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Nursing Practice Environments and Job Outcomes in Ambulatory Oncology Settings

Friese, Christopher R. PhD, RN, AOCN, FAAN; Himes-Ferris, Laurel MPH

JONA: The Journal of Nursing Administration: March 2013 - Volume 43 - Issue 3 - p 149–154
doi: 10.1097/NNA.0b013e318283dc3f

OBJECTIVE: The aim of this study was to investigate job satisfaction and intent to stay for ambulatory oncology nurses.

BACKGROUND: An oncology provider shortage suggests that retention is a high priority, and factors associated with job outcomes are unknown in this setting.

METHOD: Data were derived from a cross-sectional survey completed by 402 oncology nurses employed in ambulatory settings. Logistic regression models estimated the likelihood of job satisfaction or intent to stay for at least 1 year.

RESULTS: Most nurses (80.9%) were satisfied and 87.4% indicated their intent to stay. Significant variables for job satisfaction were university/hospital ownership, staffing and resource adequacy, nurse manager ability and leadership, and workloads. Variables significant for intent to stay were staffing and resource adequacy, participation in practice affairs, and years of experience.

CONCLUSIONS: Favorable practice environments are key to effective nurse retention. Staffing, leadership, and resource allocation influence retention in ambulatory settings.

Author Affiliations: Assistant Professor (Dr Friese), Division of Nursing Business and Health Systems, University of Michigan School of Nursing, Ann Arbor; Epidemiologist (Ms Himes-Ferris), Oregon Health Authority, Portland.

This research was supported in part by a Pathway to Independence award from the National Institute of Nursing Research, National Institutes of Health (R00 NR01570), and through a University of Michigan Comprehensive Cancer Center Support Grant (5 P30 CA46592).

The authors declare no conflicts of interest.

Correspondence: Dr Friese, Division of Nursing Business and Health Systems, University of Michigan School of Nursing, 400 North Ingalls, 4162, Ann Arbor, MI 48109-5482 (

© 2013 Lippincott Williams & Wilkins, Inc.