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J Nurs Adm. 2010 Jul-Aug;40(7-8):309-15. doi: 10.1097/NNA.0b013e3181e93719.

A comparison of working conditions among nurses in Magnet and non-Magnet hospitals.

Author information

1
School of Nursing, University of Maryland, 655 W Lombard St., Baltimore, MD 21201, USA. trinkoff@son.umaryland.edu

Abstract

OBJECTIVES:

To compare working conditions (ie, schedule, job demands, and practice environment) of nurses working in American Nurses Credentialing Center-designated Magnet and non-Magnet hospitals.

BACKGROUND:

Although nurse retention has been reported as more favorable among Magnet hospitals, controversy still exists on whether Magnet hospitals have better working conditions.

METHOD:

A secondary data analysis was conducted of the Nurses Worklife and Health Study using responses from the 837 nurses working in 171 hospitals: 14 Magnet and 157 non-Magnet facilities in the Wave 3 follow-up survey. Contingency tables and t tests compared working conditions by Magnet status. To accommodate clustering of nurses in hospitals, the Huber-White sandwich estimator was used to obtain robust SEs and variance estimates.

RESULT:

Nurses in Magnet hospitals were significantly less likely to report jobs that included mandatory overtime (P =.04) or on-call (P =.01), yet hours worked did not differ. They also reported significantly lower physical demands (P =.03), although the means for Magnet hospital nurses and non-Magnet nurses were quite similar (30.1 vs 31.0). Furthermore, comparison of the groups on nursing practice environment and perceived patient safety found no significant differences.

CONCLUSION:

Working conditions reported by nurses working in Magnet and non-Magnet hospitals varied little.

PMID:
20661060
DOI:
10.1097/NNA.0b013e3181e93719
[Indexed for MEDLINE]
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