Archives


Human Resource Management Strategies for the Retention of Nurses in Acute Care Settings in Hospitals in Australia

Pamela Hogan
PhD Candidate and Nurse Manager; After Hours Coordinator, Mackay Base Hospital, Mackay QLD

Lorna Moxham
Head, School of Nursing and Health Studies, Central Queensland University, Rockhampton QLD

Trudy Dwyer
Senior Lecturer, School of Nursing, Central Queensland University, Rockhampton QLD

Abstract

It is paramount that there is an adequate nursing workforce supply for now and in the future, to achieve equitable and quality health outcomes and consumer access to healthcare, regardless of geographic location. Nursing forms the largest body of employees in the health care system, spanning all segments of care. A shortage of nurses, particularly in the acute care settings in hospitals, jeopardizes the provision of quality health care to consumers.

This article provides a literature review of Australian State and Federal Government reports into nurse retention. All reports discuss staff turnover rates; the average age of nurses; enrolment numbers in nursing courses; workloads; nursing workforce shortfalls and the effect on the work environment; leadership and management styles; organizational culture; change management; the mobility of nursing qualifications both locally and internationally and the critical need to value nurses. Then why has the situation of nurse retention not improved? Possible reasons for the continued nurse shortage and the promise of strategic HRM in addressing nurse retention are discussed.

Keywords

HRM strategies, nursing management, nurse retention


Toggle references

References

Anthony MK, Standing TS, Glick J, Duffy M, Paschall F, Sauer MR, Sweeney DK, Modic MB and Dumpe ML (2005) Leadership and nurse retention', Journal of Nursing Administration 35(3): 146-155.

Armstrong F (2003) 'Confronting the nursing shortage, Australian Nursing Journal 10(6): 22-24.

Atencio BL, Cohen J and Gorenberg B (2003) Nursing retention, Nursing Economics 21(6): 262-267.

Auditor General, Victoria (2002) Nursing Workforce Planning, Tabled 30 May 2002. Available at http://www.audit.vic.gov.au/reports_par/agp78cv.html (accessed June 2002).

Australian Capital Territory (ACT) Health (2005) Workforce Plan 2005-2010. Available at www.health.act.gov.au (accessed April 2005).

Australian Health Workforce Advisory Committee (2004) Nursing Workforce Planning in Australia - Aguide to the process and methods used by the Australian Health Workforce Advisory Committee, AHWAC Report 2004.1 Sydney.

Australian Nursing Federation (2001) Nursing workforce issues: an international perspective, Australian Nursing Journal 9(1): 1 (ProQuest). Available at
http://proquest.umi.com/pqdweb?did=75283430&sid=2&Fmt=3&
clientid=20863&ROT=309&VName=PQD
(accessed April 2005).

Australian Nursing Federation (2000) Tasmania branch conference highlights aging nursing workforce, Australian Nursing Journal 8(2): 12 (ProQuest). Available at
http://proquest.umi.com/pqdweb?did75283430&sid=2&Fmt=3&clientid
=20863&RQT=309&VName-PQD
(accessed April 2005).

Best Practice Australia Pty Ltd (2003) Impact of Cultural Change - A nursing retention strategy, September 2003. Available at www.bpanz.com (accessed March 2004).

Cadrain D (2002) An acute condition: too few nurses, Business Source Premier 47(12): 5-18.

Cangelosi JD Jr, Markham FS and Bounds WT (1998) Factors related to nurse retention and turnover: an updated study, Health Marketing Quarterly 15(3): 25-30.

Commonwealth of Australia (2002) National Review of Nursing Education 2002 - Our Duty of Care, Australian Department of Education, Science and Training. Available at www.deat.gov.au/archive/highered/nursing/pubs/duty_of_care/doc9.html (accessed October 2005).

Department of Health (2004) The Recruitment and Retention of Staff in Critical Care, June 2004. Available at www.australia.gov.au (accessed November 2004).

Department of Health and Human Services, Tasmania (2001) Final report of the Tasmanian Nurse Workforce Planning Project, November 2001. Available at www.dhhs.tas.gov.au (accessed March 2003).

Department of Human Services (2003) The South Australian Nursing and Midwifery Recruitment and Retention Strategic Directions Plan, March 2003. Available at www.health.sa.gov.au (accessed March 2004).

Forster P (2005) Queensland Health Systems Review, September 2005. Available at http://qheps.health.qld.gov.au (accessed October 2005).

Gifford BD, Zammuto RF and Goodman EA (2002) The relationship between hospital unit culture and nurses' quality of work life, Journal of Healthcare Management 47(1): 13-25.

Heathfield SM (2006) Keep your best: retention tips, Human Resources Newsletter, Strategic and Business Planning Division Resource Centre, March 2006: 1-2. Available at www.work911.com/planningmaster/New/31-Mar-2006.html (accessed April 2006).

Kaye L (1999) Strategic human resources management in Australia: the human cost, International Journal of Manpower 20(8): 577-587.

Mason LJ (2001) Top ten retention strategies from the stress education centre, Stress Education Centre Newsletter. Available at http://www.dstress.com/RetentionArt.htm (accessed January 2006).

