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Differences in autonomy and nurse-physician interaction among rural and small urban acute care registered nurses in Canada.

ABSTRACT

In a secondary analysis of a national survey of Registered Nurses (RNs) working in rural and remote Canada, two groups of acute care nurses were compared on the work satisfaction variables of autonomy and nurse-physician interaction based on whether their workplace community population was rural (10,000 or less) or small urban (>10,000 but

Key Words: Rural/Remote Nursing, Autonomy, Nurse-Physician Interaction, Work Satisfaction, Recruitment, Retention, Acute Care, Kanter's Theory

INTRODUCTION

Health reform in the 1990's in Canada created many challenges for nursing practice, the most important being the nursing shortage that is projected to increase over ...

<100,000), which served as a proxy indicator for size of hospital. In the rural study conducted by Stratton et al., (1998), it was supported that hospital size is a valid proxy for community size. Therefore, it was inferred that rural size of community (population 10,000 or less), would have smaller hospital organizations than small urban size of community (population>

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