Relationship between labour force satisfaction, wages and retention within the UK National Health Service: a systematic review of the literature
| Autor: | Clare L. Tolley, Ausaf Khan, Robert D. Slight, Sarah P. Slight, Kweku Bimpong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
health services administration & management
Staffing Scopus Personnel Turnover lcsh:Medicine PsycINFO CINAHL Cochrane Library Job Satisfaction State Medicine quality in health care 03 medical and health sciences human resource management 0302 clinical medicine Nursing Humans Medicine 030212 general & internal medicine Workplace Health policy health care economics and organizations 030504 nursing Salaries and Fringe Benefits business.industry lcsh:R health policy General Medicine United Kingdom 8. Economic growth Workforce Job satisfaction Health Services Research 0305 other medical science business |
| Zdroj: | BMJ Open, Vol 10, Iss 7 (2020) BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesA systematic review was undertaken to understand the nature of the relationship between the UK National Health Service (NHS) labour force and satisfaction, retention and wages.DesignNarrative systematic review.Data sourcesThe literature was searched using seven databases in January 2020: MEDLINE (1996–present), the Cumulative Index to Nursing and Allied Health Literature (CINAHL via EBSCO) (1984–present), Embase (1996–present), PsycINFO (1987–present), ProQuest (1996–present), Scopus (all years) and Cochrane library (all years). We used medical subject headings and key words relating to ‘retention’, ‘satisfaction’ and ‘wages’.Eligibility criteria for selecting studiesPrimary research studies or reviews that focused on the following relationships within the NHS workforce: wages and job satisfaction, job satisfaction and retention or wages and retention.Data extraction and synthesisTwo independent reviewers screened all titles, abstracts and full texts, with arbitration by a third reviewer.Results27 803 articles were identified and after removing duplicates (n=17 156), articles were removed at the title (n=10 421), abstract (n=150) and full-text (n=45) stages. A total of 31 full-text articles were included. They identified three broad themes, low job satisfaction impacting negatively on job retention, poor pay impacting negatively on staff satisfaction and the limitations of increasing pay as a means of improving staff retention. Several factors affected these relationships, including the environment, discrimination, flexibility, autonomy, training and staffing levels.ConclusionsThis review highlighted how multiple factors influence NHS labour force retention. Pay was found to influence satisfaction, which in turn affected retention. An increase in wages alone is unlikely to be sufficient to ameliorate the concerns of NHS workers. More research is needed to identify the role of autonomy on retention. A system leadership approach underpinned by data is required to implement bespoke job satisfaction improvement strategies to improve retention and achieve the goals of the NHS Long Term Plan. |
| Databáze: | OpenAIRE |
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