Improving Nurse Retention in the British National Health Service: The Impact of Job Satisfaction on Intentions to Quit
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.
|Date of creation:||Feb 2000|
|Date of revision:|
|Publication status:||published in: Journal of Health Economics, 2001, 20(5), 677-801|
|Contact details of provider:|| Postal: IZA, P.O. Box 7240, D-53072 Bonn, Germany|
Phone: +49 228 3894 223
Fax: +49 228 3894 180
Web page: http://www.iza.org
|Order Information:|| Postal: IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany|
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.:
- Stephen Pudney & Michael Shields, .
"Gender, Race, Pay and Promotion in the British Nursing Profession Estimation of a Generalised Ordered ProbitModel,"
Discussion Papers in Economics
97/4, Department of Economics, University of Leicester.
- Stephen Pudney & Michael Shields, 2000. "Gender, race, pay and promotion in the British nursing profession: estimation of a generalized ordered probit model," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 15(4), pages 367-399.
- 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.
- 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, Cornell University, ILR School, vol. 48(2), pages 222-236, January.
- David N. Laband & Bernard F. Lentz, 1998.
"The Effects of Sexual Harassment on Job Satisfaction, Earnings, and Turnover among Female Lawyers,"
Cornell University, ILR School, vol. 51(4), pages 594-607, July.
- David N. Laband & Bernard F. Lentz, 1998. "The Effects of sexual harassment on job satisfaction, earnings, and turnover among female lawyers," Industrial and Labor Relations Review, ILR Review, Cornell University, ILR School, vol. 51(4), pages 594-607, July.
- Miller, Paul W, 1990. "Trade Unions and Job Satisfaction," Australian Economic Papers, Wiley Blackwell, vol. 29(55), pages 226-48, December.
- Clark, Andrew E., 1997.
"Job satisfaction and gender: Why are women so happy at work?,"
Elsevier, vol. 4(4), pages 341-372, December.
- Clark, A.E., 1995. "Job Satisfaction and Gender: Why Are Women so Happy at Work?," DELTA Working Papers 95-10, DELTA (Ecole normale supérieure).
- Keith A. Bender & Peter J. Sloane, 1998.
"Job satisfaction, trade unions, and exit-voice revisited,"
Industrial and Labor Relations Review,
ILR Review, Cornell University, ILR School, vol. 51(2), pages 222-240, January.
- Keith A. Bender & Peter J. Sloane, 1998. "Job Satisfaction, Trade Unions, and Exit-Voice Revisited," ILR Review, Cornell University, ILR School, vol. 51(2), pages 222-240, January.
- Clark, Andrew E. & Oswald, Andrew J. & Warr, Peter B., 1994. "Is job satisfaction u-shaped in age ?," CEPREMAP Working Papers (Couverture Orange) 9407, CEPREMAP.
- Richard B. Freeman, 1977.
"Job Satisfaction as an Economic Variable,"
NBER Working Papers
0225, National Bureau of Economic Research, Inc.
- Mary Hampton & John Heywood, 1999. "The Determinants of Perceived Underpayment: The Role of Racial Comparisons," Review of Social Economy, Taylor & Francis Journals, vol. 57(2), pages 141-155.
- Andrew Clark & Yannis Georgellis & Peter Sanfey, 1997.
"Job Satisfaction, Wage Changes and Quits: Evidence from Germany,"
Studies in Economics
9711, School of Economics, University of Kent.
- Andrew Clark & Yannis Georgellis & Peter Sanfey, . "Job Satisfaction, Wage changes and Quits: Evidence from Germany," Economics and Finance Discussion Papers 98-06, Economics and Finance Section, School of Social Sciences, Brunel University.
- Blanchflower, D.G. & Oswald, A., 1991.
"What Makes an Entrepreneur?,"
Economics Series Working Papers
99125, University of Oxford, Department of Economics.
- 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(2), pages 495-594.
- 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.
- P. J. Sloane & H. Williams, 2000. "Job Satisfaction, Comparison Earnings, and Gender," LABOUR, CEIS, vol. 14(3), pages 473-502, 09.
- Phillips, V. L., 1995. "Nurses' labor supply: Participation, hours of work, and discontinuities in the supply function," Journal of Health Economics, Elsevier, vol. 14(5), pages 567-582, December.
- 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.
When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp118. 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: (Mark Fallak)
If references are entirely missing, you can add them using this form.