.description.committeeLambert, Dean V.; Pond, Elizabeth; McCranie, Edward; Boyle, Dianeen
dc.description.degreeDoctor of Philosophy (Ph.D.)en
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