Document Type

Doctoral Project

Publication Date



Nurse managers are a vital link between hospital administration, senior nursing leadership and staff nurses. Understanding and facilitating nurse managers’ job satisfaction is important for retention of current nurse managers and creating organizational success. Retaining nurse managers is not only important in terms of savings in turnover costs but for providing quality patient care. The purpose of this evidence-based practice (EBP) project was to implement a coaching intervention with nurse managers to decrease stress and improve job satisfaction.

Frameworks guiding this project were Watson’s Theory of Human Caring and Larrabee’s Model for Evidence-based Practice Change. A review of the literature indicates that job/work stress prevalent in health care today has a negative impact on managers and can lead to decreased job satisfaction. The use of Mindfulness-based Stress Reduction (MSBR) has been identified as an evidence-based intervention for assisting nurse mangers in handling daily workplace stress, thus improving their job satisfaction.

A four session coaching intervention of MSBR was provided to 10 nurse managers in a Midwest hospital over an eight week period. Sessions were provided during work hours and included coaching with relaxation techniques such as yoga and breathing techniques. Surveys were completed three times: Weeks 1, 9, and 16.

The Perceived Stress Scale (PSS) was used to measure the outcome of stress and the McCloskey/Mueller satisfaction survey (MMSS) measured the outcomes of job satisfaction. No significant differences were noted pre training to post training in terms of stress (p=0.501) or job satisfaction (0.049).

The literature indicates that nurse managers are burdened with stress that affects job satisfaction. This project did not support the use of an MSBR stress reduction program, but any effect of the program was not discernible due to a smaller than desired sample size. Implementation of stress programs with larger sample sizes addressing barriers to implementation are needed to retain these critical healthcare team members.

Included in

Nursing Commons