The impact of health care reforms on community health nurses' attitudes
A descriptive correlational design was used to investigate community health nurses' perceptions of the impact of health care reforms and their work-related attitudes and behavioral intentions following a period of regionalization of community health services in Newfoundland and Labrador. The re...
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| Format: | Thesis |
| Language: | English |
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Memorial University of Newfoundland
2002
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| Online Access: | https://research.library.mun.ca/836/ https://research.library.mun.ca/836/1/Morgan_NatalieDG.pdf https://research.library.mun.ca/836/3/Morgan_NatalieDG.pdf |
| Summary: | A descriptive correlational design was used to investigate community health nurses' perceptions of the impact of health care reforms and their work-related attitudes and behavioral intentions following a period of regionalization of community health services in Newfoundland and Labrador. The relationships between and among the key study variables (i.e., personal characteristics and staffing issues, perceived impact of reforms, work-related attitudes, and behavioral intentions) were also examined. The Conceptual Model of Behavioral Intentions (CMBI) was used as the framework for this study. -- The sample consisted of 170 community health nurses (i.e., 151 staff nurses and 19 managers) working with regional health and community services boards. A response rate of 52.8% was achieved. The majority of respondents were female (98.2%) and ranged in age from 25 to 57 years, (M¹ = 40.66, SD ± 7.78). Data collection occurred from October to December, 2000 using a mailed- out questionnaire (i.e., Employee Attitudes Survey). -- Study findings indicated that community health nurses were neither totally negative nor positive about the overall impact of health care reforms. Respondents were most negative about the quality of care, emotional climate of the workplace, and safety concerns, and were most positive about the importance of reforms, standards of care, and practice-related issues. Respondents were divided on whether or not they believed that employers had violated psychological contracts, were neither completely satisfied nor dissatisfied with managerial support and interdisciplinary relations since restructuring, were slightly satisfied with their jobs, were slightly committed to their organizations, and were uncertain about whether or not they would stay with current employers. Study findings also demonstrated that community health nurses in management positions were significantly more positive about practice- related issues and standards of care, less likely to perceive psychological contract violations, and more ... |
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