Erin M White, Andrew C Esposito, Peter S Yoo
Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees
Academic medicine : journal of the Association of American Medical Colleges
nursing managers leaders must fight retain nurses hospitals constructing inviting organizational climate attractive work toxic organizational climate primarily affected employees internal work environment behavior hence nursing managers leaders must implement effective strategies increase nurses intention stay address organizational climate study designed assess nurses perception effects organizational climate toxic leadership behaviors intention stay differences domains two hospitals studied descriptive comparative design used data collected 2022 250 nurses working two largest hospitals assiut egyptian city south cairo using three selfadministered questionnaires organizational climate questionnaire 42 items categorized nine domains toxic leadership scale 30 items categorized five domains chinese version intenttostay scale nurses reported intention stay normal nurse participants perceived positive organizational climate present toxic leadership low level 136 256 respectively model regression analysis significant showing organizational climate represented supportive systems impacted nurses intention stay hospitals study meanwhile toxic leadership behaviors represented authoritarian leadership unpredictability university hospital selfpromotion insurance hospital affected nurses intention stay positive organizational climate played significant role retaining nurses investing incentives providing supportive systems authoritarian leadership unpredictability selfpromotion leaders behaviors impacted nurses climate negatively hence recommend investing potential strategies improve nurses intention stay performance standards increased pay benefits clear reward mechanisms participation decision making assessments leaders behaviors furthermore decision policy makers need establish effective supportive systems hospitals retain nurses hence nursing managers leaders must rethink use leadership skills behavior positive manner promote nurse retention registered