Nurses' Workplace Perceptions in Southern Germany-Job Satisfaction and Self-Intended Retention towards Nursing.
Domenic Sommer1, Sebastian Wilhelm1, Florian Wahl1
1Technology Campus Grafenau, Deggendorf Institute of Technology, 94481 Grafenau, Germany.
Healthcare (Basel, Switzerland)
|January 23, 2024
Summary
Nearly half of nurses surveyed are considering leaving the profession due to dissatisfaction with patient care time, organization, and pay. Improvements are needed to retain nurses, especially younger ones and those in elderly care.
Area of Science:
- Nursing Retention and Job Satisfaction
- Healthcare Workforce Studies
- Post-COVID-19 Pandemic Impact
Background:
- Nursing retention is a critical global issue, exacerbated by the COVID-19 pandemic.
- Understanding post-pandemic job satisfaction and influencing factors is essential for healthcare workforce stability.
- Previous research highlights various factors affecting nurse retention, but post-COVID-specific data is emerging.
Purpose of the Study:
- To assess job satisfaction and identify key factors influencing nursing retention in Bavaria, Germany, post-COVID-19.
- To analyze the relationship between work dimensions, self-reported factors, and nurses' commitment to the profession.
- To provide data-driven insights for policy interventions aimed at improving nurse retention.
Main Methods:
- A cross-sectional online survey of 2572 nurses in Bavaria, Germany (October 2022 - January 2023).
- Quantitative analysis using multivariable regression to identify key influence factors on nursing retention.
- Qualitative analysis of open-ended questions using template analysis to complement quantitative findings.
Main Results:
- 43.2% of nurses were not committed to staying in the profession over the next 12 months.
- 66.7% of nurses were dissatisfied with time for direct patient care; other key dissatisfaction areas included service organization, documentation, codetermination, and payment.
- Factors positively associated with retention included older age, living alone, not working in elder care, satisfactory working hours, career choice, opportunities, payment, and adequate rest times.
Conclusions:
- Significant dissatisfaction exists among nurses regarding patient care time and other work dimensions, impacting retention.
- Targeted policy interventions are needed, focusing on younger nurses and those in elderly care, to address unmet expectations and improve retention.
- Digitalization presents potential solutions for improving documentation and increasing time for direct patient care, warranting further research.
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