Graduation Year

2011

Document Type

Dissertation

Degree

Ph.D.

Degree Granting Department

Nursing

Major Professor

Cecile A. Lengacher, R.N., Ph.D.

Committee Member

Jeffrey Kromrey, Ph.D.

Committee Member

Denise J. Maguire, R.N., Ph.D.

Committee Member

Robyn B. Cheung, R.N., Ph.D.

Keywords

nursing leadership, falls, pressure ulcers, medication errors, patient satisfaction with nursing care

Abstract

The purpose of this study was to determine if the level of Nurse Manager (NM) emotional intelligence (EI) predicted registered nurse (RN) job satisfaction and RN perceptions of the practice environment. In addition, relationships to patient, nursing, and hospital outcomes were explored. Participants included RNs (N=659) and NMs (N=38) from 53 nursing units at eight hospitals located in the southeast region of the United States. A cross-sectional, correlational research design was used to test the hypotheses. Pearson product-moment correlation coefficients, simple linear and multiple regression statistics were conducted to analyze the data. Level of NM EI had a positive, not significant relationshp to RN job satisfaction and RN perceptions of the practice environment. A direct, positive significant relationship was observed between the variables NM EI and patient satisfaction with nursing care. There was a positive, significant relationship noted between the variables RN job satisfaction and RN perceptions of the practice environment. The indirect relationships between the level of NM EI and patient, nursing and hospital outcomes were not significant. There was a direct significant, positive relationship noted between the variables RN perceptions of the practice environment and patient satisfaction with nursing care. In addition, the interaction between RN job satisfaction and RN hours of care had a positive, significant relationship with unit level pressure ulcer rates. This study indicated that units with higher RN hours of care have increased pressure ulcer rates. In addition, results illustrate a marked increase in pressure ulcer rates on those units with higher levels of job satisfaction. In this study, pressure ulcer rates depended on the level of RN job satisfaction. The research presented is one of the first studies that explored the relationships among the variables: emotional intelligence, job satisfaction, perceptions of the practice environment, and the dependent variables fall rates, pressure ulcer rates, medication error rates, patient and physician satisfaction with nursing care, and nursing turnover and vacancy rates.

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