Determinants of job satisfaction for novice nurse managers employed in hospitals

Maja Djukic, Jin Jun, Christine Kovner, Carol Brewer, Jason Fletcher

Research output: Contribution to journalArticlepeer-review


Background: Numbering close to 300,000 nurse managers represent the largest segment of the health care management workforce. Their effectiveness is, in part, influenced by their job satisfaction. Purpose: We examined factors associated with job satisfaction of novice frontline nurse managers. Methodology/Approach: We used a cross-sectional, correlational survey design. The sample consisted of responders to the fifth wave of a multiyear study of new nurses in 2013 (N = 1,392; response rate of 69%) who reported working as managers (n = 209). The parent study sample consisted of registered nurses who were licensed for the first time by exam 6-18 months prior in 1 of 51 selected metropolitan statistical areas and 9 rural areas across 34 U.S. states and the District of Columbia. We examined bivariate correlations between job satisfaction and 31 personal and structural variables. All variables significantly related to job satisfaction in bivariate analysis were included in a multivariate linear regression model. In addition, we tested the interaction effects of procedural justice and negative affectivity, autonomy, and organizational constraints on job satisfaction. The Cronbach's alphas for all multi-item scales ranged from.74 to.96. Findings: In the multivariate analysis, negative affectivity (β = -.169; p =.006) and procedural justice (β =.210; p =.016) were significantly correlated with job satisfaction. The combination of predictors in the model accounted for half of the variability in job satisfaction ratings (R2 =.51, adjusted R2 =.47; p <. 001). Practice Implications: Health care executives who want to cultivate an effective novice frontline nurse manager workforce can best ensure their satisfaction by creating an organization with strong procedural justice. This could be achieved by involving managers in decision-making processes and ensuring transparency about how decisions that affect nursing are made.

Original languageEnglish (US)
Pages (from-to)172-183
Number of pages12
JournalHealth Care Management Review
Issue number2
StatePublished - Apr 1 2017


  • job satisfaction
  • novice nurses
  • nurse managers
  • procedural justice

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management


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