JOB SATISFACTION AMONG NURSES.
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Focuses on nurse anesthetists. Definitions, stress & burn-out, health care delivery structure & control & supervision. Chart.... More...
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Paper Abstract: Focuses on nurse anesthetists. Definitions, stress & burn-out, health care delivery structure & control & supervision. Chart.
Paper Introduction: JOB SATISFACTION AMONG NURSE ANESTHETISTS
Introduction
This research reviews the issue of job satisfaction among nurse anesthetists. As anesthesia specialists, Certified Registered Nurse Anesthetists (CRNAs), provide anesthesia for patients undergoing surgical, obstetrical, and diagnostic procedures. CRNAs administer medications to keep patients asleep or pain free during surgery and constantly monitor every important function of the patient’s body (Bryan Memorial Hospital/University of Kansas School of Nurse Anesthesia, 1998).
Nurse anesthetists confront most of the same problems that are confronted by all professional nurses in relation to the issue of job satisfaction or job dissatisfaction. These problems include high levels of stress, heavy workloads, and job burn-out, am
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administer medications tokeep patients asleep or pain free during areconfronted by all professional nurses in relation to the practice nurses however CRNAs are confronted with the problem ofchallenges on job satisfaction Edwin Locke defined level of jobsatisfaction among a group of individuals is satisfaction hasbeen defined as the extent to which one perceives coworkers and supervision Tett Meyer Job Satisfaction Job Dissatisfaction Problems the delivery of health care services in theUnited Kayser The increased use of the health care system and salary levels forhealth care personnel One result of the of advanced practice nurses includingnurse anesthetists from the personnel shortage in turn professional nurses Burn-out inturn is a crucial factor in the of personnel before thispoint is reached lead to high of the professional nurses involved Burnoutleads In turn job dissatisfaction is associated with thephenomenon of burn-out either leave the profession or simply is also a high stress occupation of occupational stress It is The specificcharacteristics of a job are the ineffectiveorganizational development the inability of an individual indecision-making and insecurity among others within their relationshipwith the organization These actions occupational stressors Reductions in effectiveness nursing is job burn-out de Savorgnani believe that the stressors in the s professional nursing contends legislate nurse anesthetists out of practice The issue of environment Physicians have traditionally assumed a superiority of status with equally valid perspective from the approach physicians andnurses think their the issue of control over the nursing function de for professional nursing Second however economic factors in the of health care delivery management which will in the commitment of nurses to the general welfare administrators Leonard Iannone The personnel shortage is a major underlying cause of jobdissatisfaction among to provide anesthesia services-services that the high morbidity and mortality attributedto anesthesia not require physician supervision of nurseanesthetists Physician anesthesiologists have preferences ofthe Medicare patients for who should control anesthesia of Job Satisfaction Research Focusing resentment in relation to job satisfaction The researchersused a Relativedeprivation was defined as a sense gender or educational level CRNAsreporting higher degrees of job CRNA perceived entitlements deserving are key factors contributing to residing inNebraska to compare the in relation to work location The survey did skills opportunity tomeet professional goals and ability to problem with the research however is that it asimilar study using a national CRNA was foundto be generally higher among CRNAs practicing two-part series in the mid s Long and Pfifferling a and perfectionistic While there undoubtedly on perceptions of job satisfaction mid s Brown Chase and amongnurse anesthetists generally was higher where they had of autonomy in practice Atthe same compensation approximating CRNAs are thehighest paid of advanced practice CRNA educators in relation to levels of be moving favorably for nurse anesthetists ChartMedicare Patient Preferences for history htm American Association of Nurse Freeborn D K December Satisfaction http www bryan org crna index htm Fallacaro M wants andentitlements fundamental components of CRNA job satisfaction Journal ofthe nursing and health policy Journal job satisfaction InDunnette M D Ed NurseAnesthetists Long R E Pfifferling J H b October Nurseanesthetitsts' S L Brooks D Y Technology nursingeducation Nursing Health Care de Savorgnani A recruitmentand retention at the unit level Health Care de Tornyay R June Nursing education Staying on track residence and job satisfaction inNebraska As anesthesia specialists Certified Registered NurseAnesthetists CRNAs provide anesthesia for Anesthesia Nurse anesthetists confront most heavy workloads and job burn-out among in the development of job satisfaction orjob dissatisfaction among experiences p Job satisfaction however is autonomy individuals perceive that they have context of the components of a job costs of healthcare changing societal values advances in use of the health care system andincreasing costs are delivery institutions to control costs the very time whendemand for nursing services a cause because the stresses introduced the contemporary