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Improving Nurse Retention in the National Health Service in England: The Impact of Job Satisfaction on Intentions to Quit

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Author Info
Shields, Michael
Ward-Warmedinger, Melanie

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Abstract

In recent years the British National Health Service (NHS) has experienced an acute shortage of qualified nurses. This has placed issues of recruitment and retention in the profession high on the political agenda. In this Paper, we investigate the determinants of job satisfaction for nurses and establish the importance of job satisfaction in determining nurses’ intentions to quit the NHS. We find that nurses who report overall dissatisfaction with their jobs have a 65% higher probability of intending to quit than those reporting to be satisfied. However, dissatisfaction with promotion and training opportunities are found to have a stronger impact than workload or pay. Recent policies, which focus heavily on improving the pay of all NHS nurses, will have only limited success unless they are accompanied by improved promotion and training opportunities. Better retention will, in turn, lead to reduced workload.

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Publisher Info
Paper provided by C.E.P.R. Discussion Papers in its series CEPR Discussion Papers with number 2806.

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Date of creation: May 2001
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Handle: RePEc:cpr:ceprdp:2806

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Related research
Keywords: Job Satisfaction; Nurses; Principal Component Analysis; Quitting Intentions;

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Find related papers by JEL classification:
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
J63 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies - - - Turnover; Vacancies; Layoffs

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.:

  1. Pudney, Stephen & Shields, Michael A, 2000. " Gender and Racial Discrimination in Pay and Promotion for NHS Nurses," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 62(0), pages 801-35, Special I. [Downloadable!] (restricted)
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  2. Andrew Clark & Yannis Georgellis & Peter Sanfey, 1997. "Job Satisfaction, Wage Changes and Quits: Evidence from Germany," Studies in Economics 9711, Department of Economics, University of Kent.
    Other versions:
  3. Freeman, Richard B, 1978. "Job Satisfaction as an Economic Variable," American Economic Review, American Economic Association, vol. 68(2), pages 135-41, May. [Downloadable!] (restricted)
    Other versions:
  4. Clark, Andrew E., 2001. "What really matters in a job? Hedonic measurement using quit data," Labour Economics, Elsevier, vol. 8(2), pages 223-242, May. [Downloadable!] (restricted)
  5. Clark, Andrew E., 1997. "Job satisfaction and gender: Why are women so happy at work?," Labour Economics, Elsevier, vol. 4(4), pages 341-372, December. [Downloadable!] (restricted)
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  6. Dolton, Peter J & van der Klaauw, Wilbert, 1995. "Leaving Teaching in the UK: A Duration Analysis," Economic Journal, Royal Economic Society, vol. 105(429), pages 431-44, March. [Downloadable!] (restricted)
  7. Ward, Melanie E & Sloane, Peter J, 2000. "Non-pecuniary Advantages versus Pecuniary Disadvantages; Job Satisfaction among Male and Female Academics in Scottish Universities," Scottish Journal of Political Economy, Scottish Economic Society, vol. 47(3), pages 273-303, August. [Downloadable!] (restricted)
  8. Stephen Pudney & Michael Shields, . "Gender, Race, Pay and Promotion in the British Nursing Profession: Estimation of a Generalised Ordered Probit Model," Discussion Papers in Public Sector Economics 97/4, Department of Economics, University of Leicester.
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  9. George A. Akerlof & Andrew K. Rose & Janet L. Yellen, 1988. "Job Switching and Job Satisfaction in the U.S. Labor Market," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 19(1988-2), pages 495-594. [Downloadable!]
  10. Gray, Alastair M. & Phillips, V. L. & Normand, Charles, 1996. "The costs of nursing turnover: evidence from the British National Health Service," Health Policy, Elsevier, vol. 38(2), pages 117-128, November. [Downloadable!] (restricted)
  11. Michael E. Gordon & Angelo S. Denisi, 1995. "A re-examination of the relationship between union membership and job satisfaction," Industrial and Labor Relations Review, ILR Review, ILR School, Cornell University, vol. 48(2), pages 222-236, January.
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Cited by:
(explanations, 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.)

