A comparison of middle managers' and paediatric nurses' satisfaction with organisational communication
Corresponding Author
Gemma Doleman RN, BSc(Hons), PhD
Adjunct Research Fellow
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Centre for Nursing Research, Sir Charles Gardiner Hospital, Nedlands, WA, Australia
Correspondence
Gemma Doleman, School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
Email: [email protected]
Search for more papers by this authorDi Twigg RN, RM, PhD
Dean of Nursing
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Search for more papers by this authorSara Bayes RN, RM, PhD
Director, Midwifery Studies
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Search for more papers by this authorCorresponding Author
Gemma Doleman RN, BSc(Hons), PhD
Adjunct Research Fellow
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Centre for Nursing Research, Sir Charles Gardiner Hospital, Nedlands, WA, Australia
Correspondence
Gemma Doleman, School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.
Email: [email protected]
Search for more papers by this authorDi Twigg RN, RM, PhD
Dean of Nursing
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Search for more papers by this authorSara Bayes RN, RM, PhD
Director, Midwifery Studies
School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
Search for more papers by this authorFunding information
This research received no specific grant from public agency, commercial and not-for-profit sectors. The only funds provided were in the way of PhD funding from the enrolled university.
Abstract
Aims
To explore the differences in organisational communication satisfaction between ward paediatric nurses and middle managers, and to assess whether there is a difference in organisational communication satisfaction between paediatric nurses and middle managers with different educational levels, years of nursing and managerial experience, contracted hours, area of work, age and gender.
Background
Previous studies reported a connection between job satisfaction, work commitment and organisational communication; however, nurses' and nursing middle managers' satisfaction with organisational communication has not been extensively studied in recent years and not at all among paediatric nurses.
Methods
A cross-sectional quantitative research design using online and hard copy self-reported questionnaires was used. Data were collected at one point in time from paediatric nurses and middle (nursing) managers working in a tertiary paediatric hospital in Australia. Statistical methods were employed for data analysis.
Results
The middle management group were significantly more dissatisfied with organisational communication than the paediatric ward nurse group. Middle managers were found in this study to effectively manage and maintain communication lines with the personnel who reported to them; however, communication within the management cohort itself was found to be suboptimal.
Conclusion
Further research to understand how horizontal and vertical communications at the nurse manager and executive level can be optimised is required.
Implications for nursing management
It is anticipated that the findings from this study may increase the understanding of communication satisfaction between paediatric nurses and middle managers. The study has highlighted the need for improvement with information flow in the management cohort with the addition of extra managerial support and empowerment.
REFERENCES
- Abualrub, R. F., & Alghamdi, M. G. (2012). The impact of leadership styles on nurses' satisfaction and intention to stay among Saudi nurses. Journal of Nursing Management, 20(5), 668–678. https://doi.org/10.1111/j.1365-2834.2011.01320.x
- Adelman, K. S. (2010). Employee voice and upward communication: A phenomenological collective case study of leadership behaviors in performance excellence award winning health organizations. (Doctoral dissertation), Capella University. Retrieved from https://search.proquest.com/docview/815412227?pq-origsite=gscholar
- Agarwal, R., Sands, D. Z., & Díaz Schneider, J. (2010). Quantifying the economic impact of communication inefficiencies in US hospitals. Journal of Healthcare Management, 55(4), 265–282. https://doi.org/10.1097/00115514-201007000-00007
- Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., & Sermeus, W.; RN4CAST Consortium. (2013). Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153. https://doi.org/10.1016/j.ijnurstu.2012.11.009