practice of nursing also lead to however it is particularly acute in the severe managerial problems forhealth care delivery Stolte Myer One of the major reasons professional professionalnurses reach a point where they levels of jobsatisfaction Job satisfaction is the product rates of personnel turnover Stolte Myer Stress in primary sources of occupational stress have been identified The the institutional environment areexternal to the tasks associated with a involve roleambiguity conflicting task demands work overload or work under or fantasizing They mayreact more actively by creating interpersonal occupational stressors Absenteeismand substance abuse for both theorganization and for the individual Stolte Myer create unrelieved work stress which in turn there exists the potential for a self-fulfillment of expectations Job personnel Neighbors Eldred Nurse anesthetistsconfront this issue at the federal is rooted in thecontemporary restructuring services topatient Nursing however considers the Stolte Myers The restructuring of the health care ambulatory care and so forth-are the autonomyof all health care professionals Traditionally professional nurses have delivery managementare the effects if any professionalresponsibilities and the relationships between nurses and their nurses leave theprofession is job dissatisfaction nurseanesthetists to practice is especially ironic as anesthesia developed in response to careduring surgical procedures American Association of were opposed to such a federal American Association of Nurse Anesthetists b Nurseanesthetists administer percent of study using acertified registered nurse anesthetist with others deserving past expectations future expectations and lack foundthat only degree of autonomy was significant in explaining jobautonomy Fallacaro Wu p The researchers professional nurses and physicians over autonomyfor practicing nurses Thesurvey found no significant difference Rural CRNAs were more likely to be dissatisfied with dissatisfiedavailable time away from work widerpopulation of CRNAs in the United States Fallacaro Obst Gunn and non-metropolitan areas The study found in relation to components of jobsatisfaction as was support theircontentions The authors contended that CRNAs at the greatest people regardless of theiroccupation The authors also professional nurses generally and isnot restricted in their practice During the same satisfactionamong CRNAs was a function of the quality of their of job satisfaction among nurse perceptions of jobsatisfaction among CRNAs generally compensation has been impacts on their perceptions of References American Association of Nurse Anesthetists a History of with nurse anesthetists http www aana com capcorner hcfa htm Hospital University of Kansas School of NurseAnesthesia acrossmetropolitan and nonmetropolitan settings Journal of the AmericanAssociation of Association of Nurse Anesthetists Kayser J J August futurenurses A collaborative project Nursing Connections Locke E H a August Nurse anesthetists'well-being Part I theory of job satisfaction among public influencing nurseanesthesia educational program director turnover Journal of the care Journal ofNursing Administration Stolte K Myers and turnover PersonnelPsychology Thompson L Job satisfaction Todays OR Nurse Weedlun-Dairian L Cuddeford J C December Attitudes Job Satisfaction Among Nurse Anesthetists Introduction This research surgery and constantly monitorevery important function of the patient's issue of jobsatisfaction or job dissatisfaction These to their right to practice The challenge to the job satisfaction as a pleasurable or positive emotional stateresulting from the product of the interactionof a variety of other that her or hisorganizational needs are satisfied by the job Associated With Stress and Burn-Out As States is undergoing rapid and important change creates additional demandsfor professional health care personnel At the dichotomy involving these twofactors is a decline are many and varied On causes many more nurses to development of performance impairmentamong professional nurses Burn-out is rates of personnel turnover decreasedlevels of productivity and declining quality to additional defections from the which in turn is a contributor to become slack intheir approach to their professional In the organizationalenvironment stress has been implicated in the deterioration the combined stressrelated to both activities and source of task-related stressors Thesecond source of occupational to pursuesuccessfully achievement goals within an an organizationalenvironment Stress-outcomes associated with occupational stressors vary widely are just a few of andproductivity are less easily identifiable stress-outcomes of Haring Chase pp Job burn-out is held to result from their environment are task-related and that the consequences of with long-standingchallenges to the profession's prerogatives from who should control nursing is rooted respectto all other care givers in profession requires a significant degree of Tornyay First changes in the locus of delivery of new health care delivery environment have affect theirrelationships with patients and their status as professionals Theirconcerns ofpatients the autonomy of nurses in nursing and professional autonomy in nursingare interrelated professional nurses The challenge by physician they have been providing for at that time Surgeons saw nurses as a cadre ofprofessionals pressured Congress to makesuch supervision mandatory in all states service providers The survey also found that patient satisfaction levels Specifically on Nurse Anesthetists Fallacaro non mainstream theory with respect to job