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The Impact of Environmental Factors on Nursing Stress, Job Satisfaction, and Turnover Intention

Originally Published:
2010
Key Point Summary
Key Point Summary Author(s):
Keys, Yolanda
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Key Concepts/Context

Key concepts include the impact of environmental factors on perceived stress levels of staff nurses.

Objectives

The purpose of this study was to examine relationships between select environmental factors and perceived levels of stress of acute care nurses. Additional objectives were to examine the relationship between acute care nurses’ perceived stress levels and job satisfaction and intent to leave. 

Methods

This study used a descriptive, correlational study design to examine relationships between select environmental factors and perceived stress levels of acute care nurses. Hardcopy survey packets and instructions were placed in staff mailboxes, and reminders were sent to encourage participation. This design enabled the study of relationships between environmental factors, perceived nurse stress, job satisfaction, and intent to leave.

Design Implications
Clearly more work is necessary to create tools that will accurately depict the impact of environmental elements on work-related stress. These tools will need to discriminate between the normal noises that may actually be comforting to the nursing staff and their ability to adjust to work-related changes to the environment such as temporary odors. A greater understanding of the physical environment and including nurses in the design of these environments will help to optimize the experience for all constituencies. 
Findings

Inverse relationships were noted between the environmental variables of noise, odor, and light and the outcome of perceived stress. Direct relationships were noted between perceived stress and job satisfaction and between perceived stress and turnover intention.

Limitations

Several limitations were listed in the study. First, the study was conducted in a single healthcare facility. Second, no controls were imposed during completion of the study. Third, there was an unequal response rated between units. Fourth, the work environment questions were very general. Fifth, stress assessment questions were not specific to stress from the job. Sixth, questions related to intent to leave questions did not query specific reasons. Additional limitations noted for this study included the lack of metrics related to the environmental conditions and the lack of demographic information. 

Key Point Summary Author(s):
Keys, Yolanda
Primary Author
Applebaum, Diane