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Course NURS 564
Unit Four : Organizational System
> Creating and Maintaining
Organizational Culture
Prepared by:
Ahmad O. Al-Shardi
OBJECTIVES:
 Describe the common characteristics of organizational culture.
 Compare the functional and dysfunctional effect of
organizational culture on people and the organization
 Identify the factors that create and sustain an organizations
culture
 Show how culture is transmitted to employees
 Describe the similarities and differences in creating an ethical
culture ,a positive culture, and a spiritual culture
 Show how national culture can affect the organizational
culture
WHATS THE ORGANIZATIONAL CULTURE ?
WHATS THE ORGANIZATIONAL CULTURE ?
 ORGANIZATIONAL CULTURE:
 Refers to a system of shared meaning held by
members that distinguishes the organization from
other organization .
 The set of shared values and norms that controls
organizational members’ interactions with each
other and with people outside the organization .
WHATS THE ORGANIZATIONAL CULTURE ?
 Values: General criteria, standards, or guiding
principles that people use to determine which
types of behaviors, events, situations, and
outcomes are desirable or undesirable .
 Core Values: The primary or dominant values
that are accepted throughout the organization .
 Norms: Standards or styles of behavior that are
considered acceptable or typical for a group of
people
Organization’s Culture Comes From
CHARACTERISTICS OF ORGANIZATION
CULTURE :
 Innovation and risk taking: the degree to which
employees are encouraged to be innovation and risk
taking.
 Attention to detail: the degree to which employees
are expected to exhibit precision, analysis, and
attention to detail.
 Outcome orientation: the degree to which
management focuses on results or outcome rather
than the processes.
 People orientation: the degree to which management
decisions take into consideration the effect of
outcomes on people within the organization.
CHARACTERISTICS OF ORGANIZATION
CULTURE : :
 Team orientation: the degree to which work
activities are organized around teams rather than
individuals .
 Aggressiveness: the degree to which people are
aggressive and competitive rather than easygoing.
 Stability: the degree to which organizational
activities emphasize maintaining the status quo in
contrast growth.
CHARACTERISTICS OF ORGANIZATION
CULTURE : :
 Each of these characteristics provides a basis
for the shared understanding members have
about the organization , how things are done in it
, and the way they supposed to behave .
 Organization Culture shows how employees
perceive the characteristics of an organization ,
not whether they like them .
Do Organizations Have Uniform Cultures?
Do Organizations Have Uniform Cultures?
 Organizational culture represents a perception
the organization's members hold in common.
 Statements about organizational culture are valid
only if individuals with different backgrounds or at
different levels in the organization describe the
culture in similar terms .
 Within the organization, the dominant culture
expresses the core values a majority of
members share and that give the organization its
distinct personality.
SOME TYPE OF CULTURES?
 Dominant culture : A culture that expresses the
core values that are shared by a majority of the
organization’s member .
 Subcultures : Miniculture within an organization
,typically defined by department designations
and geographical separation .
 Strong culture: A culture in which the core
values are Intensely held and widely shared .
Do Organizations Have Strong Cultures?
CULTURE & ORG. EFFECTVENESS
 Strong Cultures
Organization’s core values intensely held,
clearly ordered, widely shared .
 Weak Cultures
Organization’s which are young or have
constant turnover
STRONG VERSUS WEAK CULTURES :-
Strong Culture Weak culture
Values are widely spread Values limited to few
peoples-usually top management
Culture conveys message about
what’s Important
 Employees did not treat there work as a Employees
treat there
 work as a burden burden
 Employees are strongly identify with Employees
have little
 identification with
STRONG VERSUS WEAK CULTURES :-
Weak CultureStrong Cultures
Values limited to few
…top management
Values are widely spread
Culture conveys message
about what’s Important
Employees treat there
burden
Employees did not treat there
work as a work as a burden
Employees have little
culture
Employees are strongly
identify with
identification with
There culture
Weak connection between
Values and behavior
Strong connection Between
shared Values and behavior
THE FUNCTION OF CULTURE
 First, it has a boundary-defining role: It creates
distinctions between organizations.
 Second, it conveys a sense of identity for organiza-
tion members.
 Third, culture facilitates commitment to something
larger than individual self-interest.
 Fourth, it enhances the stability of the social
system.
 Finally, it is a sense-making and control
mechanism that guides and shapes employees
attitudes and behavior.