satisfaction-Crosby'sTheory of Relative of grievance or feeling of resentmentthat one has been unjustly autonomy had lower feelings of CRNA job satisfaction Fallacaro Wu p This study added little relationship between work location-urbanmetropolitan urban other find however differences between components practice anesthesia as trained Urban-metropolitan CRNAs by was limitedto a Nebraska sample and thus sample In this study the comparisonwas between job in metropolitan areas theresearchers did b discussed the issue of job satisfaction among nurse is some degree of truth in this assertion among nurse anesthetists Again while this assertion likely is true Freeborn reported jobsatisfaction among CRNAs practicing in maternity care greater autonomy inthe practice of patient-centered nursing During time Hazel reported that sexual harassment on nurse specialties While compensationhas not job satisfaction McCall et al Conclusion There are many factors Level of Control for Anesthesia Providers Anesthetists b Survey findssurgical patients overwhelmingly support local control of Certified Registered Nurse Anesthetists in maternityservices Journal D Obst T E Gunn I P Chu M American Association of Nurse Anesthetists Hazel H of GerontologicalNursing Leonard D J Handbook of industrial and organizationalpsychology New York John well-being Part II Journal of the American Association ofNurse Fallacaro M D Gray G C Ritter A Haring R C Galloway S June Supervisors Tett R P Meyer J Nursing Health Care Waugaman W R Jordan Journal of the American Association of patients undergoing surgical obstetrical and diagnostic procedures CRNAs of the same problems that others As is true of alladvanced nurse anesthetists Job Satisfaction A recognized authority a complex factor and the in theperformance of their duties and in this context job thataffect perceptions of satisfaction such as work pay promotion treatment therapies changingdemographics and many others major factors involved in changes in delivery ofservices causesthese institutions to attempt to constrain wage is increasing Kayser The causes of the shortage into thepractice of nursing by over-work resulting anincrease in the rate of burn-out among nursingpractice Burn-out together with the actions institutions increased patient risk and significantdisruptions in the lives nurses leave the profession isjob dissatisfaction are dissatisfied with their job and theirrole they tend to of the combined effects of anumber of variables Nursing an institutional environment is typicallydiscussed in the context first source of these stressors is the job itself job Context-related stressorstypically develop as a result flawed organizational structures load inadequate resource support no pro vision for meaningful participation and intraorganizationalconflicts They may get sick or they may terminate are two additional high profile and easily identifiablestress-outcomes of A indicated above a concept closely associated with occupationalstress in leads toa generally debilitated psychological condition in individuals Wherenurses Satisfaction Job Dissatisfaction and Challenges to Practice In level in as physiciananesthesiologists attempt to of the health care delivery patient and patient care from adifferent but delivery environment adds newdimensions to creating newopportunities and new demands been most concerned with theaspects which these trends would have on the following public trust colleagueswho practice as supervisors and Impingements on their autonomy in thepractice of their profession nurses were the firsthealth professionals in the United States requests ofsurgeons seeking a solution to Nurse Anesthetists a p A total of states do intervention The chart presented on the following page illustrates the all anesthesia services in the UnitedStates An Assessment CRNA sample to assess feelings ofdeprivation or of self-blame can influence job satisfaction perceiveddeprivation That is irrespective of concluded that CRNA frustrated wants wanting and Weedlun-Darian and Cuddeford surveyed CRNAs in levels of CRNA overall jobsatisfaction autonomy CRNA surgeonrelationships opportunity to improve professional These latter research findings areimportant The and Chu however later conducted that percentof CRNAs practice in metropolitan areas While job satisfaction done in the Weedlun-Darian and Cuddeford study In a risk of burn-out are those who are self-critical compulsive stated that heavy workload demands alsoimpinge to nurse anesthetists In the period Waugaman Jordan and Norris reported that job satisfaction relationship on the jobwith physicians as well as with perceptions anesthetists With a median annual found to be afactor among job satisfaction Thetrends however appear to nurseanesthesia practice http www aana com professional docs Brown S Chase A L Nurse Anesthesia a profession with a future Nurse Anesthetists Fallacaro M D Wu Y W June Frustrated Inadequate staffing at mealtime Implications for A The nature and causes of Journal of the American Association of and private sectors PublicPersonnel Management McCall W G Alves AmericanAssociation of Nurse Anesthetists Neighbors M Eldred E E February S T march Reflections on of nurse anesthetists Journalof the American Association of Nurse Anesthetists ofnurse anesthetists regarding choice of reviews the issue of job satisfaction among nurseanesthetists body Bryan MemorialHospital University of Kansas School of Nurse problems include high levels ofstress right topractice is an important factor the appraisal of one's job or job factors Maidani Job satisfaction has beenlinked to the degree of Job satisfaction also isdefined frequently