Little is known about how exclusionary practices (i.e., ignored, ostracized)
by managers differ across demographics and influence nursing outcomes.
This study examines whether managerial exclusion varies by generation,
race, and gender, and the extent to which these variables, in turn, relate to
turnover intention and perceived patient care among a sample of 747 nurses
working in hospitals in a midwestern health system. Exclusion did not differ
across most demographic groups, though men reported less exclusion than
women. Younger nurses of the Millennial generation, those feeling excluded,
and those with fewer years of experience reported lower quality patient
care. Managerial exclusion, being a nurse of color, and less experience
were associated with stronger intentions to leave. Nursing leaders should
attend to factors that may contribute to racial minorities seeking other jobs,
diminish younger nurses’ ability to provide high-quality care, and minimize
practices that might lead nurses to feel excluded.