Advanced Search
MyIDEAS: Login to save this article or follow this journal

Deteriorated External Work Environment, Heavy Workload and Nurses' Job Satisfaction and Turnover Intention


Author Info

  • Isik U. Zeytinoglu
  • Margaret Denton
  • Sharon Davies
  • Andrea Baumann
  • Jennifer Blythe
  • Linda Boos
Registered author(s):


    Health system reform experienced in Canada since the 1990s profoundly affected health-care workplaces and workers' attitudes. In this paper we examine associations between deteriorated external work environment, heavy workload and nurses' job satisfaction and turnover intention. Data are from our 2002 survey responses of 1,396 nurses employed in three teaching hospitals in southern Ontario. Data are analyzed first for all nurses and then separately for full-time, part-time, and casual nurses. External work environment refers to nurses' perceptions of important decisions being made outside the hospital, limited resources, and budget cuts. Results show that when nurses perceive a deteriorated external work environment and consider their workload to be heavy, they also report low job satisfaction. Low job satisfaction and heavy workload, in turn, are associated with nurses' turnover intention. However, when nurses perceive a deteriorated external work environment they are more inclined to stay. When data are examined separately for each employment status group, the effect of external work environment and workload are different on turnover intentions for fulltime, part-time, and casual nurses. We suggest managers and policymakers pay attention to the impact of deteriorated external work environment and heavy workload in developing strategies for nurses' job satisfaction and retention. More importantly, the different impact of these factors according to employment contracts should be considered in developing human resources policies for nurses' job satisfaction and retention.

    Download Info

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below under "Related research" whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Bibliographic Info

    Article provided by University of Toronto Press in its journal Canadian Public Policy.

    Volume (Year): 33 (2007)
    Issue (Month): s1 (January)
    Pages: 31-48

    as in new window
    Handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:31-48

    Contact details of provider:
    Postal: University of Toronto Press Journals Division 5201 Dufferin Street Toronto, Ontario, Canada M3H 5T8
    Web page:

    Order Information:

    Related research



    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Isik Urla Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Ann Higgins, 2005. "Survey Results of the New Health Care Worker Study: Implications of Changing Employment Patterns," Social and Economic Dimensions of an Aging Population Research Papers, McMaster University 129, McMaster University.
    2. Isik Urla Zeytinoglu & Margaret Denton & Sharon Davies & Andrea Baumann & Jennifer Blythe & Ann Higgins, 2005. "Survey Results of the New Health Care Worker Study: Implications of Changing Employment Patterns," Quantitative Studies in Economics and Population Research Reports, McMaster University 394, McMaster University.
    Full references (including those not matched with items on IDEAS)



    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.


    Access and download statistics


    When requesting a correction, please mention this item's handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:31-48. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Prof. Werner Antweiler).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.