Advertisement

Recruitment, Retention and Morally Inhabitable Environments

  • Edie West
Chapter

Abstract

The FNS expected much of its nurses. The work was difficult, demanding and the hours long, even when compared to the equally dismal hospital standards which existed at the time outside of the region. In addition to this, the physical environment was isolated, rough, rustic and rural and the culture alien to all those outside of Appalachia, even to other Americans coming into the area. Yet Breckinridge managed to keep her staff at a time when other organizations and institutions outside of Appalachia with less physically and emotionally demanding work environments could not. Breckinridge’s personal background, education and professional employment history prior to founding the FNS equipped her to understand the challenges she would face in decreasing her nurses’ responses to ‘burnout’ in such an environment. It also helped her to develop a health care delivery system that promoted positive adaptation and facilitated quality care. These personal qualities as well as professional expertise are characteristics that set the tone of any organization’s culture [1].

References

  1. 1.
    Singleton K, Sun Z, Zell K, Vriezen K, Albert N. Multicenter study of nursing role complexity on environmental stressors and emotional exhaustion. Appl Nurs Res. 2016;30:52–7.  https://doi.org/10.1016/j.apnr.2015.08.010.CrossRefPubMedGoogle Scholar
  2. 2.
    Thierry P, Mitroff I. Transforming the crisis-prone organization: preventing individual, organizational and environmental tragedie. San Francisco. CA: Jossey-Bass. p. 182.Google Scholar
  3. 3.
    Martin J. Cultures in organizations: three perspectives. Oxford: Oxford University Press; 1992. p. 8.Google Scholar
  4. 4.
    Dammann N. A social history of the frontier nursing service. Sun City, AZ: Social Change Press; 1982. p. 123.Google Scholar
  5. 5.
    Breckinridge M. Wide neighborhoods: a story of the frontier nursing service. Lexington: University Press of Kentucky; 1981. p. 122–33.Google Scholar
  6. 6.
    Andrist C, Nicholas P, Wolf K. A history of nursing ideas. Burlington: Jones and Bartlett Publishers, Inc; 2006. p. 133.Google Scholar
  7. 7.
    Drake R. History of Appalachia. Lexington: University Press of Kentucky; 2003. p. 231.Google Scholar
  8. 8.
    Dammann N. A social history of the Frontier Nursing Service. Sun City: Social Change Press; 1982. p. 68.Google Scholar
  9. 9.
    Williamson M. Factors affecting the nursing career choice. Unpublished PhD dissertation, University of Texas Austin, USA; 1990. p. 179.Google Scholar
  10. 10.
    Hinno S, Partanen P, Vehvilainen-Julkunen K. Nursing activities, nurse staffing and adverse patient outcomes as perceived by hospital nurses. J Clin Nurs. 2012;11–12:1584–93.  https://doi.org/10.1111/j.1365-2702.2011.03956.x. Epub 2011 Dec 15.CrossRefGoogle Scholar
  11. 11.
    Tinsley C, France N. The trajectory of the registered nurse’s exodus from the profession: a phenomenological study of the lived experience of oppression. Int J Hum Caring. 8.Google Scholar
  12. 12.
    West E. ‘Wallis-Rye, A. Personal interview: war memorial hospital graduate recalls her training’ featured in Sault Ste. Marie, Michigan Evening News, 29 August 2003.Google Scholar
  13. 13.
    Williams K. Nurse training in the Carnarfon and Anglesey hospital 1935–1949. N. Wales: University of Wales Bangor; 2000. p. 175.Google Scholar
  14. 14.
    Grant G, et al. Factors influencing job satisfaction among nurses. Br J Nurs. 1994;3(12):615–20.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Edie West
    • 1
  1. 1.Indiana University of PennsylvaniaIndianaUSA

Personalised recommendations