Selected correlates of job performance of community health nurses.
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Biomedical subjects
Publications and source records attributed to B L Koerner.
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Cost containment, increased severity of illness, earlier patient discharge, and high staff turnover are causing nurse executives to implement new systems of health care delivery. One such delivery system, collaborative practice, strives to maximize efficient and effective use of staff, to improve nurse retention, and to enhance patient care. The authors present one approach to implementing collaborative practice and the empirical findings related to the system's impact on physician-nurse professionalism.
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Using a study sample of 32 community health nurses employed by the Visiting Nurse Association of Hartford, Inc., the relationship of selected attribute and environmental variables was studied, and a quantitative rating of the nurses' job performances was developed. A nonhierarchical stepwise multiple regression analysis was used to determine the relationship between job performance and the independent variables: age, education, work experience, five state board licensure examinations, job satisfaction, and leadership behavior. A principal component analysis with Varimax rotation was used to reduce the independent variables to three components: state board examinations, biographical information, and attitude toward the work environment. The raw score model produced a larger multiple correlation (p < .05) than the reduced rank model in the regression analyses. This result was due, in part, to the small sample size in relation to the number of independent variables for the raw score model. However, the rank reduction of the raw scores captured only 38 percent of the variation among the items.
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