CULTURE CREATES CLIMATE :
 If you have worked With someone whose
positive attitude inspired you to do your best or
with a lackluster team that drained your
motivation, you've experienced the
organizational climate .
 Organizational climate: refers to the shared
perceptions organization members have about
their organization and work environment.
 This aspect of culture is like team spirit at the
organizational level
EXAMPLE
 For example, someone who encounters a
diversity climate will feel more comfortable
collaborating with coworkers regardless of
their demographic backgrounds.
 Climates can interact with one another to
produce behavior.
 For example, a climate of worker
empowerment can lead to higher levels of
performance in organizations that also have
a climate of personal accountability.
The Ethical Dimension of Culture
 Ethical Work Climate (EWC), which is the
shared concept of right and wrong behavior,
develops as part of the organizational climate.
 EWC reflects the true values of the organization
and shapes the ethical decision making of its
members.
 Researchers have developed ethical climate
theory (ECT) and the ethical climate index (ECI)
to categorize and measure the ethical
dimensions of organizational cultures.
The Ethical Dimension of Culture
 Of the nine identified ECT climate categories,
five are most prevalent in organizations :
instrumental, caring, independence, law and
code, and rules.
 Each explains the general mind set, expectations,
and values of managers and employees in
relationship to their Organizations.
The Ethical Dimension of Culture
 Instrumental ethical climate, managers may
frame their decision making around the
assumption that employees (and companies) are
motivated by self-interest (egoistic).
 Caring climate, conversely, managers may
operate under expectation that their decisions will
positively affect the greatest number of
stakeholders employees, customers, suppliers)
possible.
The Ethical Dimension of Culture
 Independence ethical climates, rely on each
individual's personal moral ideas to dictate his or
her workplace behavior.
 Law and code climates, require managers and
employees to use an external standardized moral
compass such as a professional code of conduct
for norms,
 Rules climates, tend to operate by internal
standardized stai expectations from, perhaps, an
organizational policy manual .
The Ethical Dimension of Culture
 For example, instrumental climate are
negatively associated with employee job
satisfaction and Organizational commitment ,
even though those climates appeal to self-
interest (of the employee and Company). They
are positively associated with turnover
intentions, work place bullying, and deviant
behavior .
Factors Influencing the Development
of Organizational Ethics
CAN ORGANIZATIONAL CULTURE BE
MANAGED?
 Some ways culture can be changed:
 Redesign structure
 Revise property rights used to motivate
people
 Change the people – especially top
management
 CULTURE CREATION OCCURS IN THREE WAYS:
 First, founders hire and keep only employees
who think and feel the same way they do .
 Second, they indoctrinate and socialize
employees to their way of thinking and feeling .
 Finally, the behavior of the founders
encourages employees to identify with them and
internalize their beliefs , values , and
assumotions .
When the organization succeeds, the personality
of the founders becomes embedded in the culture
 For example ,the fierce, competitive style and
disciplined, authoritarian nature of Hyundai, the
giant Korean conglomerate, exhibits the same
characteristics often used to describe founder
Chung Ju-Yung.
 Other founders with sustaining impact on their
organization's culture include Bill Gates at
Microsoft, Ingvar Kamprad at IKEA, Herb
Kelleher at Southwest Airlines, Fred Smith at
FedEx, and Richard Bransonat the Virgin Group.
Creating a Culture :
 Once a culture is in place, practices within the
organization maintain it by giving employee a set
of similar experiences.
 Three forces play a particularly important part in
sustaining a culture: selection practices, actions
of top management, and socialization methods.
 The selection process. performance evaluation
criteria, training and development activities, and
promotion procedures ensure those hired fit in
with the culture, reward those employees who
support it, and penalize (or even expel) those
who challenge it .
CULTURE CREATION OCCURS IN THREE WAYS:
 SELECTION: The explicit goal of the selection
process is to identify and hire individuals with the
knowledge, skills, and abilities to perform
successfully.
 TOP MANAGEMENT: The actions of top
management have a major impact on the
organization's culture.
 SOCIALIZATION No matter how good a job the
organization does in recruiting and selection, new
employees need help adapting to the prevailing
culture. That help is socialization."
SOCIALIZATION PROCESS :
 We can think of socialization as a process with
three stages:
 This process, has an impact on the new
employee's work productivity, commitment to the
organization's objectives, and decision to stay
with the organization.