- Ammari, G., Alkurdi, B., Alshurideh, M., Obeidat, B., Abu Hussien, A.-H., & Alrowwad, A. (2017). Investigating the impact of communication satisfaction on organizational commitment: A practical approach to increase employees' loyalty. International Journal of Marketing Studies, 9(2), 113–133. https://doi.org/10.5539/ijms.v9n2p113
10.5539/ijms.v9n2p113 Google Scholar
- Amos, M., Hu, J., & Henrick, C. (2005). The impact of team building on communication and job satisfaction of nursing staff. Journal of Nurses in Staff Development, 21(1), 10–16. https://doi.org/10.1097/00124645-200501000-00003
- Australian Nursing & Midwifery Federation. (2016). Nursing education: Enrolled nurse. Australia: Australian Nursing & Midwifery Federation. Retrieved from http://anmf.org.au/documents/policies/P_Nursing_education_EN.pdf
- Awad, S. S., Fagan, S. P., Bellows, C., Albo, D., Green-Rashad, B., De La Gaza, M., & Berger, D. H. (2005). Bridging the communication gap in the operating room with medical team training. The American Journal of Surgery, 190, 770–774. https://doi.org/10.1016/j.amjsurg.2005.07.018
- Batch, M. (2012). Communication and the casualisation of nursing: A critical ethnography. (Doctor of Philosophy), Queensland University of Technology. Retrieved from https://eprints.qut.edu.au/60918/1/Mary_Batch_Thesis.pdf
- Batch, M., Barnard, A., & Windsor, C. (2009). Who's talking? Communication and the casual/part-time nurse: A literature review. Contemporary Nurse, 33(1), 20–29. https://doi.org/10.5172/conu.33.1.20
- Black, J. (2018). Conflict management and team building as competencies for nurse managers to improve retention. (Doctoral dissertation), University of San Francisco. Retrieved from https://repository.usfca.edu/dnp_qualifying/9/
- Black, K. (2012). Business statistics for contemporary decision making ( 7th ed.). United States of America: John Wiley & Sons Ltd.
- Boltyenkov, A. (2015). A healthcare economic policy for hearing impairment. Germany: Springer Gabler.
10.1007/978-3-658-08237-6 Google Scholar
- Braff, S., Manias, E., Finch, S., Riley, R., & Munro, F. (2012). Healthcare service provider perceptions of organisational communication across the perioperative pathway: A questionnaire survey. Journal of Clinical Nursing, 22, 180–191. https://doi.org/10.1111/j.1365-2702.2012.04228.x
- Brooks, I. (2002). Nurse retention: Moderating the ill-effects of shiftwork. Human Resource Management Journal, 10(4), 16–30. https://doi.org/10.1111/j.1748-8583.2000.tb00003.x
10.1111/j.1748-8583.2000.tb00003.x Google Scholar
- Byrne, Z., & LeMay, E. (2006). Different media for organizational communication: Perceptions of quality and satisfaction. Journal of Business and Psychology, 21, 149–173. https://doi.org/10.1007/s10869-006-9023-8
- Choi, E. H., Kim, E.-K., & Kim, P. B. (2018). Effects of the educational leadership of nursing unit managers on team effectiveness: Mediating effects of organizational communication. Asian Nursing Research, 12(2), 99–105. https://doi.org/10.1016/j.anr.2018.03.001
- De Nobile, J. (2017). Organisational communication and its relationships with job satisfaction and organisational commitment of primary school staff in Western Australia. Educational Psychology, 37(3), 380–398. https://doi.org/10.1080/01443410.2016.1165797
- Djukic, M., Jun, J., Kovner, C., Brewer, C., & Fletcher, J. (2017). Determinants of job satisfaction for novice nurse managers employed in hospitals. Health Care Management Review, 42(2), 172–183. https://doi.org/10.1097/HMR.0000000000000102
- Downs, C. W., & Hazen, M. D. (1977). A factor analytic study of communication satisfaction. Journal of Business Communication, 14(3), 63–73. https://doi.org/10.1177/002194367701400306
- Duffield, C., Roche, M. A., Blay, N., Thoms, D., & Stasa, H. (2011). The consequences of executive turnover in Australian hospitals. Journal of Research in Nursing, 16(6), 503–514. https://doi.org/10.1177/1744987111422419
10.1177/1744987111422419 Google Scholar
- Evans- Doleman, G. (2017). The impact of communication satisfaction on paediatric nurses' job satisfaction and intention to stay (Doctoral dissertation). Retrieved from https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=3024&context=theses
- Falcione, R. L., Sussman, L., & Herden, R. P. (1987). Communication climate in organizations. In F. Jablin, L. Putnam, K. Robert, & L. Porter (Eds.), Handbook of organizational communication: An interdisciplinary perspective, ( 195–227). Newbery Park, California: Sage.
