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

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Author Info
Shields, Michael A. () (PSERC, University of Leicester, England)
Ward, Melanie E. (IZA, Bonn, Germany)

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Abstract

In recent years the National Health Service (NHS) in Britain 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 only have 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 Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 118.

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Length: 44 pages
Date of creation: Feb 2000
Date of revision:
Handle: RePEc:iza:izadps:dp118

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Related research
Keywords: Nurses; job satisfaction; quitting intentions; principal component analysis;

Other versions of this item:

Find related papers by JEL classification:
J45 - Labor and Demographic Economics - - Particular Labor Markets - - - Public Sector Labor Markets
J63 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies - - - Turnover; Vacancies; Layoffs
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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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. 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:
  2. 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)
  3. Clark, Andrew E. & Oswald, Andrew J. & Warr, Peter B., 1994. "Is job satisfaction u-shaped in age ?," CEPREMAP Working Papers (Couverture Orange) 9407, CEPREMAP.
  4. 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:
  5. Miller, Paul W, 1990. "Trade Unions and Job Satisfaction," Australian Economic Papers, Blackwell Publishing, vol. 29(55), pages 226-48, December.
  6. 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)
  7. Keith A. Bender & Peter J. Sloane, 1998. "Job satisfaction, trade unions, and exit-voice revisited," Industrial and Labor Relations Review, ILR Review, ILR School, Cornell University, vol. 51(2), pages 222-240, January.
  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.
    Other versions:
  9. P. J. Sloane & H. Williams, 2000. "Job Satisfaction, Comparison Earnings, and Gender," LABOUR, CEIS, Fondazione Giacomo Brodolini and Blackwell Publishing Ltd, vol. 14(3), pages 473-502, 09. [Downloadable!] (restricted)
  10. 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)
    Other versions:
  11. Meng, Ronald, 1990. "The Relationship between Unions and Job Satisfaction," Applied Economics, Taylor and Francis Journals, vol. 22(12), pages 1635-48, December.
  12. Hampton, Mary B & Heywood, John S, 1999. "The Determinants of Perceived Underpayment: The Role of Racial Comparisons," Review of Social Economy, Taylor and Francis Journals, vol. 57(2), pages 141-55, June.
  13. 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!]
  14. Blanchflower, David G & Oswald, Andrew J, 1998. "What Makes an Entrepreneur?," Journal of Labor Economics, University of Chicago Press, vol. 16(1), pages 26-60, January. [Downloadable!] (restricted)
    Other versions:
  15. 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.
Full references

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. Bob Elliott, 2003. "Labour markets in the NHS: an agenda for research," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 797-801. [Downloadable!]
  2. Dohmen, Thomas J., 2000. "Housing, Mobility and Unemployment," IZA Discussion Papers 210, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  3. Bauer, Thomas K., 2004. "High Performance Workplace Practices and Job Satisfaction: Evidence from Europe," IZA Discussion Papers 1265, Institute for the Study of Labor (IZA). [Downloadable!]
  4. Antecol, Heather & Cobb-Clark, Deborah, 2001. "The Sexual Harassment of Female Active-Duty Personnel: Effects on Job Satisfaction and Intentions to Remain in the Military," IZA Discussion Papers 379, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  5. Emanuela Antonazzo & Anthony Scott & Diane Skatun & Robert. F. Elliott, 2003. "The labour market for nursing: a review of the labour supply literature," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 465-478. [Downloadable!]
  6. Vicente Royuela & Jordi Suriñach, 2009. "Quality in work and aggregate productivity," IREA Working Papers 200901, University of Barcelona, Research Institute of Applied Economics, revised Jan 2009. [Downloadable!]
  7. Claude Montmarquette & Laure Thomas, 2005. "La pénurie de travailleurs qualifiés," CIRANO Project Reports 2005rp-03, CIRANO. [Downloadable!]
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