Date of Conferral







Leslie Hussey


Retention of nursing directors is important to the viability and success of the healthcare industry because they have a large impact on nursing job satisfaction, overall retention of nurses in an institution, productivity, and patient outcomes. Factors that retain nurse directors, such as autonomy and empowerment, appear to be important to job satisfaction, but there is little in the current research to corroborate these findings. The purpose of this quantitative study was to determine what factors impact nursing directors' intent to stay in their current role and what effect role autonomy and empowerment have on their intent to stay as compared to traditional job satisfiers. Kanter's empowerment theory was used to evaluate the key factors that influence job satisfaction and retention, namely, empowerment and autonomy. The key variables were measured with Attitude toward Professional Autonomy Scale for Nurses, Conditions for Work Effectiveness Questionnaire-II, Intention to Stay Scale, and Minnesota Satisfaction Questionnaire. Nursing directors were recruited American Organization of Nurse Executives and LinkedIn. Seventy-six participants answered 4 survey tools on the key. Data were analyzed using Pearson's r, multiple and logistic regression. Results revealed that empowerment had a significant relationship to nursing directors' intent to stay and that traditional job satisfiers were significantly related to predicting intent to stay. The results could affect positive social change because increasing job satisfaction of nursing directors would lead to their desire to remain in their position and would stabilize overall retention of nurses, productivity, and patient outcomes. Future research is needed to devise, and test interventions designed to enhance empowerment and positively affect intent to stay.