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The effect of the social organization of work on the voluntary turnover rate of hospital nurses in the United States

Author

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  • Bloom, Joan R.
  • Alexander, Jeffrey A.
  • Nichols, Beverly A.

Abstract

In light of current concerns over nursing shortages and productivity, voluntary turnover among hospital nurses in the United States has assumed renewed importance as a managerial issue. This study examines the thesis that the social organization of work in hospitals is an important determinant of the voluntary turnover rate among registered nurses. This perspective differs from previous work in this area in that both turnover and its determinants are conceptualized at the organizational rather than individual level, thus opening the way for administrative intervention to reduce turnover. The conceptual model is tested using multiple regression techniques on a sample of 435 hospitals. Results suggest that organizational characteristics and environmental conditions are important contributors to turnover. Organizational characteristics are stronger predictors of turnover than are economic factors.

Suggested Citation

  • Bloom, Joan R. & Alexander, Jeffrey A. & Nichols, Beverly A., 1992. "The effect of the social organization of work on the voluntary turnover rate of hospital nurses in the United States," Social Science & Medicine, Elsevier, vol. 34(12), pages 1413-1424, June.
    • Handle: RePEc:eee:socmed:v:34:y:1992:i:12:p:1413-1424
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    Cited by:

    1. Huynh, Elisabeth & Swait, Joffre & Lancsar, Emily, 2022. "Modelling online job search and choices of dentists in the Australian job market: Staged sequential DCEs and FIML econometric methods," Journal of choice modelling, Elsevier, vol. 44(C).
    2. Ziyu Liu & Hung Wong & Jifang Liu, 2022. "Why do Social Workers Leave? A Moderated Mediation of Professionalism, Job Satisfaction, and Managerialism," IJERPH, MDPI, vol. 20(1), pages 1-16, December.
    3. Zeytinoglu, Isik U. & Denton, Margaret & Davies, Sharon & Plenderleith, Jennifer Millen, 2009. "Casualized employment and turnover intention: Home care workers in Ontario, Canada," Health Policy, Elsevier, vol. 91(3), pages 258-268, August.
    4. Alexander, Jeffrey & Nuchols, Beverly & Bloom, Joan & Lee, Shoou-Yih D., 1993. "Organizational Demography and Turnover: An Examination of Multiform and Non-Linear Heterogeneity," Institute for Research on Labor and Employment, Working Paper Series qt1g50w5xm, Institute of Industrial Relations, UC Berkeley.

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