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Effects of wage and work environment on nurse job dissatisfaction, burnout, and intent to leave the job Matthew D. McHugh, PhD, JD, MPH, RN, CRNP, and Chenjuan Ma, MSN Center for Health Outcomes and Policy Research, University of Pennsylvania, PA ,[object Object],[object Object],[object Object],Study Design ,[object Object],[object Object],Principal Findings (Cont’d) ,[object Object],[object Object],Conclusions To assure the retention of a quality hospital nursing workforce, policy makers and hospital administrators should have a dual focus on improving the pay and working conditions of nurses. Policy Implications ,[object Object],[object Object],[object Object],Background To examine the independent and joint effect of wage, work environment, and nurse staffing on outcomes that are important to nurse retention: burnout, job dissatisfaction, and intent to leave. Research Objective ,[object Object],[object Object],[object Object],Principal Findings Table 1 . RN hourly wage by work environment Mean (SD) Work environment Poor $34.51 (7.44) Mixed $37.77 (9.10) Good $40.39 (9.25) This research was supported by the Agency for Healthcare Research and Quality (K08-HS-017551, McHugh, PI) and the National Institute of Nursing Research (R01-NR-004513, Aiken, PI). Funding Sources Table 2.  Odds Ratios (OR) indicating the effect of wage, work environment, and nurse workload on individual nurse outcomes  Unadjusted  Adjusted  OR (95% CI) OR (95% CI) Job dissatisfaction Wage 0.89**(0.86-0.94) 0.95**(0.91-0.98) Environment 0.44**(0.40-0.49) 0.50**(0.45-0.55) Workload 1.27**(1.21-1.32) 1.12**(1.06-1.18) Burnout Wage 0.93**(0.91-0.95) 0.98(0.95-1.02) Environment 0.58**(0.52-0.83) 0.62**(0.58-0.69) Workload 1.16**(1.12-1.21) 1.09**(1.04-1.15) Intent to leave Wage 0.93**(0.90-0.96) 0.92*(0.88-0.98) Environment 0.56**(0.49-0.65) 0.51**(0.45-0.57) Workload 1.05(1.00-1.11) 1.05(0.98-1.12) † For interpretability, we report standardized coefficients. Adjusted models account for each nurse’s sex, years of experience, state of residence, as well as hospital teaching status, size, urban location,  *p<0.01, **p<0.001

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Effects of Wage and Work Environment on Nurse Job Dissatisfaction Burnout and Intent to Leave the Job 5 27 11

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