Work Satisfaction Among Medical Surgical Nurses.


Background: In 2017, registered Nurse (RN) turnover on Medical Surgical units is 16.3% costing hospitals approximately $49,000 to replace each nurse.

Aims: The purpose of this study was to determine the variables that predict nurse satisfaction and intent to stay on a Medical Surgical unit.

Method: A cross-sectional survey design was used for this study. The adapted Nurses and Work Questionnaire was used to determine the satisfaction and intent to stay among registered nurses at five acute care hospitals within one health system in southeastern Louisiana.  The questionnaire link was emailed to approximately 460 registered nurses, with 151 (38.2%) eligible nurses completing it.

Results: Age (ExpB = 1.06; p = .007), Role Function (ExpB = 3.76; p < .001),  Supportive Management (ExpB = 1.78; p = .028) and Pay (ExpB = 2.99; p < .001) predicted whether a nurse intended to stay on their medical surgical unit over the next year.

Limitations and Implications: The study findings are limited by the fact that the sample was drawn from one health system; however, this limitation is mitigated by regionality, size, and Magnet designation of the hospital setting.  Nurse manager can increase nurse retention by 22% when age, role function, supportive management, and equitable pay are considered.

Conclusion: Nurses are more likely to remain on their units if they are older, like what they do, enjoy the people they work with, have a supportive manager, and are paid fairly,  Further research needs to qualitatively explore the specific work environment behaviors to retain nurses, especially among the younger workforce.

This publication has been peer reviewed.
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Journal Article
Steele-Moses, S. K,
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