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The Effect of a Nursing Labor Management Partnership on Nurse Turnover and Satisfaction

Porter, Carol A. DNP, RN; Kolcaba, Katharine PhD, RN; McNulty, Sister Rita DNP, RN, CNP; Fitzpatrick, Joyce J. PhD, RN, FAAN

Journal of Nursing Administration: May 2010 - Volume 40 - Issue 5 - pp 205-210
doi: 10.1097/NNA.0b013e3181da40a5

Objective: The effects of a nursing labor management partnership (NLMP) on nurse turnover and nurse satisfaction were examined.

Background: Job satisfaction and retention are among the factors related to the nursing shortage. The NLMP was a specific intervention where nursing leaders, both nonbargaining and bargaining, worked collaboratively to improve patient care and outcomes.

Methods: The study was conducted in a large, Magnet-designated urban academic medical center in the Northeastern United States. The hospital has more than 1,000 inpatient beds and more than 2,200 registered nurses, 2,107 of whom are members of a nursing union. Nurse turnover and satisfaction were studied before (2005) and after (2008) the implementation of the NLMP model.

Results: There was a significant decrease in nurse turnover and a significant increase in nurse satisfaction (from moderate to high) post-NLMP.

Conclusions: This study establishes a basis for further nursing research on the implementation of an NLMP in union environments.

Authors' Affiliations: Chief Nursing Officer and Senior Vice President (Dr Porter), Mount Sinai Medical Center, New York; Associate Professor Emeritus (Dr Kolcaba), University of Akron, Ohio; Assistant Professor (Dr McNulty); Elizabeth Brooks Ford Professor of Nursing (Dr Fitzpatrick), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.

Corresponding author: Dr Porter, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1051, New York, NY 10029-6574 (

© 2010 Lippincott Williams & Wilkins, Inc.