Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria. Lagos State School of Nursing, Lagos, Nigeria.
Objective: To explore the factors influencing recruitment and retention of nurses in Lagos State Hospitals. Background: Despite the perceived efforts made by Hospitals Management in Lagos State to recruit and retain nurses, there is still inadequate number of nurses to match the demand of care needed by patients in the hospitals. Methods: The descriptive study utilized mixed methods to gather data. It consisted of 330 consented and randomly selected nurses for the survey and 14 purposively selected nurse leaders and Director for the interview. The instruments were pretested questionnaire, semi-structured interview guide and existing records. Result: The study revealed that all health institutions in Lagos State were aware of the standard procedures of recruitment of nurses, but often engages in replacement rather than proper recruitment. Most of the Nursing leadership positions in Lagos State were vacant. More than half (68.2%) of the nurse respondents were not sure if they would still be working in their health institution in the next five years. It was revealed that the turnover rate of nurses in the State Health institutions was higher than the Federal health institutions in Nigeria. Conclusion: Increment in salary and allowances rated the best influence on recruitment and retention of nurses in Lagos State. Lack of nursing leadership; sense of job security and work environment were the major factors influencing recruitment and retention of nurses. There is need for adequate human resource planning; increased efforts and formulation of policies that will improve recruitment and retention of nurses in Lagos State of Nigeria.
Recruitment of Nurses, Retention of Nurses, Shortage of Nurses, Nursing Leadership, Nigeria
Oyetunde, M. and Ayeni, O. (2014) Exploring Factors Influencing Recruitment and Retention of Nurses in Lagos State, Nigeria within Year 2008 and 2012. Open Journal of Nursing, 4, 590-601. doi: 10.4236/ojn.2014.48062.
[1] World Health Organization. The World Health Report 2006-Working Together for Health. WHO, Geneva, 2006. Assessed May 2013. [2] Anand, S. and Barnighausen, T. (2004) Human Resources and Health Outcomes: Cross-Country Econometric Study. The Lancet, 264, 1603-1609.
http://dx.doi.org/10.1016/S0140-6736(04)17313-3 [3] World Health Organization. Workload Indicators of Staffing Need (WISN): User’s Manual. Geneva, 2010.
http://www.who.int/hrh/resources/wisn_user_manual/en/ [4] Awofeso, N. (2008) Managing Brain Drain and Brain Waste of Health Workers in Nigeria. WHO.
http://www.who.int/bulletin/bulletin_board/82/stilwell1/en/ [5] Adesanya, T. (2005) Nigerian Doctors in North America.
www.journalism.ryerson.ca/online/hubbub/hogs/tadesanya3.htm [6] Nnamuchi, O. (2007) The Right to Health in Nigeria. Law School, University of Aberdeen. Draft Report.
http://www.abdn.ac.uk/law/hhr.shtml [7] Chankova, S., Nguyen, H., Chipanta, D., Kombe, G., Onoja, A. and Ogungbemi, K. (2007) Catalyzing Human Resources Mobilization: A Look at the Situation in Nigeria. Abt Associates Inc. May 30, 2007 Global Health Council Annual Conference, Washington DC. [8] Gordon, S. (2005) Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care.
http://www.nursingadvocacy.ord/media/books/nursing_odds.html [9] Bureau of Labor Statistics. Occupational Outlook Handbook, 2010-2011 Edition.
http://www.bls.gov/oco/ocos083.htm [10] Nursing and Midwifery Council of Nigeria, Statistics of Nurses, 2012 [11] Wilson, C. (2006) Why Stay in Nursing? Nursing Management, 12, 31. [12] Aiken, L.H., Clarke, S.P., Sloane, D.M., et al. (2002) Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA, 288, 1987-1993.
http://dx.doi.org/10.1001/jama.288.16.1987 [13] Vahey, D.C., Aiken, L.H., Sloane, D.M., et al. (2004) Nurse Burnout and Patient Satisfaction. Medical Care, 42. [14] Oyeleye, O., Hanson, P., O’Connor, N. and Dunn. D. (2013) Relationship of Work Incivility, Stress, and Burnout on Nurses’ Turnover Intentions and Psychological Empowerment. Journal of Nursing Administration, 43, 536-542.
