Leading Nursing Into the Future: Development of a Strategic Nursing Platform on a System Level.

Leading and orchestrating the mission-essential work of 47 diverse hospitals toward a common vision with a supporting strategy is a challenge for any health care system. Trinity Health embraced this challenge while reorganizing the pivotal role of nursing in designing the future of health care delivery. This article outlines the roadmap utilized to create a common nursing platform to drive strategy aligned to future viability, strength, and growth across a system.

Turnover in health care: the mediating effects of employee engagement.

Aim: This study aimed to understand the interaction between interpersonal respect, diversity climate, mission fulfilment and engagement to better predict turnover in health care.

Background: Registered nurse turnover has averaged 14% and current nursing shortages are expected to spread. Few studies have studied employee engagement as a mediator between organisational context and turnover.

General job stress: a unidimensional measure and its non-linear relations with outcome variables.

This article aims to examine the non-linear relations between a general measure of job stress [Stress in General (SIG)] and two outcome variables: intentions to quit and job satisfaction. In so doing, we also re-examine the factor structure of the SIG and determine that, as a two-factor scale, it obscures non-linear relations with outcomes. Thus, in this research, we not only test for non-linear relations between stress and outcome variables but also present an updated version of the SIG scale.

The nursing incivility scale: development and validation of an occupation-specific measure.

This article describes the development of the Nursing Incivility Scale (NIS), which is designed to assess hospital nurses' experiences with incivility according to specific sources-physicians, coworkers, patients, and direct supervisors. The NIS was developed using focus groups with nurses at a hospital in the midwestern United States and validated during a second survey administered to 163 hospital nurses. Exploratory factor analysis revealed that the NIS items grouped according to a priori scale construction.