HOW ORGANIZATION CULTURE FORM
 The original culture derives from the founders'
philosophy and strongly influences hiring criteria
as the firm grows.
 The success of socialization depends on the
deliberateness of matching new employees values
to those of the organization in the selection
process and on top management’s commitment to
socialization programs.
 Top managers' actions set the general climate,
including what is acceptable behavior and what is
not, and employees sustain and perpetuate the
culture.
HOW EMPLOYEES LEARN CULTURE
 Culture is transmitted to employees in a number
of forms, the most potent being is :
 Stories
 Rituals,
 Material
 Symbols
 Language.
EXAMPLE
 When Henry Ford II was chairman of Ford Motor
Company, you would have been hard pressed to
find a manager who hadn't heard how he
reminded his executives when they got too
arrogant, "Its my name that's on the building“.
 The message was clear. Henry Ford II ran the
company.
AN ETHICAL CULTURE
 Managers can create a more ethical culture by
adhering to the following principles:
 Be a visible role model
 Communicate ethical expectations
 Provide ethical training.
 Visibly reward ethical acts and punish unethical
ones.
 Provide protective mechanisms.
A POSITIVE CULTURE
 A positive organizational culture emphasizes
 building on employee strengths
 rewards more than it punishes
 encourages individual vitality and growth.
 Recognizing outside context
A SPIRITUAL CULTURE
 WHAT IS SPIRITUALITY?
 Workplace spirituality is not about organized
religious practices. It's not about God or
theology.
 Workplace spirituality recognizes that people
have an inner life that nourishes and is
nourished by meaningful work in the context of
community.
CHARACTERISTICS OF A SPIRITUAL
ORGANIZATION
 Benevolence
 Strong sense of purpose.
 Trust and respect.
 Open-mindedness.
THE GLOBAL CONTEXT
 A global cultural values and country’s culture
can affect the values and norms of a company or
a company’s culture .
 Organizational culture is so powerful that it often
transcends national boundaries. But that doesn't
mean organizations should, or could, ignore
national and local culture.
Recognizing Differences in Organizational
Cultures
 Differences in communication styles, attitude
toward competing tasks, and different
approaches to decision making can impact a
company’s culture
 Executives working need to be sensitive to both
the country’s culture and the company’s culture
References
Adair, John. (2006). Part 2. Maslow and Herzberg, Chapter 6. Herzberg’s motivation
hygiene theory. Leadership and motivation. London and Philadelphia: Kogan Page.
Alshmemri, M. Shahwan-Akl, L., & Maude, P. (2016). Job Satisfaction of Saudi Nurses
Working in Makkah Region Public Hospitals, Saudi Arabia. Life Science Journal, 13(12).
Herzberg, F. (2003). One more time: How do you motivate employees? Harvard Business
Review, 81(1), 86.
Jones, T. L. (2011). Effects of motivating and hygiene factors on job satisfaction among
school nurses. PhD thesis, Walden University, Minneapolis, MN.
Stello, C. M. (2011). Herzberg’s two-factor theory of job satisfaction: An integrative literature
review. Journal of Education and Human Development, 1-32.
Kacel, B., Miller, M., & Norris, D. (2005). Measurement of nurse practitioner job satisfaction in
a Midwestern state. Journal of the American Academy of Nurse Practitioners, 17, 27–32.
Lephalala, R. (2006). Factors influencing nursing turnover in selected private hospitals in
England. Master’s thesis, University of South Africa, Pretoria, South Africa.13.
Cont’ References
Mitchell, J. (2009). Job satisfaction and burnout among foreign-trained nurses in Saudi
Arabia: A mixed-method study. PhD thesis, University of Phoenix, Phoenix, AZ.
Russell, C. R. N. P., & Gelder, F. R. B. E. (2008). An international perspective: Job
satisfaction among transplant nurses. Progress in Transplantation, 18(1), 32.
Cahill, B. A. (2011). Impact of the state practice environment on nurse practitioner job
satisfaction. PhD thesis, Health Sciences Center, University of Illinois at Chicago, IL.
Dion, M. J. (2006). The impact of workplace incivility and occupational stress on the job
satisfaction and turnover intention of acute care nurses. PhD thesis, University of
Connecticut, Storrs, CT.
Management Study Guide, (2008). Herzberg’s Two-Factor Theory of Motivation.
