Date of Conferral

2020

Degree

Ph.D.

School

Public Health

Advisor

Chinaro Kennedy

Abstract

Abstract

The shortage of nurses is a global phenomenon. The problem is particularly pronounced in rural areas and contributes to the health disparities experienced in the healthcare sector. Many factors had been shown to adversely impact the recruitment and retention of nurses, most especially in the rural areas. No study has examined how some factors such as the practice environment variation; geographical locations; and role overload impact job satisfaction of nurses. The Herzberg two-factor theory, with constructs of Motivation and Hygiene factors guided the study. In this quantitative, cross-sectional study, correlational approach was used to examine the association between the independent and dependent. The 2005 National Survey of the Work and Health of Nurses was analyzed to understand the perceptions of nurses in Canada regarding practice environment, role overload and job satisfaction. With a sample size of 1,363 nurses, using logistic regression analyses and chi-square of difference, the results showed that role overload, social support, and decision authority accounted for 20-26.9% of the variance in job satisfaction and were significant negative predictors of job satisfaction. The findings showed that greater percentage of the older nurses were satisfied with their jobs compared to younger nurses and that many of the nurses working in other setting were satisfied with their jobs. This study has implications for social change: The rural nursing shortage in Canada may be adequately addressed if hospital administrators, nursing directors and managers would empower nurses, improve their working conditions and workplace environment, and ensure manageable workload while the larger community/society supports creating a positive work environment for the Canadian rural nursing workforce.

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