Date of Conferral
2022
Degree
Ph.D.
School
Health Services
Advisor
Ken J. Feldman
Abstract
The Veteran’s Health Administration (VHA) is the largest employer of registered nurses in the United States. The American Association of Colleges of Nursing predicts there will be a nursing shortage through the year 2030 and replacing and training each nurse is expensive and negatively impacts patient care. A review of the literature showed organizations with high levels of organizational citizenship behavior (OCB) had high levels of job satisfaction, which reduces turnover, but there was no research on the existence and impact of OCB in a federal health care facility, specifically the VHA. The purpose of this quantitative, correlational research was to identify the relationship, if any, between a nurse manager’s leadership and communication skills, using the Leadership and Communication Inventory and an RN’s level of OCB and job satisfaction and intent to leave the unit or organization within 1 year. This study was based on the social exchange theory and leader-member exchange theory. An anonymous, voluntary online survey was sent to 1,325 RNs at this VHA, and 144 RNs participated over a 2-week survey window. Seventy-four percent of the RNs had high or medium levels of OCB, but this did not have an impact on job satisfaction or intent to leave. However, there was a statistically significant correlation between a nurse manager’s communication and leadership skills and job satisfaction and turnover intention. The results of this research can help the VHA develop strategies to improve job satisfaction and reduce RN turnover to fulfill its mission to veterans leading to improved patient care and positive social change.
Recommended Citation
Hall, Emmitte J., "Nurse Manager’s Leadership and Communication Skills and a Registered Nurse’s Organizational Citizenship Behavior, Satisfaction, and Intent to Leave" (2022). Walden Dissertations and Doctoral Studies. 12382.
https://scholarworks.waldenu.edu/dissertations/12382
