Her book has been widely cited in subsequent studies on retention and satisfaction within nursing.
[1] Several years after completing the doctorate, Kramer taught at the University of California, San Francisco.
The faculty members had previously submitted complaints to the university alleging that Kramer plagiarized material and mismanaged the department.
[4] Kramer developed the concept of reality shock while studying the retention of new nurses.
She identified role conflict as a major stressor for new nurses as they struggled to balance the needs of each patient with the pressures and responsibilities imposed by the work setting.