title: The Effect of Nurse-Physician Collaboration on Job Satisfaction, Team Commitment, and Turnover Intention in Nurses.
abstract: Voluntary turnover in nursing can lead to nursing shortages that affect both individuals and the entire hospital unit. We investigated the relationship between group- and individual-level variables by examining the association of nurses' job satisfaction and team commitment at the individual level, and nurse-physician collaboration at the group level, with individuals' intention to leave the unit at the individual level. A self-report questionnaire was administered to 1,024 nurses on 72 units in 3 Italian hospitals. At the individual level, affective commitment partially mediated the relationship between job satisfaction and nursing turnover intention. Moreover, a cross-level interaction was found. Nurses with high levels of job satisfaction showed high levels of identification with their team, and this relationship was stronger when the group perception of nurse-physician collaboration was high. Results suggested that managerial strategies to promote nurse-physician collaboration may be important to increase nurses' affective commitment to the team. At the individual level, job satisfaction and team affective commitment are important factors for retaining staff, and at the group level, good work collaboration with physicians is instrumental in developing nurses' affective identification with the team. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, SS554 bivio per Sestu, Monserrato, Calgiari, Italy. maura.galletta@gmail.com.
authors.forename: Maura
authors.initials: M
authors.lastname: Galletta
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Calgiari, Italy.
authors.forename: Igor
authors.initials: I
authors.lastname: Portoghese
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Calgiari, Italy.
authors.forename: Mauro Giovanni
authors.initials: MG
authors.lastname: Carta
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Calgiari, Italy.
authors.forename: Ernesto
authors.initials: E
authors.lastname: D'Aloja
authors.affiliation: Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Calgiari, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Campagna
mesh_terms: D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D006801:Humans; D033182:Intention; D007558:Italy; D007588:Job Satisfaction; D010558:Personnel Loyalty; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D019555:Physician-Nurse Relations; D011795:Surveys and Questionnaires
keywords: job satisfaction; multilevel analysis; nurse-physician collaboration; organizational commitment; turnover intention