title: Database nurse staffing indicators: explaining risks of staff job dissatisfaction in outpatient care.
abstract: OBJECTIVE
  To explore factors associated with nursing intensity, work environment intensity and nursing resources that may affect nurse job satisfaction and risk of dissatisfaction in outpatient care at one university hospital in Finland.
  
  
  BACKGROUND
  Much research has been done to study how nursing intensity, work environment intensity and nursing resources are associated with nurse job satisfaction, but not in the context of outpatient care.
  
  
  METHODS
  This research used a cross-sectional design. The data were collected from the hospital information systems of outpatient units (n = 12) in autumn 2010.
  
  
  RESULTS
  Management style showed a statistically significant association with job satisfaction. The risk of dissatisfaction increased when nursing staff had no influence over the design of their jobs, when conflicts and contradictions were not addressed in the workplace and when feedback was not processed.
  
  
  CONCLUSIONS
  Nursing intensity and work environment intensity had no effect on nurse job satisfaction. Nursing resources and patient satisfaction, on the other hand, were important to nurses' job satisfaction.
  
  
  CONCLUSIONS
  The results indicate that nursing management should involve nursing staff in the development of their jobs and the care delivery model.
authors.affiliation: University of Tampere, School of Health Sciences, Pirkanmaa Hospital District, Tampere, Finland.
authors.forename: Marja
authors.initials: M
authors.lastname: Kaunonen
authors.affiliation: Pirkanmaa Hospital District, Tampere, Finland.
authors.forename: Sirpa
authors.initials: S
authors.lastname: Salin
authors.affiliation: Pirkanmaa Hospital District, Tampere, Finland.
authors.forename: Pirjo
authors.initials: P
authors.lastname: Aalto
mesh_terms: D000553:Ambulatory Care; D016208:Databases, Factual; D005387:Finland; D006785:Hospitals, University; D006801:Humans; D007588:Job Satisfaction; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D010563:Personnel Turnover; D000078329:Workforce; D017132:Workplace
keywords: job satisfaction; nursing intensity; staffing indicator; work environment intensity