The Texas public health nursing work environment and outcomes of job satisfaction, organizational commitment, and intent to stay
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This study was conducted to explore the relationships between the work environment, job satisfaction, organizational commitment, and intent to stay from the perspective of public health nurses (PHNs) in Texas. Survey instruments were adapted for use in the population-based public health setting. A cross-sectional prospective survey design was used to conduct this research. The following work environment characteristics were rated favorably by PHNs: manager support, autonomy, teamwork, and an organizational focus on service excellence. However, unfavorable perceptions were reported with regard to new employee orientation and training, opportunities for career growth, staffing adequacy, and a practice model that involved PHNs’ input into organizational matters. Most PHNs were committed to their public health agencies and satisfied with their jobs. However, work stresses were experienced. The work environment, job satisfaction, and organizational commitment predicted PHNs’ intent to stay. Furthermore satisfaction-to-commitment serial mediation was found in the causal relationship between the work environment and intent to stay. This study fills an important research gap regarding the PHN work environment and outcomes in Texas. Findings will be presented to public health agency leaders and policy makers. The ultimate goal is to provide information and tools that can be used to improve work environment quality and assist public health agencies in the future recruitment and retention of PHNs.