This paper examines the relationship between nurse motivation, job satisfaction, and nurse retention in the context of a growing nursing shortage across the United States. Drawing on existing literature, the paper reviews factors contributing to nurses leaving the profession, including low morale, inadequate pay, limited promotional opportunities, lack of resources, and misalignment between personal and organizational values. The paper proposes a quantitative research design using a self-administered survey mailed to 2,000 randomly selected Registered Nurses, with MANOVA statistical analysis to identify the motivational variables most strongly linked to retention. Findings are intended to inform the development of targeted programs and incentives to improve nurse satisfaction and reduce turnover.
The decreasing recruitment and retention of nurses throughout the United States and internationally is a growing concern that must be addressed and remedied. As front-line workers, nurses play an integral role in the provision of quality healthcare to those who are most in need — the patients. In order to remedy the problem of increasing numbers of nurses leaving the profession, it is crucial that influential factors be identified. This study will explore the effects that motivation has on the job satisfaction of nurses and on nurse retention. It is hypothesized that nurses who are more motivated in their jobs are more satisfied, and are thus less likely to leave the profession. The findings from this study will provide information as to what changes can be made so that nurses are more motivated in their profession.
Nursing retention is a prominent factor in the current nursing shortage, and it has been found that nurses change jobs and careers because of issues in the workplace, including the culture of the hospital (Donley et al., 2002). Recently, several studies have explored the growing trend of nurses leaving the profession. Why is nurse retention becoming increasingly difficult? Several theories have been posited. Sumner and Townsend-Rocchiccioli (2003) suggested that the cause of nurses' abandonment of the profession might lie more in intrinsic factors rather than overtly expressed reasons. These authors cite various reasons — such as bureaucratic factors, issues related to the medical profession and scientific discourse, and factors within the nursing profession itself — as contributing to the dissatisfaction that causes nurses to leave. Additionally, nursing is emotionally stressful work, which may compound other influencing factors. The authors suggest changes in the work environment to make nurses feel valued for their skills and, therefore, increase nurse retention.
Problems of retention in the nursing profession have also been linked to low morale (Callaghan, 2003). A study conducted by Callaghan (2003) explored nursing morale and its influences in order to identify factors affecting nurse retention. In this study, 58 nurses were interviewed about their morale and their concerns regarding their nursing careers. Overall, morale among the group interviewed was found to be very low. A large number of these nurses were considering leaving the profession, and the majority said they would discourage others from pursuing careers in nursing. Several themes emerged that were related to this low morale, including low pay, lack of support for education, lack of resources, job insecurity, and limited opportunity for promotion. The authors concluded that attention must be focused not only on salary issues surrounding discontent in the nursing profession, but also on these other influential factors.
Several factors have been identified that influence nurses' job satisfaction and, furthermore, the likelihood of nurses leaving the profession. Ma et al. (2003) suggest that if administrators identify factors influencing nurses' job satisfaction and implement strategies to address those factors, nurse retention rates will increase. These researchers found statistically significant differences in job satisfaction related to years of service, job position, hospital retirement plan, and geographic area.
"Value alignment and age shape nurse satisfaction"
"Participation in decisions boosts nurse motivation"
"MANOVA survey of 2,000 registered nurses"
The findings of this study will further identify areas in which improvements can be made to increase nurse retention. The motivating factors found to be most influential will form the basis for the development of programs and incentives to increase nurses' satisfaction in the profession and, furthermore, to increase nurse retention.
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