- Feather, R. A., Ebright, P., & Bakas, T. (2014). Nurse manager behaviors that RNs perceive to affect their job satisfaction. Paper presented at the Nursing forum.
- Garon, M. (2012). Speaking up, being heard: Registered nurses' perceptions of workplace communication. Journal of Nursing Management, 20(3), 361–371. https://doi.org/10.1111/j.1365-2834.2011.01296.x
- Gluyas, H. (2015). Effective communication and teamwork promotes patient safety. Nursing Standard (2014+), 29(49), 50. https://doi.org/10.7748/ns.29.49.50.e10042
- Hamdi, S., & Rajablu, M. (2012). Effect of supervisor-subordinate communication and leadership style on organizational commitment of nurses in health care setting. International Journal of Business and Management, 7(23), 7. https://doi.org/10.5539/ijbm.v7n23p7
10.5539/ijbm.v7n23p7 Google Scholar
- Hargie, O., & Tourish, D. (2009). Auditing organizational communication. New York: East Sussex.
10.4324/9780203883990 Google Scholar
- Hartung, S. Q., & Miller, M. (2013). Communication and the healthy work environment: Nurse managers' perceptions. Journal of Nursing Administration, 43(5), 266–273. https://doi.org/10.1097/NNA.0b013e31828eeb3c
- Hazell, K. W. (2010). Job stress, burnout, job satisfaction, and intention to leave among registered nurses employed in hospital settings in the state of Florida. (Doctoral dissertation), Lynn University. Retrieved from https://spiral.lynn.edu/etds/237/
- Hewko, S. J., Brown, P., Fraser, K. D., Wong, C. A., & Cummings, G. G. (2015). Factors influencing nurse managers' intent to stay or leave: A quantitative analysis. Journal of Nursing Management, 23(8), 1058–1066. https://doi.org/10.1111/jonm.12252
- Horsley, K. (1996). Communication? The vital link in best practice organizations. Australian Health Review, 19(4), 83–92. https://doi.org/10.1071/AH960083
- Kaddourah, B. T., Khalidi, A., Abu-Shaheen, A. K., & Al-Tannir, M. A. (2013). Factors impacting job satisfaction among nurses from a tertiary care centre. Journal of Clinical Nursing, 22, 3153–3159. https://doi.org/10.1111/jocn.12261
- Kaitelidou, D., Kontogianni, A., Galanis, P., Siskou, O., Mallidou, A., Pavlakis, A., … Liaropoulos, L. (2012). Conflict management and job satisfaction in paediatric hospitals in Greece. Journal of Nursing Management, 20, 571–578. https://doi.org/10.1111/j.1365-2834.2011.01196.x
- Kandlousi, N. S. A. E., Ali, J. A., & Abdollahi, A. (2010). Organizational citizenship behavior in concern of communication satisfaction: The role of the formal and informal communication. International Journal of Business and Management, 5, 51–61. https://doi.org/10.5539/ijbm.v5n10p51
10.5539/ijbm.v5n10p51 Google Scholar
- Keyton, J. (2005). Communication and organizational culture. California, USA: Sage publication Inc.
- Kim, B.-J., & Lee, M.-A. (2018). Effect of nursing professionalism and organizational communication on intent to stay in geriatric hospital nurses. Journal of Korean Academy of Nursing Administration, 24(5), 455–465. https://doi.org/10.11111/jkana.2018.24.5.455
10.11111/jkana.2018.24.5.455 Google Scholar
- Kline, R. B. (2011). Principles and practice of structural equation modeling ( 3rd ed.). United States of America: Guilford Publishers.
- MacPhee, M., & Suryaprakash, N. (2012). First-line nurse leaders' health-care change management initiatives. Journal of Nursing Management, 20, 249–259. https://doi.org/10.1111/j.1365-2834.2011.01338.x
- Marx, M. (2014). Examining the structural challenges to communication as experienced by nurse managers in two US hospital settings. Journal of Nursing Management, 22(8), 964–973. https://doi.org/10.1111/jonm.12091
- Mathena, K. (2002). Nursing manager leadership skills. Journal of Nursing Administration, 19(6), 258–266.
