title: Measuring the job stickiness of community nurses in Ontario (2004-2010): implications for policy and practice.
abstract: OBJECTIVE
  Utilize the concept of stickiness to examine the retention of community nurses across time and draw comparisons by subsector, nurse group and work status.
  
  
  METHODS
  Secondary analysis of College of Nurses of Ontario (CNO) registration database (2004-2010). Nurses' yearly registration records were linked to create a longitudinal database of nursing employment which was used to generate year-to-year stickiness figures. Analysis was carried out by sector/subsector of employment, nurse group and work status.
  
  
  RESULTS
  Analysis revealed an active movement of nurses between the hospital and community sectors during the period of analysis, with a positive balance of 3002 nurses toward the latter. A wide variation in the stickiness of community subsectors of employment was noted, with those subsectors involving direct patient care and community visitation displaying relatively lower stickiness figures. Subsector stickiness increased with the offering of full-time jobs and the employment of Registered Nurses.
  
  
  CONCLUSIONS
  Examining the working conditions and human resources management practices in the subsectors with lower stickiness, especially those involving patient care at home, and enhancing career stability of Registered Practical Nurses are priority issues. Decision-makers should support the offering of full-time jobs focusing attention on subsectors offering direct patient care in the community.
authors.affiliation: Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020 Beirut, Lebanon. Electronic address: ma164@aub.edu.lb.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Alameddine
authors.affiliation: Nursing Health Services Research Unit, Faculty of Health Sciences, McMaster University, 1280 Main Street West, MDCL 3500, Hamilton, Ontario, Canada L8S 4K1.
authors.forename: Andrea
authors.initials: A
authors.lastname: Baumann
authors.affiliation: Institute of Health Policy Management and Evaluation, Faculty of Medicine, University of Toronto, 155 College Street, Health Sciences Building, Room 425, Toronto, Ontario, Canada M5T 3M6.
authors.forename: Audrey
authors.initials: A
authors.lastname: Laporte
authors.affiliation: Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020 Beirut, Lebanon.
authors.forename: Yara
authors.initials: Y
authors.lastname: Mourad
authors.affiliation: Institute of Health Policy Management and Evaluation, Faculty of Medicine, University of Toronto, 155 College Street, Health Sciences Building, Room 425, Toronto, Ontario, Canada M5T 3M6.
authors.forename: Kanecy
authors.initials: K
authors.lastname: Onate
authors.affiliation: Institute of Health Policy Management and Evaluation, Faculty of Medicine, University of Toronto, 155 College Street, Health Sciences Building, Room 425, Toronto, Ontario, Canada M5T 3M6.
authors.forename: Raisa
authors.initials: R
authors.lastname: Deber
mesh_terms: D002321:Career Choice; D002322:Career Mobility; D003152:Community Health Nursing; D004651:Employment / Q000639:trends*; D006801:Humans; D008137:Longitudinal Studies; D009864:Ontario; D010558:Personnel Loyalty; D010563:Personnel Turnover / Q000706:statistics & numerical data*
keywords: Community; Homecare; Nurses; Retention; Shift of care; Stickiness