Retrieved from http://www.managementstudyguide.com/herzbergs-theory-
motivation.htm
Rambur, B., Mclntosh, B., Palumbo, M. V., & Reinier, K. (2005). Education as a
determinant of career retention and job satisfaction among registered nurses. Journal
of Nursing Scholarship, 37(2), 185–192.

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creating and maintaining organization culuter

  • 1. Course NURS 564 Unit Four : Organizational System > Creating and Maintaining Organizational Culture Prepared by: Ahmad O. Al-Shardi
  • 2. OBJECTIVES:  Describe the common characteristics of organizational culture.  Compare the functional and dysfunctional effect of organizational culture on people and the organization  Identify the factors that create and sustain an organizations culture  Show how culture is transmitted to employees  Describe the similarities and differences in creating an ethical culture ,a positive culture, and a spiritual culture  Show how national culture can affect the organizational culture
  • 4. WHATS THE ORGANIZATIONAL CULTURE ?  ORGANIZATIONAL CULTURE:  Refers to a system of shared meaning held by members that distinguishes the organization from other organization .  The set of shared values and norms that controls organizational members’ interactions with each other and with people outside the organization .
  • 5. WHATS THE ORGANIZATIONAL CULTURE ?  Values: General criteria, standards, or guiding principles that people use to determine which types of behaviors, events, situations, and outcomes are desirable or undesirable .  Core Values: The primary or dominant values that are accepted throughout the organization .  Norms: Standards or styles of behavior that are considered acceptable or typical for a group of people
  • 7. CHARACTERISTICS OF ORGANIZATION CULTURE :  Innovation and risk taking: the degree to which employees are encouraged to be innovation and risk taking.  Attention to detail: the degree to which employees are expected to exhibit precision, analysis, and attention to detail.  Outcome orientation: the degree to which management focuses on results or outcome rather than the processes.  People orientation: the degree to which management decisions take into consideration the effect of outcomes on people within the organization.
  • 8. CHARACTERISTICS OF ORGANIZATION CULTURE : :  Team orientation: the degree to which work activities are organized around teams rather than individuals .  Aggressiveness: the degree to which people are aggressive and competitive rather than easygoing.  Stability: the degree to which organizational activities emphasize maintaining the status quo in contrast growth.
  • 9. CHARACTERISTICS OF ORGANIZATION CULTURE : :  Each of these characteristics provides a basis for the shared understanding members have about the organization , how things are done in it , and the way they supposed to behave .  Organization Culture shows how employees perceive the characteristics of an organization , not whether they like them .
  • 10. Do Organizations Have Uniform Cultures?
  • 11. Do Organizations Have Uniform Cultures?  Organizational culture represents a perception the organization's members hold in common.  Statements about organizational culture are valid only if individuals with different backgrounds or at different levels in the organization describe the culture in similar terms .  Within the organization, the dominant culture expresses the core values a majority of members share and that give the organization its distinct personality.
  • 12. SOME TYPE OF CULTURES?  Dominant culture : A culture that expresses the core values that are shared by a majority of the organization’s member .  Subcultures : Miniculture within an organization ,typically defined by department designations and geographical separation .  Strong culture: A culture in which the core values are Intensely held and widely shared .
  • 13. Do Organizations Have Strong Cultures?
  • 14. CULTURE & ORG. EFFECTVENESS  Strong Cultures Organization’s core values intensely held, clearly ordered, widely shared .  Weak Cultures Organization’s which are young or have constant turnover
  • 15. STRONG VERSUS WEAK CULTURES :- Strong Culture Weak culture Values are widely spread Values limited to few peoples-usually top management Culture conveys message about what’s Important  Employees did not treat there work as a Employees treat there  work as a burden burden  Employees are strongly identify with Employees have little  identification with
  • 16. STRONG VERSUS WEAK CULTURES :- Weak CultureStrong Cultures Values limited to few …top management Values are widely spread Culture conveys message about what’s Important Employees treat there burden Employees did not treat there work as a work as a burden Employees have little culture Employees are strongly identify with identification with There culture Weak connection between Values and behavior Strong connection Between shared Values and behavior
  • 17. THE FUNCTION OF CULTURE  First, it has a boundary-defining role: It creates distinctions between organizations.  Second, it conveys a sense of identity for organiza- tion members.  Third, culture facilitates commitment to something larger than individual self-interest.  Fourth, it enhances the stability of the social system.  Finally, it is a sense-making and control mechanism that guides and shapes employees attitudes and behavior.
