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J Nurs Adm. 2018 Dec;48(12):636-641. doi: 10.1097/NNA.0000000000000695.

The Intergenerational Impact of Management Relations on Nurse Career Satisfaction and Patient Care.

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Author Affiliations: Associate Professor (Dr Price), Dalhousie University School of Nursing, Halifax, Nova Scotia; Affiliate Scientist (Dr Price), IWK Health Centre, Halifax, Nova Scotia; PhD Student (Ms Paynter), Dalhousie University School of Nursing, Halifax, Nova Scotia; Associate Dean, Distinguished Professor (Dr McGillis Hall), Laurence S. Blomberg Faculty of Nursing, University of Toronto, Ontario; Policy and Research Specialist (Ms Reichart), Canadian Federation of Nursing Unions, Ottawa, Ontario, Canada.



This article provides insights into the role of management relations on nurses' career satisfaction across different career stages.


Managers and positive relations with staff are critical to improving job satisfaction, career development, and retention for new graduates to mid- to late-career nurses.


Using a descriptive qualitative approach, we conducted a thematic analysis of 18 focus groups held in 8 Canadian provinces with 185 student, early-career, and mid- to late-career nurse participants.


Student participants expressed the need for a supportive environment to enable successful transition to practice. Early-career nurses expected effective leadership at the unit level, effective communication, and positive working relationships to enable best care outcomes. Mid- to late-career nurses were most dissatisfied with management interactions and relationships.


Management relations are important across all career stages, affecting patient care and job satisfaction. Findings provide insight into how nurse-manager relations can be enhanced from new graduate support to guidance in career development and ongoing recognition and respect for nurses throughout their careers.

[Indexed for MEDLINE]

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