- McCaffrey, R., Hayes, R. M., Cassell, A., Miller-Reyes, S., Donaldson, A., & Ferrell, C. (2011). The effect of an educational programme on attitudes of nurses and medical residents towards the benefits of positive communication and collaboration. Journal of Advanced Nursing, 68(2), 293–301. https://doi.org/10.1111/j.1365-2648.2011.05736.x
- McCray, J., Palmer, A., & Chmiel, N. (2016). Building resilience in health and social care teams. Personnel Review, 1132–1155. https://doi.org/10.1108/PR-04-2014-0095
- Mohammad Mosadeghrad, A. (2014). Occupational stress and turnover intention: Implications for nursing management. Leadership in Health Services, 27(3), 224–239.
10.1108/LHS-07-2013-0032 Google Scholar
- Mosadeghrad, A. M., & Ferdosi, M. (2013). Leadership, job satisfaction and organizational commitment in healthcare sector: Proposing and testing a model. Materia Socio-Medica, 25(2), 121–126. https://doi.org/10.5455/msm.2013.25.121-126
- National Health and Medical Research Council. (2015). National statement on ethical conduct in human research 2007. Commonwealth of Australia.
- Naz, S., & Gul, S. (2014). Moderating role of organizational commitment between communication satisfaction and turnover intentions among nurse. Pakistan Journal of Psychological Research, 29(1), 39–52.
- Nursing and Midwifery Board of Australia (2016). Enrolled nurse standards for practice. Australia: Nursing and Midwifery Board of Australia. Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx
- Obiekwe, O., & Eke, N. U. (2019). Impact of employee grievance management on organizational performance. International Journal of Economics and Business Management, 5(1), 1–10.
- Obsbourne, K. (2014). Nursing standard research reveals high turnover of top level staff. Nursing Standard, 28(49), 7. https://doi.org/10.7748/ns.28.49.7.s2
10.7748/ns.28.49.7.s2 Google Scholar
- Özer, Ö., Şantaş, F., & Şantaş, G. (2017). A research on nurses about communication satisfaction. Paper presented at the 1st Eurasian Conference on Language and Social Sciences.
- Özer, Ö., Şantaş, F., Şantaş, G., & Şahin, D. S. (2017). Impact of nurses' perceptions of work environment and communication satisfaction on their intention to quit. International Journal of Nursing Practice, 23(6), e12596. https://doi.org/10.1111/ijn.12596
- Ramoo, V., Abdullah, K. L., & Piaw, C. Y. (2013). The relationship between job satisfaction and intention to leave current employment among registered nurses in a teaching hospital. Journal of Clinical Nursing, 22(21–22), 3141–3152. https://doi.org/10.1111/jocn.12260
- Robertson-Malt, S., & Chapman, Y. (2008). Finding the right direction: The importance of open communication in governance model of nurse management. Contemporary Nurse, 29(1), 60–66. https://doi.org/10.5172/conu.673.29.1.60
- Scott, A., & Timmons, S. (2017). Tensions within management roles in healthcare organisations. Nursing Management, 24(1), 31–37. https://doi.org/10.7748/nm.2017.e1569
10.7748/nm.2017.e1569 Google Scholar
- Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Belmont, CA: Wadsworth Cengage Learning.
- Sullivan, J., Bretschneider, J., & McCausland, M. (2003). Designing a leadership development program for nurse managers. Journal of Nursing Administration, 33(10), 544–549. https://doi.org/10.1097/00005110-200310000-00010
- Suresh, N. (2011). Who are the unengaged and what do they mean for our data? QUIRKS: Marketing Research Media. November 2011, Page 46.
