Factors associated with the self-perceived ability of nursing staff to remain working until retirement: a questionnaire survey.
BACKGROUND
It is important to learn how employers in European countries can prevent nursing staff from changing occupation or taking early retirement in order to counteract expected nursing shortages. However, to date research on nursing staff's ability to remain working until retirement age has been limited. The purpose of this study was to gain insight into the associations between different job and organisational characteristics, job satisfaction, occupational commitment and the self-perceived ability to continue working in the current line of work until the official retirement age.


METHODS
The questionnaire-based, cross-sectional study included 730 nursing staff members employed in Dutch hospitals, nursing homes, organisations for psychiatric care, homes for the elderly, care organisations for disabled people and home care organisations (mean age: 48; 89% female). Linear and logistic regression analyses and mediation analyses were applied to test hypothesised associations.


RESULTS
Reducing work pressure and increasing appreciation by senior management in particular have positive consequences for nursing staff's self-perceived ability to continue working until the official retirement age. The job and organisational characteristics of autonomy, work pressure, supportive leadership, educational opportunities, communication within the organisation and appreciation of nursing staff by senior management together have substantial impact on nursing staff's job satisfaction. Job satisfaction in turn is related to the self-perceived ability to continue working until the retirement age. However, job satisfaction mainly summarises the joint effect of job and organisational characteristics and has no supplementary effect on the self-perceived ability to continue working.


CONCLUSIONS
Employers should primarily focus on work pressure and the appreciation of nursing staff by senior management in order to retain nursing staff even as they get older.
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. e.maurits@nivel.nl.
Erica E M
EE
Maurits
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. a.veerde@nivel.nl.
Anke J E
AJ
de Veer
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. l.vanderhoek@nivel.nl.
Lucas S
LS
van der Hoek
Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. a.francke@nivel.nl.|Department of Public and Occupational Health, EMGO Institute for Health and Care Research (EMGO+), VU University Medical Center, Amsterdam, The Netherlands. a.francke@nivel.nl.
Anneke L
AL
Francke
D000328:Adult; D001942:Breast Feeding; D003142:Communication; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009740:Nursing Staff / Q000523:psychology*; D012179:Retirement; D012649:Self Concept; D011795:Surveys and Questionnaires