within the a result of a combination of factors increasing in the last years ofthe twentieth century Increased same time however pressures on health care in the attractions of nursing at one level the personnelshortage itself is also leave the profession The stressesassociated with a relatively common phenomenon inmany fields of endeavor levels in duty performance-impaired nursing These factors cause profession and further exacerbatesthe professional personnel shortage the developmentof impaired performance among professional nurses When responsibilities-impaired performance Stolte Myer Burn-out is a manifestation of low of performanceefficiency and stress has been linked to high environments that causes occupationalstress Two stressors is the institutional environment Context-related stressors associated with organization or some combinationof all three Tett Meyer Task-related stressors Individuals may simply resort to daydreaming literally dozens ofstress-outcomes which may result from occupationalstressors They are however among the most debilitating the combined effects of work-related factors that exposure to these stressors are inevitable physicians and withrelatively recent challenges involving hospital administrators and para-professional in an age oldconflict between nurses and physicians and it the delivery of health care autonomyfrom the physician in the delivery of patient care health care services-home health care putadministrators into roles wherein they attempt to impinge on with respect to current trends in health care in the practice of their One of the major reasons professional anesthesiologists to the right of more than a years Thediscipline of nurse who could give their undivided attention to patient A survey of Medicare patients however found that patients with anesthesiologyservices provided by physician anesthesiologists and nurse anesthetistswere comparable and Wu conducted a comparative Deprivation which holds that perceptions of wanting comparison deprived of some desired thing The study deprivationor resentment about their jobs than did individuals reporting limited to the long-running struggle between or rural-and job overall satisfaction of job satisfaction and work location contrast were more likely to be is not easily generalizable to the satisfaction perceptions between CRNAs practicing inmetropolitan not further investigate differences between metropolitanand non-metropolitan based CRNAs anesthetists although they did not conduct any empirical research to the sameassertion may be made in relation to most the research literature reportsthat this situation is applicable to was related to thelevel of autonomy they had the early s Thompson reported that job the job wasdetrimental to perceptions been found to be a factor leading to lower that nurse anesthetists must confront that canexert detrimental pic Federal State Hospital Don't Know of health carestaffing-patients are fully satisfied of the American Association of Nurse Anesthetists Bryan Memorial June The national distribution of Certified Registered Nurse Anesthetists June Sexual harassment and nurse anesthetists Journal of the American Iannone J M Winter Recruiting Wiley Sons Long R E Pfifferling J Anesthetists Maidani E A Winter Comparative study of Herzberg's two-factor D December An analysis of factors Recruiting and retaining registered nurses in home health P Summer Job satisfaction organizational commitment turnover intention L M Norris J L December Nurse anesthesia Patient-centered nursing Nurse Anesthetists administer medications tokeep patients asleep or pain free during areconfronted by all professional nurses in relation to the practice nurses however CRNAs are confronted with the problem ofchallenges on job satisfaction Edwin Locke defined level of jobsatisfaction among a group of individuals is satisfaction hasbeen defined as the extent to which one perceives coworkers and supervision Tett Meyer Job Satisfaction Job Dissatisfaction Problems the delivery of health care services in theUnited Kayser The increased use of the health care system and salary levels forhealth care personnel One result of the of advanced practice nurses includingnurse anesthetists from the personnel shortage in turn professional nurses Burn-out inturn is a crucial factor in the of personnel before thispoint is reached lead to high of the professional nurses involved Burnoutleads In turn job dissatisfaction is associated with thephenomenon of burn-out either leave the profession or simply is also a high stress occupation of occupational stress It is The specificcharacteristics of a job are the ineffectiveorganizational development the inability of an individual indecision-making and insecurity among others within their relationshipwith the organization These actions occupational stressors Reductions in effectiveness nursing is job burn-out de Savorgnani believe that the stressors in the s professional nursing contends legislate nurse anesthetists out of practice The issue of environment Physicians have traditionally assumed a superiority of status with equally valid perspective from the approach physicians andnurses think their the issue of control over the nursing function de for professional nursing Second however economic factors in the of health care delivery management which will in the commitment of nurses to the general welfare administrators Leonard Iannone The personnel shortage is a major underlying cause of jobdissatisfaction among to provide anesthesia services-services that the high morbidity and mortality attributedto anesthesia not require physician supervision of nurseanesthetists Physician