- Timmins, F. (2011). Managers' duty to maintain good workplace communication skills. Nursing Management, 18(3), 30–34. https://doi.org/10.7748/nm2011.06.18.3.30.c8538
10.7748/nm2011.06.18.3.30.c8538 Google Scholar
- Tourish, D., & Hargie, O. (1996). Communication in the NHS: Using qualitative approaches to analyse effectiveness. Journal of Management in Medicine, 10(5), 38–54. https://doi.org/10.1108/02689239610146544
- Tourish, D., & Mulholland, J. (1997). Communication between nurses and nurse managers: A case study from the NHS Trust. Journal of Nursing Management, 5, 25–36. https://doi.org/10.1046/j.1365-2834.1997.02384.x
- Trus, M., Doran, D., Martinkenas, A., Asikainen, P., & Suominen, T. (2018). Perception of work-related empowerment of nurse managers. Journal of Research in Nursing, 23(4), 317–330. https://doi.org/10.1177/1744987117748347
- Trus, M., Martinkenas, A., & Suominen, T. (2017). International Nursing: How Much Power Do Nurse Managers Have? Nursing Administration Quarterly, 41(4), 337–345. https://doi.org/10.1097/NAQ.0000000000000247
- van Vuuren, M., de Jong, M. D., & Seydel, E. R. (2007). Direct and indirect effects of supervisor communication on organizational commitment. Corporate Communications: An International Journal, 12(2), 116–128. https://doi.org/10.1108/13563280710744801
10.1108/13563280710744801 Google Scholar
- Varona, F. (1996). Relationship between communication satisfaction and organizational commitment in three Guatemalan organizations. Journal of Business Communication, 33(2), 111–131. https://doi.org/10.1177/002194369603300203
10.1177/002194369603300203 Google Scholar
- Vermeir, P., Bekaert, F., Billiet, N., Verhaeghe, R., Vogelaers, D., Mariman, A., & Vandijck, D. (2016). Communication satisfaction and job satisfaction among executive nurses and impact on burnout and turnover intention. 27th International Nursing Research Congress. Sigma Theta Tau international, the Honor Society of Nursing.
- Vermeir, P., Blot, S., Degroote, S., Vandijck, D., Mariman, A., Vanacker, T., … Vogelaers, D. (2018). Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study. Intensive and Critical Care Nursing, 48, 21–27. https://doi.org/10.1016/j.iccn.2018.07.001
- Vermeir, P., Degroote, S., Vandijck, D., Mariman, A. N., Deveugele, M., Peleman, R., … Vogelaers, D. (2017). Job satisfaction in relation to communication in health care among nurses: A narrative review and practical recommendations. SAGE Open, 7(2), 2158244017711486. https://doi.org/10.1177/2158244017711486
- Vermeir, P., Downs, C., Degroote, S., Vandijck, D., Tobback, E., Delesie, L., … Vogelaers, D. (2018). Intraorganizational communication and job satisfaction among Flemish hospital nurses: An exploratory multicenter study. Workplace Health and Safety, 66(1), 16–23. https://doi.org/10.1177/2165079917703411
- Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., … Vogelaers, D. (2015). Communication in healthcare: A narrative review of the literature and practical recommendations. International Journal of Clinical Practice, 69(11), 1257–1267. https://doi.org/10.1111/ijcp.12686
- Wagner, J. D., Bezuidenhout, M. C., & Roos, J. H. (2015). Communication satisfaction of professional nurses working in public hospitals. Journal of Nursing Management (John Wiley & Sons, Inc.), 23(8), 974–982. https://doi.org/10.1111/jonm.12243
- Wang, L., Tao, H., Ellenbecker, C. H., & Liu, X. (2012). Job satisfaction, occupational commitment and intent to stay among Chinese nurses: A cross-sectional questionnaire survey. Journal of Advanced Nursing, 68(3), 539–549. https://doi.org/10.1111/j.1365-2648.2011.05755.x
- Warshawsky, N. E., & Havens, D. S. (2014). Nurse manager job satisfaction and intent to leave. Nursing economic$, 32(1), 32–39.
- Weiner, I. B., & Craighead, W. E. (2010). The Corsini encyclopedia of psychology. Volume 4, R-Z Brief biographies index ( 4th ed., Vol. 4). New Jersey, America: John Wiley & Sons, Inc.
10.1002/9780470479216 Google Scholar