title: The effect of manager exclusion on nurse turnover intention and care quality.
abstract: Little is known about how exclusionary practices (i.e., ignored, ostracized) by managers differ across demographics and influence nursing outcomes. This study examines whether managerial exclusion varies by generation, race, and gender, and the extent to which these variables, in turn, relate to turnover intention and perceived patient care among a sample of 747 nurses working in hospitals in a midwestern health system. Exclusion did not differ across most demographic groups, though men reported less exclusion than women. Younger nurses of the Millennial generation, those feeling excluded, and those with fewer years of experience reported lower quality patient care. Managerial exclusion, being a nurse of color, and less experience were associated with stronger intentions to leave. Nursing leaders should attend to factors that may contribute to racial minorities seeking other jobs, diminish younger nurses' ability to provide high-quality care, and minimize practices that might lead nurses to feel excluded.
authors.affiliation: Department of Sociology, University of Akron, Olin Hall 277c, Akron, OH 44325, USA. mdc63@uakron.edu
authors.forename: Marci D
authors.initials: MD
authors.lastname: Cottingham
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Erickson
authors.forename: James M
authors.initials: JM
authors.lastname: Diefendorff
authors.forename: Gail
authors.initials: G
authors.lastname: Bromley
mesh_terms: D006801:Humans; D015146:Midwestern United States; D009740:Nursing Staff / Q000523:psychology*; D009745:Nursing, Supervisory; D010563:Personnel Turnover; D011787:Quality of Health Care
keywords: managerial exclusion; nursing demographics; patient care; turnover intention