  • 18. CULTURE CREATES CLIMATE :  If you have worked With someone whose positive attitude inspired you to do your best or with a lackluster team that drained your motivation, you've experienced the organizational climate .  Organizational climate: refers to the shared perceptions organization members have about their organization and work environment.  This aspect of culture is like team spirit at the organizational level
  • 19. EXAMPLE  For example, someone who encounters a diversity climate will feel more comfortable collaborating with coworkers regardless of their demographic backgrounds.  Climates can interact with one another to produce behavior.  For example, a climate of worker empowerment can lead to higher levels of performance in organizations that also have a climate of personal accountability.
  • 20. The Ethical Dimension of Culture  Ethical Work Climate (EWC), which is the shared concept of right and wrong behavior, develops as part of the organizational climate.  EWC reflects the true values of the organization and shapes the ethical decision making of its members.  Researchers have developed ethical climate theory (ECT) and the ethical climate index (ECI) to categorize and measure the ethical dimensions of organizational cultures.
  • 21. The Ethical Dimension of Culture  Of the nine identified ECT climate categories, five are most prevalent in organizations : instrumental, caring, independence, law and code, and rules.  Each explains the general mind set, expectations, and values of managers and employees in relationship to their Organizations.
  • 22. The Ethical Dimension of Culture  Instrumental ethical climate, managers may frame their decision making around the assumption that employees (and companies) are motivated by self-interest (egoistic).  Caring climate, conversely, managers may operate under expectation that their decisions will positively affect the greatest number of stakeholders employees, customers, suppliers) possible.
  • 23. The Ethical Dimension of Culture  Independence ethical climates, rely on each individual's personal moral ideas to dictate his or her workplace behavior.  Law and code climates, require managers and employees to use an external standardized moral compass such as a professional code of conduct for norms,  Rules climates, tend to operate by internal standardized stai expectations from, perhaps, an organizational policy manual .
  • 24. The Ethical Dimension of Culture  For example, instrumental climate are negatively associated with employee job satisfaction and Organizational commitment , even though those climates appeal to self- interest (of the employee and Company). They are positively associated with turnover intentions, work place bullying, and deviant behavior .
  • 25. Factors Influencing the Development of Organizational Ethics
  • 26. CAN ORGANIZATIONAL CULTURE BE MANAGED?  Some ways culture can be changed:  Redesign structure  Revise property rights used to motivate people  Change the people – especially top management
  • 27.  CULTURE CREATION OCCURS IN THREE WAYS:  First, founders hire and keep only employees who think and feel the same way they do .  Second, they indoctrinate and socialize employees to their way of thinking and feeling .  Finally, the behavior of the founders encourages employees to identify with them and internalize their beliefs , values , and assumotions .
  • 28. When the organization succeeds, the personality of the founders becomes embedded in the culture  For example ,the fierce, competitive style and disciplined, authoritarian nature of Hyundai, the giant Korean conglomerate, exhibits the same characteristics often used to describe founder Chung Ju-Yung.  Other founders with sustaining impact on their organization's culture include Bill Gates at Microsoft, Ingvar Kamprad at IKEA, Herb Kelleher at Southwest Airlines, Fred Smith at FedEx, and Richard Bransonat the Virgin Group.
  • 29. Creating a Culture :  Once a culture is in place, practices within the organization maintain it by giving employee a set of similar experiences.  Three forces play a particularly important part in sustaining a culture: selection practices, actions of top management, and socialization methods.  The selection process. performance evaluation criteria, training and development activities, and promotion procedures ensure those hired fit in with the culture, reward those employees who support it, and penalize (or even expel) those who challenge it .
  • 30. CULTURE CREATION OCCURS IN THREE WAYS:  SELECTION: The explicit goal of the selection process is to identify and hire individuals with the knowledge, skills, and abilities to perform successfully.  TOP MANAGEMENT: The actions of top management have a major impact on the organization's culture.  SOCIALIZATION No matter how good a job the organization does in recruiting and selection, new employees need help adapting to the prevailing culture. That help is socialization."
  • 31.
  • 32. SOCIALIZATION PROCESS :  We can think of socialization as a process with three stages:  This process, has an impact on the new employee's work productivity, commitment to the organization's objectives, and decision to stay with the organization.
