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PubMed · 8562585

Planning for career flexibility.

J B Derstine
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Abstract

Evolving changes in the nation's healthcare system are affecting nursing roles at all levels. Nursing and healthcare organizations have responded to these changes with position papers and new directions for education of the healthcare professions. In this article, the author discusses the current changes in the healthcare system that affect the nursing profession and an approach that can be used by nurses who are concerned about the viability of their role in their present position. Nurses are urged to examine their present roles in practice and to adapt to the new system by remaining open to change and becoming knowledgeable about options for change.

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Career MobilityEducation, Nursing, ContinuingHealth Care ReformHumansJob DescriptionNursesOrganizational InnovationPlanning TechniquesUnited StatesJournal Article

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J B Derstine. Planning for career flexibility.. https://doi.org/10.1097/00001610-199511000-00004

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The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private.

This study is based on a unique data set for the years 1988-2003 and uses structural equation models to examine the impact of job satisfaction and job dissatisfaction on physicians' intention to switch from public- to private-sector work. In Finland, physicians who work primarily in a public-hospital or health-centre setting can also run a private practice. Therefore, we also analysed the impact of having a private practice on a physician's intention to change sector. We found that private practice had a positive, statistically significant effect on the intention to switch sector in 1998 and 2003. Results also suggest that job satisfaction decreases a physician's intention to switch sector, although for 1998 it had no effect. Surprisingly, job dissatisfaction significantly increased the physicians' intentions to leave the public sector only in the 1988 data.

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