http://dx.doi.org/10.1097/NNA.0b013e3182a3e8c9 [15] International Council of Nurses. Health Human Resources Planning. Geneva, 2008.
http://www.ichrn.com/publications/factsheets/Health-Human-Resources-Plan_EN.pdf [16] Lai, H., Peng, T. and Chang, F. (2006) Factors Associated with Career Decision in Taiwanese Nursing Students in Three Types of Programs. Journal of Nursing Education, 43, 581-588. [17] Zurmehly, J. (2008) The Relationship of Educational Preparation, Autonomy, and Critical Thinking to Nursing Job Satisfaction. Journal of Continuing Education in Nursing, 39, 453-460. [18] Oosthuizen, M.J. (2005) An Analysis of the Factors Contributing to the Emigration of South African Nurses. Unpublished D Litt et Phil Thesis, Department of Health Studies, University of South Africa. [19] Ellenbecker, C.H., Samia, L., Cushman, M.J. and Porell, F.W. (2007) Employer Retention Strategies and Their Effect on Nurses’ Job Satisfaction and Intent to Stay. Home Health Care Services Quarterly, 26, 43-58.
http://dx.doi.org/10.1300/J027v26n01_04 [20] Gberevbie, D.E. (2010) Strategies for Employee Recruitment, Retention and Performance: Dimension of the Federal Civil Service of Nigeria. African Journal of Business Management, 4, 1447-1456. [21] The American Nurses Association. Appropriate Staffing, 2006.
http://www.nursingworld.org/staffing [22] Health Systems Trust (HST) Percentage of Professional Nurse Posts Vacant.
www.hst.org.za/healthstats/140/data [23] Jones, C.B. (2005) The Costs of Nurse Turnover. Journal of Nursing Administration, 35, 41-49.
http://dx.doi.org/10.1097/00005110-200501000-00014 [24] Lagos State Bureau of Statistics 2005. [25] Statistical Package for Social Studies. Version 17.0, SPSS Inc., Illinois, Chicago. [26] Marshall, C. and Rossman, G.B. (1995) Designing Qualitative Research. 2nd Edition, Sage, Thousand Oaks. [27] Briggs, B.R. (2007) Problems of Recruitment in Civil Service: Case of the Nigerian Civil Service. African Journal of Business Management, 1, 142-153 [28] Gberevbie, D.E. (2009) Personnel Recruitment and Retention Strategies in Lagos State Civil Service of Nigeria. African Research Review, 3, 226-243.
http://dx.doi.org/10.4314/afrrev.v3i3.47526 [29] Minnesota Hospital Association. Personal Communication. 13 April 2007. [30] Marcum, E.H. and West, R.D. (2004) Structured Orientation for New Graduates: A Retention Strategy. Journal for Nurses in Staff Development, 20, 118-124.
http://dx.doi.org/10.1097/00124645-200405000-00003 [31] Organization for Economic Cooperation and Development. OECD. The International Mobility of Health Professionals; An Evaluation and Analysis Based on the Case of South Africa, 2004. [32] Volquartz, J. (2005) The Brain Drain. Guardian. 11 March 2005. [33] Antonazzo, E., Scott, A., Skatun, D. and Elliot, R. (2003) The Labour Market for Nursing: A Review of the Labour Supply Literature. Health Economics, 12, 465-478.
http://dx.doi.org/10.1002/hec.737 [34] Mion, L.C., Hazel, C., Cap, M., Fusilero, J., Podmore, M.L. and Szweda, C. (2006) Retaining and Recruiting Mature Experienced Nurses: A Multicomponent Organizational Strategy. Journal of Nursing Administration, 36, 148-154.
http://dx.doi.org/10.1097/00005110-200603000-00009 [35] Sourdif, J. (2004) Predictors of Nurses’ Intent to Stay at Work in a University Health Center. Nursing and Health Sciences, 6, 59-68.
http://dx.doi.org/10.1111/j.1442-2018.2003.00174.x