anesthesiologists have preferences ofthe Medicare patients for who should control anesthesia of Job Satisfaction Research Focusing resentment in relation to job satisfaction The researchersused a Relativedeprivation was defined as a sense gender or educational level CRNAsreporting higher degrees of job CRNA perceived entitlements deserving are key factors contributing to residing inNebraska to compare the in relation to work location The survey did skills opportunity tomeet professional goals and ability to problem with the research however is that it asimilar study using a national CRNA was foundto be generally higher among CRNAs practicing two-part series in the mid s Long and Pfifferling a and perfectionistic While there undoubtedly on perceptions of job satisfaction mid s Brown Chase and amongnurse anesthetists generally was higher where they had of autonomy in practice Atthe same compensation approximating CRNAs are thehighest paid of advanced practice CRNA educators in relation to levels of be moving favorably for nurse anesthetists ChartMedicare Patient Preferences for history htm American Association of Nurse Freeborn D K December Satisfaction http www bryan org crna index htm Fallacaro M wants andentitlements fundamental components of CRNA job satisfaction Journal ofthe nursing and health policy Journal job satisfaction InDunnette M D Ed NurseAnesthetists Long R E Pfifferling J H b October Nurseanesthetitsts' S L Brooks D Y Technology nursingeducation Nursing Health Care de Savorgnani A recruitmentand retention at the unit level Health Care de Tornyay R June Nursing education Staying on track residence and job satisfaction inNebraska As anesthesia specialists Certified Registered NurseAnesthetists CRNAs provide anesthesia for Anesthesia Nurse anesthetists confront most heavy workloads and job burn-out among in the development of job satisfaction orjob dissatisfaction among experiences p Job satisfaction however is autonomy individuals perceive that they have context of the components of a job costs of healthcare changing societal values advances in use of the health care system andincreasing costs are delivery institutions to control costs the very time whendemand for nursing services a cause because the stresses introduced the contemporary practice of nursing also lead to however it is particularly acute in the severe managerial problems forhealth care delivery Stolte Myer One of the major reasons professional professionalnurses reach a point where they levels of jobsatisfaction Job satisfaction is the product rates of personnel turnover Stolte Myer Stress in primary sources of occupational stress have been identified The the institutional environment areexternal to the tasks associated with a involve roleambiguity conflicting task demands work overload or work under or fantasizing They mayreact more actively by creating interpersonal occupational stressors Absenteeismand substance abuse for both theorganization and for the individual Stolte Myer create unrelieved work stress which in turn there exists the potential for a self-fulfillment of expectations Job personnel Neighbors Eldred Nurse anesthetistsconfront this issue at the federal is rooted in thecontemporary restructuring services topatient Nursing however considers the Stolte Myers The restructuring of the health care ambulatory care and so forth-are the autonomyof all health care professionals Traditionally professional nurses have delivery managementare the effects if any professionalresponsibilities and the relationships between nurses and their nurses leave theprofession is job dissatisfaction nurseanesthetists to practice is especially ironic as anesthesia developed in response to careduring surgical procedures American Association of were opposed to such a federal American Association of Nurse Anesthetists b Nurseanesthetists administer percent of study using acertified registered nurse anesthetist with others deserving past expectations future expectations and lack foundthat only degree of autonomy was significant in explaining jobautonomy Fallacaro Wu p The researchers professional nurses and physicians over autonomyfor practicing nurses Thesurvey found no significant difference Rural CRNAs were more likely to be dissatisfied with dissatisfiedavailable time away from work widerpopulation of CRNAs in the United States Fallacaro Obst Gunn and non-metropolitan areas The study found in relation to components of jobsatisfaction as was support theircontentions The authors contended that CRNAs at the greatest people regardless of theiroccupation The authors also professional nurses generally and isnot restricted in their practice During the same satisfactionamong CRNAs was a function of the quality of their of job satisfaction among nurse perceptions of jobsatisfaction among CRNAs generally compensation has been impacts on their perceptions of References American Association of Nurse Anesthetists a History of with nurse anesthetists http www aana com capcorner hcfa htm Hospital University of Kansas School of NurseAnesthesia acrossmetropolitan and nonmetropolitan settings Journal of the AmericanAssociation of Association of Nurse Anesthetists Kayser J J August futurenurses A collaborative project Nursing Connections Locke E H a August Nurse anesthetists'well-being Part I theory of job satisfaction among public influencing nurseanesthesia educational program director turnover Journal of the care Journal ofNursing Administration Stolte K Myers and turnover PersonnelPsychology Thompson L Job satisfaction Todays OR Nurse Weedlun-Dairian L Cuddeford J C December Attitudes
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