Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication

Anne M. Nicotera, Xiaoquan Zhao, Margaret M. Mahon, Emily B. Peterson, Wonsun Kim, Patricia Conway-Morana

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Structurational divergence (SD) theory captures negative communication cycles resulting from interpenetration of incompatible meaning structures. It is estimated that 12–15% of practicing nurses suffer from a problematic level of SD. With a sample of 713 nurses (57 departments) in a large hospital, this study tests a model positing SD as a root explanation of nursing job satisfaction and turnover. A number of variables long presumed to be explanations for job satisfaction and turnover were hypothesized as mediators between SD and those outcomes. Path analysis showed support for burnout, role conflict, bullying, and organizational identification as useful mediators, explaining 68% of the variance in job satisfaction, and 45% in intentions to leave. The study also explores relationships between SD and hospital quality indicators. SD is a concern because it powerfully explains a number of poor outcomes and provides an underlying explanation for a number of factors that predict job satisfaction and turnover.

Original languageEnglish (US)
Pages (from-to)371-384
Number of pages14
JournalHealth Communication
Volume30
Issue number4
DOIs
StatePublished - Apr 3 2015

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Job satisfaction
Nursing
Job Satisfaction
divergence
nursing
Communication
job satisfaction
communication
turnover
Nurses
Bullying
nurse
interpenetration
role conflict
burnout
path analysis
exclusion

ASJC Scopus subject areas

  • Health(social science)
  • Communication

Cite this

Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication. / Nicotera, Anne M.; Zhao, Xiaoquan; Mahon, Margaret M.; Peterson, Emily B.; Kim, Wonsun; Conway-Morana, Patricia.

In: Health Communication, Vol. 30, No. 4, 03.04.2015, p. 371-384.

Research output: Contribution to journalArticle

Nicotera, Anne M. ; Zhao, Xiaoquan ; Mahon, Margaret M. ; Peterson, Emily B. ; Kim, Wonsun ; Conway-Morana, Patricia. / Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication. In: Health Communication. 2015 ; Vol. 30, No. 4. pp. 371-384.
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