東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back to Search results for [ null ]

Switch To: Labeled | MARC Mode | ISBD

Linked to FindBook

Google Book

Amazon

博客來

Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses./
Author:	Tan, Amil Kusain, Jr.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	177 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-01, Section: B.
Contained By:	Dissertations Abstracts International83-01B.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28546129
ISBN:	9798516962776

Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses.
Tan, Amil Kusain, Jr.

Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 177 p.

Source: Dissertations Abstracts International, Volume: 83-01, Section: B.

Thesis (Ph.D.)--City University of New York, 2021.

This item must not be sold to any third party vendors.

Background: Many long-term care facilities in the United States face significant problems with nurse retention and turnover. These challenges are attributed at least in part to moral distress and a negative nurse practice environment. Licensed nurses working in long-term care facilities experience ethical challenges such as lack of resources, use of restraints, end-of-life issues, and caring for residents with dementia that, if not resolved, can lead to moral distress- especially if left unresolved. Long-term care administrators and nurse managers increasingly strive to improve leadership support for long-term care staff that will positively affect the nurse practice environment.Aim/Purpose: The purpose of the study was to investigate the relationships between nurse practice environment, moral distress, and intent to stay, including the potential mediating effect of the nurse practice environment on the intent to stay among those with high levels of moral distress. Secondarily, the reliability and validity of the Intent to Stay Questionnaire, Direct Care Staff Survey, and Moral Distress Questionnaire were evaluated in long-term care nurses.Methods: This descriptive cross-sectional design study included an online, national survey of long-term care nurses' perceptions of their intent to stay, moral distress level (Moral Distress Questionnaire), and nurse practice environment (Direct Care Staff Survey). Descriptive, correlational, regression, reliability, confirmatory factor analysis, and structural equation modeling (SEM) analysis were used to explore intent to stay, moral distress, and the nurse practice environment among long-term care nurses.Results: A total of 215 participants completed the surveys. Participants were nationally representative of long-term care nurses by age, years of experience, employment status, and type of health setting. Predominantly the sample was white and female licensed practical nurses. The computed SEM suggested a partially mediated model. The mean moral distress score was low while the mean nurse practice environment and intent to stay were high. Moral distress was found to have a moderate negative association with nurse practice environment (β = -0.41) while nurse practice environment had a significant, moderately positive association with intent to stay (β = 0.46). The moral distress had a significant, moderately negative association with intent to stay (β = -0.20). The computed SEM suggested a partially mediated model (Indirect effect= -0.19, p=0.001). The ITS, DCSS, and MDQ demonstrated to be reliable and valid measures of intent to stay, nurse practice environment, and moral distress, respectively, among licensed nurses working in institutional long-term care.Conclusion: Since the relationship between moral distress and intent to stay is partially mediated by the nurse practice environment, interventions aimed at improving the nurse practice environment are crucial to alleviating moral distress and enhance nurses' intention to stay in their job, organization, and the nursing profession. Moral distress is understudied in long-term care and should be explored in further research.

ISBN: 9798516962776Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Confirmatory factor analysis

Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses.
LDR:04367nmm a2200373 4500 001 2346711
005 20220620110151.5
008 241004s2021 ||||||||||||||||| ||eng d
020 $a 9798516962776
035 $a (MiAaPQ)AAI28546129
035 $a AAI28546129
040 $a MiAaPQ $c MiAaPQ
100 1 $a Tan, Amil Kusain, Jr. $0 (orcid)0000-0003-1747-0634 $3 3685884
245 1 0 $a Intent to Stay, Moral Distress, and Nurse Practice Environment among Long-Term Care Nurses.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 177 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-01, Section: B.
500 $a Advisor: Capezuti, Elizabeth.
502 $a Thesis (Ph.D.)--City University of New York, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Background: Many long-term care facilities in the United States face significant problems with nurse retention and turnover. These challenges are attributed at least in part to moral distress and a negative nurse practice environment. Licensed nurses working in long-term care facilities experience ethical challenges such as lack of resources, use of restraints, end-of-life issues, and caring for residents with dementia that, if not resolved, can lead to moral distress- especially if left unresolved. Long-term care administrators and nurse managers increasingly strive to improve leadership support for long-term care staff that will positively affect the nurse practice environment.Aim/Purpose: The purpose of the study was to investigate the relationships between nurse practice environment, moral distress, and intent to stay, including the potential mediating effect of the nurse practice environment on the intent to stay among those with high levels of moral distress. Secondarily, the reliability and validity of the Intent to Stay Questionnaire, Direct Care Staff Survey, and Moral Distress Questionnaire were evaluated in long-term care nurses.Methods: This descriptive cross-sectional design study included an online, national survey of long-term care nurses' perceptions of their intent to stay, moral distress level (Moral Distress Questionnaire), and nurse practice environment (Direct Care Staff Survey). Descriptive, correlational, regression, reliability, confirmatory factor analysis, and structural equation modeling (SEM) analysis were used to explore intent to stay, moral distress, and the nurse practice environment among long-term care nurses.Results: A total of 215 participants completed the surveys. Participants were nationally representative of long-term care nurses by age, years of experience, employment status, and type of health setting. Predominantly the sample was white and female licensed practical nurses. The computed SEM suggested a partially mediated model. The mean moral distress score was low while the mean nurse practice environment and intent to stay were high. Moral distress was found to have a moderate negative association with nurse practice environment (β = -0.41) while nurse practice environment had a significant, moderately positive association with intent to stay (β = 0.46). The moral distress had a significant, moderately negative association with intent to stay (β = -0.20). The computed SEM suggested a partially mediated model (Indirect effect= -0.19, p=0.001). The ITS, DCSS, and MDQ demonstrated to be reliable and valid measures of intent to stay, nurse practice environment, and moral distress, respectively, among licensed nurses working in institutional long-term care.Conclusion: Since the relationship between moral distress and intent to stay is partially mediated by the nurse practice environment, interventions aimed at improving the nurse practice environment are crucial to alleviating moral distress and enhance nurses' intention to stay in their job, organization, and the nursing profession. Moral distress is understudied in long-term care and should be explored in further research.
590 $a School code: 0046.
650 4 $a Nursing. $3 528444
650 4 $a Health care management. $3 2122906
650 4 $a Collaboration. $3 3556296
650 4 $a Older people. $3 761975
650 4 $a Nurses. $3 617628
650 4 $a Nursing care. $3 1962274
653 $a Confirmatory factor analysis
653 $a Long-term care
653 $a Structural equation Modeling
653 $a Retention
653 $a Turnover
690 $a 0569
690 $a 0769
690 $a 0454
710 2 $a City University of New York. $b Nursing. $3 3191126
773 0 $t Dissertations Abstracts International $g 83-01B.
790 $a 0046
791 $a Ph.D.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28546129