  1. Brown, Gordon D. A. & Gardner, Jonathan & Oswald, Andrew & Qian, Jing, 2005. "Does Wage Rank Affect Employees’ Wellbeing?," IZA Discussion Papers 1505, Institute for the Study of Labor (IZA). [Downloadable!]
  2. Leontaridi, Rannia M. & Ward, Melanie E., 2002. "Work-Related Stress, Quitting Intentions and Absenteeism," IZA Discussion Papers 493, Institute for the Study of Labor (IZA). [Downloadable!]
  3. Paul Frijters & Michael A. Shields & Stephen Wheatley Price, 2007. "Investigating the quitting decision of nurses: panel data evidence from the british national health service," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 57-73. [Downloadable!]
    Other versions:
  4. Maria Laura Di Tommaso & S. Strøm & E. M. Sæther, 2007. "Nurses Wanted. Is the job too harsh or is the wage too low?," CHILD Working Papers wp11_07, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY. [Downloadable!]
    Other versions:
  5. T. Kankaanranta & P. Rissanen, 2008. "Nurses’ intentions to leave nursing in Finland," The European Journal of Health Economics, Springer, vol. 9(4), pages 333-342, November. [Downloadable!] (restricted)
  6. Tor Helge Holmås, 2002. "Keeping nurses at work: a duration analysis," Health Economics, John Wiley & Sons, Ltd., vol. 11(6), pages 493-503. [Downloadable!]
  7. Jones, Melanie K. & Jones, Richard J. & Latreille, Paul L. & Sloane, Peter J., 2008. "Training, Job Satisfaction and Workplace Performance in Britain: Evidence from WERS 2004," IZA Discussion Papers 3677, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  8. Frijters, Paul & Shields, Michael A. & Theodoropoulos, Nikolaos & Wheatley Price, Stephen, 2003. "Testing for Employee Discrimination Using Matched Employer-Employee Data: Theory and Evidence," IZA Discussion Papers 807, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  9. Grip Andries de & Sieben Inge & Stevens Fred, 2006. "Vocational Versus Communicative Competencies as Predictors of Job Satisfaction," Research Memoranda 004, Maastricht : ROA, Research Centre for Education and the Labour Market. [Downloadable!]
  10. Paul Frijters & Michael A. Shields & Stephen Wheatley Price & Nikolaos Theodoropoulos, 2006. "Testing for Employee Discrimination in Britain using Matched Employer-Employee Data," University of Cyprus Working Papers in Economics 8-2006, University of Cyprus Department of Economics. [Downloadable!]
  11. Heather Antecol & Deborah Cobb-Clark, 2005. "Racial Harassment, Job Satisfaction and Intentions to Remain in the Military," IZA Discussion Papers 1636, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  12. Montizaan Raymond & Cörvers Frank & Grip Andries de, 2009. "The effects of pension rights and retirement age on training participation: Evidence from a natural experiment," Research Memoranda 015, Maastricht : ROA, Research Centre for Education and the Labour Market. [Downloadable!]
    Other versions:
  13. Denise Doiron & Glenn Jones, 2004. "Nurses' retention and hospital characteristics in New South Wales, CHERE Discussion Paper No 52," Discussion Papers 52, CHERE, University of Technology, Sydney. [Downloadable!]
  14. Francesca Barigozzi & Gilberto Turati, 2009. "Human Health Care and Selection Effects. Understanding Labour Supply in the Market for Nurses," CHILD Working Papers wp18_09, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY. [Downloadable!]
  15. Dolado, Juan José & Felgueroso, Florentino, 2008. "Occupational Mismatch and Moonlighting among Spanish Physicians: Do Couples Matter?," IZA Discussion Papers 3419, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  16. H Gravelle & AR Hole, I Hussein, 2008. "Response bias in job satisfaction surveys: English general practitioners," Discussion Papers 08/24, Department of Economics, University of York. [Downloadable!]
  17. T. Kankaanranta & P. Rissanen, 2009. "The labor supply of registered nurses in Finland: the effect of wages and working conditions," The European Journal of Health Economics, Springer, vol. 10(2), pages 167-178, May. [Downloadable!] (restricted)
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