SELECTED FACTORS AFFECTING NURSE-PERCEIVED RECIPROCITY IN NURSE-PATIENT RELATIONSHIPS (WORK SATISFACTION).
Contributors: University of Texas at Austin.
Published: 1995
Number of pages: 199
Subjects: Health Sciences, Nursing.; Psychology, Industrial.
Description: This exploratory study examined factors affecting nurse-perceived reciprocity in nurse-patient relationships of practicing public health nurses. The hypothesis was that there is a positive relationship between selected demographic (age), professional (years as RN, years in public health nursing), personal (career satisfaction, satisfaction with nurse-patient relationships), and contextual variables (work satisfaction, years with current employer, type of nursing care delivery system (team, primary, case management, functional, other), and satisfaction with workload) and nurse-perceived reciprocity in nurse-patient relationships. A convenience sample of 69 public health nurses from three health departments in large urban areas in Texas provided surveys.

Data were analyzed using multiple regression. The smallest (two-factor) significant predictor model with reciprocity as the criterion included two variables: career satisfaction and case management. This model accounted for 16.8% of variance (Adjusted R Square) (p =.001). Seven other variables were also significant (satisfaction with nurse-patient relationships, years with current employer, work satisfaction, "other" type of nursing care delivery, satisfaction with workload, "functional" nursing, and primary nursing), but contributed little additional predictiveness to the two-factor model. Results suggest that career satisfaction and case management are the most important predictors among factors included of nurse-perceived reciprocity.

The study supports the importance of reciprocity in nurse-patient relationships and links nurse-perceived reciprocity and work satisfaction, career satisfaction, satisfaction with nurse-patient relationships, and certain types of nursing care delivery systems. The Nurse-Perceived Reciprocity Scale measures reciprocity from a nursing perspective, using items identified by nurses as rewards in their interpersonal relationships with patients.
Notes: Source: Dissertation Abstracts International, Volume: 56-10, Section: B, page: 5421.

Thesis (PH.D.)--THE UNIVERSITY OF TEXAS AT AUSTIN, 1995.

School code: 0227.