Wage, Work Environment, and Staffing

Effects on Nurse Outcomes

Matthew D. McHugh, Chenjuan Ma

Research output: Contribution to journalArticle

Abstract

Research has shown that hospitals with better nurse staffing and work environments have better nurse outcomes—less burnout, job dissatisfaction, and intention to leave the job. Many studies, however, have not accounted for wage effects, which may confound findings. By using a secondary analysis with cross-sectional administrative data and a four-state survey of nurses, we investigated how wage, work environment, and staffing were associated with nurse outcomes. Logistic regression models, with and without wage, were used to estimate the effects of work environment and staffing on burnout, job dissatisfaction, and intent to leave. We discovered that wage was associated with job dissatisfaction and intent to leave but had little influence on burnout, while work environment and average patient-to-nurse ratio still have considerable effects on nurse outcomes. Wage is important for good nurse outcomes, but it does not diminish the significant influence of work environment and staffing on nurse outcomes.

Original languageEnglish (US)
Pages (from-to)72-80
Number of pages9
JournalPolicy, Politics, and Nursing Practice
Volume15
DOIs
StatePublished - Feb 5 2014

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Salaries and Fringe Benefits
Nurses
Logistic Models
Cross-Sectional Studies
Research

Keywords

  • burnout
  • job satisfaction
  • outcomes
  • quality of work environment
  • staffing levels

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Leadership and Management

Cite this

Wage, Work Environment, and Staffing : Effects on Nurse Outcomes. / McHugh, Matthew D.; Ma, Chenjuan.

In: Policy, Politics, and Nursing Practice, Vol. 15, 05.02.2014, p. 72-80.

Research output: Contribution to journalArticle

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