TY - JOUR
T1 - Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication
AU - Nicotera, Anne M.
AU - Zhao, Xiaoquan
AU - Mahon, Margaret M.
AU - Peterson, Emily B.
AU - Kim, Wonsun
AU - Conway-Morana, Patricia
N1 - Funding Information:
This study was funded by the Mason-Inova Partnership Initiative and by the American Organization of Nurse Executives.
Publisher Copyright:
© , Copyright © Taylor & Francis Group, LLC.
PY - 2015/4/3
Y1 - 2015/4/3
N2 - 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.
AB - 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.
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U2 - 10.1080/10410236.2013.863139
DO - 10.1080/10410236.2013.863139
M3 - Article
C2 - 24926968
AN - SCOPUS:84921845317
SN - 1041-0236
VL - 30
SP - 371
EP - 384
JO - Health Communication
JF - Health Communication
IS - 4
ER -