Nursing care delivery models and nurse satisfaction

Christine T. Kovner, Gerry Hendrickson, James R. Knickman, Steven A. Finkler

Research output: Contribution to journalArticlepeer-review


The relative impact of various nursing care delivery models and management interventions on nurse satisfaction was assessed in 37 New Jersey hospitals. Nurses ranked pay as the most important factor, followed by autonomy and professional status. Changes in scores between pilot and comparison units were significantly different for satisfaction with interactions and task requirements. Change in satisfaction with interaction was significant for all initiatives in aggregate, as well as for each of the five types of initiatives separately. The change in satisfaction with task requirements was significant for all initiatives taken as a group and for those units that implemented reorganization, computer, and education initiatives. Even among nurses who eventually liked the new environment there was a period of initial dissatisfaction.

Original languageEnglish (US)
Pages (from-to)74-85
Number of pages12
JournalNursing administration quarterly
Issue number1
StatePublished - 1994


  • Autonomy
  • Case management
  • Nurse satisfaction
  • Pay
  • Professional status
  • Reorganization
  • Shared governance

ASJC Scopus subject areas

  • Leadership and Management


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