title: Nursing practice environments and job outcomes in ambulatory oncology settings.
abstract: 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.
  
  
  METHODS
  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.
authors: Division of Nursing Business and Health Systems, University of Michigan School of Nursing, Ann Arbor, MI 48109-5482, USA. cfriese@umich.edu
authors: Christopher R
authors: CR
authors: Friese
authors: Laurel
authors: L
authors: Himes-Ferris
mesh_terms: D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D009740:Nursing Staff / Q000523:psychology*; D009859:Oncology Nursing; D010558:Personnel Loyalty; D015144:Southeastern United States; D011795:Surveys and Questionnaires