The effect of consistent operating room nursing teams on operating room nurses' perceptions of job stress, group cohesion, conflict, job satisfaction and anticipated turnover
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The purpose of this study was to examine the relationships among the type of OR assignment and OR nurses' perceptions of job stress, group cohesion, interpersonal conflict, job satisfaction and anticipated turnover. The Hinshaw and Atwood theoretical model of anticipated turnover guided this research. It was postulated that nurses who worked in consistent teams would have lower job stress, higher group cohesion, less conflict, greater job satisfaction and lower anticipated turnover.
The nonrandom sample consisted of 393 staff nurses from 33 distinct academic hospital operating rooms. Job stress was measured on the Job Stress Scale (Hinshaw & Atwood, 1983), group cohesion was measured on the Group Cohesion Scale (Hinshaw, Atwood, Gerber & Erickson, 1985) conflict was measured on the Cox Conflict Scale (Cox, 1997), job satisfaction was measured on the Nursing Job Satisfaction Scale (Hinshaw & Atwood, 1983), and anticipated turnover was measured on the Anticipated Turnover Scale (Hinshaw, Atwood, Gerber & Erickson, 1985); all previously established instruments. Individual demographic data such as age, gender, education and tenure were examined for relationships to the dependent variables. Relationships were re-examined after controlling for OR size and skill mix.
Overall, the nurses in this study had moderately high job stress, high group cohesion, moderate conflict, moderate job satisfaction and high anticipated turnover. The groups differed only on group cohesion and conflict; team nurses reported greater group cohesion and less conflict than rotating nurses. There were no statistically significant differences in team or rotating nurses' perceptions of job mastery, technical proficiency, variety, routinization or challenge. There were no differences detected based upon the type of team in which team nurses worked. No additional statistically significant differences were detected when regression analysis was done controlling for OR size and skill mix.
The findings of this study suggest that method of assignment does have a relationship to group cohesion and conflict. Nurses generally do prefer the type of assignment in which they work but may choose schedule over assignment type. Operating room directors may have reasons other than OR staff nurse satisfaction for employing teams.
|Review Type||None: Degree-based Submission|
|Research Approach||Mixed/Multi Method Research|
Operating Room Nurses
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