  • 33. HOW ORGANIZATION CULTURE FORM  The original culture derives from the founders' philosophy and strongly influences hiring criteria as the firm grows.  The success of socialization depends on the deliberateness of matching new employees values to those of the organization in the selection process and on top management’s commitment to socialization programs.  Top managers' actions set the general climate, including what is acceptable behavior and what is not, and employees sustain and perpetuate the culture.
  • 34. HOW EMPLOYEES LEARN CULTURE  Culture is transmitted to employees in a number of forms, the most potent being is :  Stories  Rituals,  Material  Symbols  Language.
  • 35. EXAMPLE  When Henry Ford II was chairman of Ford Motor Company, you would have been hard pressed to find a manager who hadn't heard how he reminded his executives when they got too arrogant, "Its my name that's on the building“.  The message was clear. Henry Ford II ran the company.
  • 36. AN ETHICAL CULTURE  Managers can create a more ethical culture by adhering to the following principles:  Be a visible role model  Communicate ethical expectations  Provide ethical training.  Visibly reward ethical acts and punish unethical ones.  Provide protective mechanisms.
  • 37. A POSITIVE CULTURE  A positive organizational culture emphasizes  building on employee strengths  rewards more than it punishes  encourages individual vitality and growth.  Recognizing outside context
  • 38. A SPIRITUAL CULTURE  WHAT IS SPIRITUALITY?  Workplace spirituality is not about organized religious practices. It's not about God or theology.  Workplace spirituality recognizes that people have an inner life that nourishes and is nourished by meaningful work in the context of community.
  • 39. CHARACTERISTICS OF A SPIRITUAL ORGANIZATION  Benevolence  Strong sense of purpose.  Trust and respect.  Open-mindedness.
  • 40. THE GLOBAL CONTEXT  A global cultural values and country’s culture can affect the values and norms of a company or a company’s culture .  Organizational culture is so powerful that it often transcends national boundaries. But that doesn't mean organizations should, or could, ignore national and local culture.
  • 41. Recognizing Differences in Organizational Cultures  Differences in communication styles, attitude toward competing tasks, and different approaches to decision making can impact a company’s culture  Executives working need to be sensitive to both the country’s culture and the company’s culture
  • 42.
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  • 44.
  • 45. References Adair, John. (2006). Part 2. Maslow and Herzberg, Chapter 6. Herzberg’s motivation hygiene theory. Leadership and motivation. London and Philadelphia: Kogan Page. Alshmemri, M. Shahwan-Akl, L., & Maude, P. (2016). Job Satisfaction of Saudi Nurses Working in Makkah Region Public Hospitals, Saudi Arabia. Life Science Journal, 13(12). Herzberg, F. (2003). One more time: How do you motivate employees? Harvard Business Review, 81(1), 86. Jones, T. L. (2011). Effects of motivating and hygiene factors on job satisfaction among school nurses. PhD thesis, Walden University, Minneapolis, MN. Stello, C. M. (2011). Herzberg’s two-factor theory of job satisfaction: An integrative literature review. Journal of Education and Human Development, 1-32. Kacel, B., Miller, M., & Norris, D. (2005). Measurement of nurse practitioner job satisfaction in a Midwestern state. Journal of the American Academy of Nurse Practitioners, 17, 27–32. Lephalala, R. (2006). Factors influencing nursing turnover in selected private hospitals in England. Master’s thesis, University of South Africa, Pretoria, South Africa.13.
  • 46. Cont’ References Mitchell, J. (2009). Job satisfaction and burnout among foreign-trained nurses in Saudi Arabia: A mixed-method study. PhD thesis, University of Phoenix, Phoenix, AZ. Russell, C. R. N. P., & Gelder, F. R. B. E. (2008). An international perspective: Job satisfaction among transplant nurses. Progress in Transplantation, 18(1), 32. Cahill, B. A. (2011). Impact of the state practice environment on nurse practitioner job satisfaction. PhD thesis, Health Sciences Center, University of Illinois at Chicago, IL. Dion, M. J. (2006). The impact of workplace incivility and occupational stress on the job satisfaction and turnover intention of acute care nurses. PhD thesis, University of Connecticut, Storrs, CT. Management Study Guide, (2008). Herzberg’s Two-Factor Theory of Motivation. Retrieved from http://www.managementstudyguide.com/herzbergs-theory- motivation.htm Rambur, B., Mclntosh, B., Palumbo, M. V., & Reinier, K. (2005). Education as a determinant of career retention and job satisfaction among registered nurses. Journal of Nursing Scholarship, 37(2), 185–192.