Armstrong-Stassen M, Cameron S J, Horsburgh M E
Faculty of Business Administration, University of Windsor, Ontario.
Can J Nurs Adm. 1996 Nov-Dec;9(4):8-32.
Professional nurses across Canada are being affected by health reform initiatives designed to deinstitutionalize the health care system. This panel study examined the impact this restructuring has had on nurses' overall job satisfaction as well as their satisfaction with various aspects of their job and work environment. The participants consisted of 345 nurses employed in 3 community hospitals in southwestern Ontario. Hospital downsizing had relatively little effect on overall job satisfaction, satisfaction with kind of work, amount of work, and physical work conditions. However, compared to before the downsizing, nurses reported a significant deterioration in satisfaction with their career future, hospital identification, supervision, and co-workers following the implementation of restructuring initiatives. We discuss the organizational and management implications of these findings and suggest ways that hospital administrators can minimize the negative effects of downsizing on nursing professionals.
加拿大各地的专业护士正受到旨在使医疗保健系统非机构化的医疗改革举措的影响。这项小组研究考察了这种结构调整对护士总体工作满意度以及他们对工作和工作环境各个方面满意度的影响。参与者包括安大略省西南部3家社区医院的345名护士。医院规模缩减对总体工作满意度、对工作种类、工作量和身体工作条件的满意度影响相对较小。然而，与规模缩减之前相比，护士们报告称，在实施结构调整举措后，他们对职业前景、医院认同感、监督和同事的满意度显著下降。我们讨论了这些发现的组织和管理意义，并提出了医院管理人员可以将规模缩减对护理专业人员的负面影响降至最低的方法。