Newman K, Maylor U and Chansarkar B (2002) The nurse satisfaction, service quality and nurse retention chain, Journal of Management in Medicine 16(4): 271-291.

Northern Territory Government (2001) Nursing Labourforce Northern Territory Report, Darwin 2002. Available at www.nt.gov.au (accessed March 2003).

NSW Health (2002) The NSW Recruitment and Retention of Nurses Progress Report October 2002. Available at www.nsw.gov.au/health.asp (accessed March 2004).

NSW Health Department (1998) Workforce Planning Study for neonatal Intensive Care, Paediatric Intensive Care and Community Health Nurses, Prepared by the Workforce Planning Unit, Corporate Services Division, NSW Health with Karen O'Connor, Feb 1998.

O'Brien-Pallas L, Duffield C and Alknis C (2004) Who will be there to nurse?: retention of nurses nearing retirement, Journal of Nursing Administration 34(6): 298-302.

Patrickson M and Hartmann L (2001) Human resource management in Australia-prospects for the twenty-first century, International Journal of Manpower 22(3): 198-206.

Peccei R (2004) Human resource management and the search for the happy workplace, Inaugural Addresses Research in Management Series January 2004. Available at www.erim.cur.nl (accessed March 2004).

Queensland Government (2005) Queensland Health Action Plan: building a better health service for Queensland. Available at www.health.qld.gov.au (accessed April 2006).

Queensland Health (1999) Ministerial Taskforce nursing recruitment & retention report, September 1999. Available at http://www.healthreview.com.au (accessed March 2000).

Renwick D (2003) Line manager involvement in HRM: an inside view, Employee Relations 25(3): 262-280.

Spence-Laschinger HK and Finegan J (2005) Using empowerment to build trust and respect in the workplace: a strategy for addressing the nursing shortage, Nursing Economics 23(1): 6-13.

Stanton P, Bartram T and Harbridge (2004) People management practices in the public health sector, Journal of European Industrial Training 28(2/3/4): 310-328.

Tasmania Department of Health and Human Services (2001) Recruitment and Retention Report, November 2001. Available at www.tas.gov.au (accessed March 2005).

Upenieke VV (2003) The interrelationship of organizational characteristics of magnet hospitals, nursing leadership and nursing job satisfaction, Health Care Manager 22(2): 83-98.

Withham H (2000) Investigating recruitment and retention issues, Australian Nursing Journal 7(10): 9.



Web Feed

Latest Articles

Call for Papers

Advances in Contemporary Nursing and Midwifery History in Australasia
Volume 30/2
Deadline: Closed


Advances in Contemporary Nurse Education
Volume 32/1-2
Deadline: 30th Sep 2008


Advances in Contemporary Nursing and Gender
Volume 33/2
Deadline: 15th Dec 2008


Advances in Contemporary Mental Health Nursing – Second Edition
Volume 34/1
Deadline: 2nd Mar 2009


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/1
Deadline: 30th Apr 2009


Special Issues

Advances in Contemporary Modeling of Clinical Nursing Care
Vol 35/1, 1st Apr 2010


Advances in Contemporary Mental Health Nursing – Second Edition
Vol 34/1, 1st Dec 2009


Advances in Contemporary Nursing and Gender
Vol 33/2, 1st Oct 2009


Advances in Contemporary Nurse Education
Vol 32/1-2, 1st Apr 2009


Advances in Contemporary Nursing and Midwifery History in Australasia
Vol 30/2, 1st Oct 2008


Advances in Contemporary Transcultural Nursing (2nd edn)
Vol 28/1-2, 15th Apr 2008


Advances in Contemporary Palliative and Supportive Care
Vol 27/1, 1st Dec 2007


Advances in Contemporary Aged Care: Retirement to End of Life
Vol 26/2, 1st Oct 2007


Advances in Contemporary General Practice Nursing: Role of the Practice Nurse
Vol 26/1, 1st Aug 2007


Advances in Contemporary Nurse Recruitment and Retention
Vol 24/2, 1st Apr 2007


Advances in Contemporary Community and Family Health Care
Vol 23/2, 1st Jan 2007


Advances in Contemporary Indigenous Health Care
Vol 22/2, 1st Sep 2006


Advances in Contemporary Nursing & Interpersonal Violence
Vol 21/2, 1st May 2006


Advances in Contemporary Mental Health Nursing
Vol 21/1, 1st Mar 2006


Advances in Contemporary Child and Family Care
Vol 18/1-2, 1st Jan 2005


Advances in Contemporary Transcultural Nursing
Vol 15/3, 1st Oct 2003


Sponsored Links

Selected Articles

Trends and Challenges in the Management of Tracheostomy in Older People


Coping strategies in clinical practice


Clinical Nurses' Knowledge of Evidence-Based Practice


Critical nursing incidents where you made the difference


Challenging contrasts


Consumer Evaluation of a Mental Health Liaison Nurse Service in the Emergency Department


Website Design by Arrowsmith Websites Maleny Sunshine Coast