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Work Satisfaction, Intent to Stay, Desires of Nurses, and Financial Knowledge Among Bedside and Advanced Practice Nurses

Hill, Karen S. DNP, RN, NEA-BC, FACHE

Journal of Nursing Administration: May 2011 - Volume 41 - Issue 5 - p 211-217
doi: 10.1097/NNA.0b013e3182171b17

Objective: To better understand factors that may contribute to retention of experienced nurses, a study examined differences and relationships among work satisfaction, intent to stay in the nursing profession, and financial knowledge of retirement consequences related to income between clinical bedside nurses (CBNs) and advanced practice nurses (APNs) and described the importance of 7 workforce desires of nurses.

Background: Overall, nurses are not informed regarding the financial implications of transitioning from the workforce into retirement. In addition, little is known about the workforce desires and intent to stay among experienced nurses.

Methods: A cross-sectional, descriptive, comparative design was used. Data were collected from a convenience sample (n = 176) of CBNs employed by a 371-bed, acute care, Magnet®-designated hospital, who worked in telemetry and medical-surgical care, and APNs employed by the hospital or employed by a credentialed physicians within the facility in a variety of care settings and roles.

Results: Findings from the Work Satisfaction and Intent to Stay scales suggest that relationships in the workplace are important. Data related to the 7 workforce desire questions show that nurses in this organization support the characteristics of caring in the work environment as identified by Watson. The financial knowledge of the consequences of retirement related to income was low among both groups but slightly higher for the APNs.

Conclusions: Implications of this study for nurse leaders include the importance of strengthening relationships among nursing colleagues and between the nurse and the supervisor particularly in the constructs of caring. Data support a need for increased education about finances and retirement for RNs in the workplace.

Author Affiliation: Vice President/Nurse Executive, Administration, Central Baptist Hospital, Lexington, Kentucky.

Correspondence: Ms Hill, Central Baptist Hospital, 1740 Nicholasville Rd, Lexington, KY 40503 (

Disclosure: The author's appointment as JONA Editor-in-Chief occurred April 30, 2011 and did not influence the review or acceptance of this article that was received on August 10, 2010, with peer review and acceptance completed December 10, 2010.

© 2011 Lippincott Williams & Wilkins, Inc.