This paper examines the relationship between generational differences and job satisfaction levels among nurses, framing both as potential drivers of the nursing shortage in American hospitals. Beginning with a problem statement that connects high turnover rates and declining enrollment in nursing programs to generational gaps in the workforce, the paper outlines a literature search methodology and evaluates a curated set of credible sources. The bulk of the paper consists of an annotated bibliography covering twelve sources — including peer-reviewed journal articles, books, and organizational surveys — each assessed for its relevance to topics such as nurse attrition, multigenerational workforce management, burnout, teamwork, and retention strategies.
Contemporary society has suffered an acute shortage of nurses within public and government-sponsored hospitals. The shortage is so severe that it has been viewed as one of the impediments standing in the way of fully realizing the benefits of expanded healthcare coverage. This has led many scholars to investigate why such a shortage exists even as the field of medical research expands each day, with better equipment and medication becoming available. There could be a myriad of reasons behind the declining number of nurses, but the primary focus of this paper is to determine whether the overall lack of interest in nursing is driven by levels of job satisfaction, and whether that dissatisfaction is in turn shaped by the generational gap.
The problem under study here is the possible contribution of generational gap or difference to low job satisfaction within the nursing profession — a factor that could be a major cause of the nurse deficit in American hospitals today. This focus emerged from the diminishing interest that current young scholars have in nursing programs, the lure of technology and information science courses that many students choose instead, and the high turnover rates that many young nurses experience. This high turnover is very costly to individual hospitals; Stephen Hunt (2009) indicates that losing one nurse is as expensive as twice that nurse's annual salary.
Being a wide area of research with varied reports, there is a need for care and scrutiny regarding details sourced — particularly from the internet. This will guard against using unsubstantiated details and personal opinions on the subject of low nursing job satisfaction and the resulting attrition. In order to remain objective and within the scope of the research, the following guiding words and phrases were used in the search for information and data:
The central resources used to locate information include Google Search, given its variety of sources essential to completing the research, and Google Books, through which several books were sourced and utilized. The choice of search terms did not require significant revision, as each phrase returned a substantial number of reliable websites presenting books and peer-reviewed medical journals. The terms that yielded the most fruitful searches were "attrition among nurses," "nursing job motivation," and "managing nurses."
The following sources were identified and evaluated for use in this research:
Orton, S. (2011). Rethinking Attrition in Student Nurses. University of Wolverhampton.
Sherman, R. O. (2006). Leading a Multigenerational Nursing Workforce: Issues, Challenges and Strategies.
Stokowski, L. (2013). The 4-Generation Gap in Nursing. Medscape.
Larson, J. (2008). Exploring the Generation Gap in the Nursing Workforce. NurseZone.
Nakakis, K., & Christina, O. (2008). Factors Influencing Stress and Job Satisfaction of Nurses Working in Psychiatric Units: A Research Review. Health Science Journal, Vol. 2, Issue 4.
Roelen, C. A. et al. (2012). Low job satisfaction does not identify nurses at risk of future sickness absence: Results from a Norwegian cohort study. International Journal of Nursing Studies, Vol. 50, pp. 366–373.
Beatrice, J. K. (2010). Nursing Staff Teamwork and Job Satisfaction. Journal of Nursing Management, Vol. 18, pp. 938–947.
Howard, S. R., & Beatrice, L. R. (1997). Nursing Administration Handbook. Fourth Ed. Aspen Publishers Inc.
"Credibility assessment of twelve selected sources"
"Individual annotations of twelve nursing workforce sources"
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