A national study on nurses’ retention in healthcare facilities in underserved areas in Lebanon

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dc.contributor.author Dimassi, Hani
dc.contributor.author El-Jardali, Fadi
dc.contributor.author Alameddine, Mohamad
dc.contributor.author Jamal, Diana
dc.contributor.author Dumit, Nuhad Y.
dc.contributor.author McEwen, Mary K.
dc.contributor.author Jaafar, Maha
dc.contributor.author Muray, Susan F.
dc.date.accessioned 2017-01-19T12:26:27Z
dc.date.available 2017-01-19T12:26:27Z
dc.date.copyright 2013 en_US
dc.date.issued 2017-01-19
dc.identifier.issn 1478-4491 en_US
dc.identifier.uri http://hdl.handle.net/10725/5030
dc.description.abstract Background Nursing shortages and maldistribution are priority issues for healthcare systems around the globe. Such imbalances are often aggravated in underserved areas, especially in developing countries. Despite the centrality of this issue, there is a dearth of studies that examine the retention of nurses in underserved areas in the Middle East Region. This study investigates the characteristic and the factors associated with the retention of nurses working in rural areas in Lebanon. Methods This study uses a non-experimental cross-sectional design to survey nurses working in underserved areas of Lebanon. Underserved areas in Lebanon were identified using WHO definition. A total of 103 health facilities (hospitals and primary healthcare centers) located in these areas were identified and all nurses working at these facilities received a copy of the survey questionnaire. The questionnaire included five sections: demographic, work-life, career plan, job satisfaction, and assessment of work environment. Analysis included univariate and bivariate (chi-square, Student’s t-test and ANOVA) tests to describe the respondents and examine the significance between nurses’ characteristics and their intent to stay. A logistic regression model was constructed to identify factors associated with nurses’ intent to stay in underserved areas. Results A total of 857 nurses from 63 Primary Healthcare (PHC) centers and hospitals responded to the questionnaire (75.5% response rate). Only 35.1% of nurses indicated their intent to stay in their current job over the coming one to three years. Surveyed nurses were most satisfied with relationship with co-workers and least satisfied with extrinsic rewards. Rural nurses working in PHC centers were more satisfied than their hospital counterparts on all aspects of work and had significantly higher intention to stay (62.5% compared to 31.5% in hospitals, P < 0.001). Regression analysis revealed that nurses less likely to report intent to stay were younger, unmarried, with less years of work experience and were not working towards a higher degree. Analysis reveals a directly proportional relationship between nurses’ reported job satisfaction and their intent to stay. Conclusion This study reveals poor retention of nurses in rural and underserved areas in Lebanon, especially in the hospital sector. The status quo is disquieting as it reflects an unstable and dissatisfied nursing workforce. Developing targeted retention strategies for younger nurses and those working in hospitals as well as the offering of professional development opportunities and devising an incentive scheme targeting rural nurses is pivotal to enhance nurses’ job satisfaction and retention in rural settings. en_US
dc.language.iso en en_US
dc.title A national study on nurses’ retention in healthcare facilities in underserved areas in Lebanon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Human Resources for Health en_US
dc.journal.volume 11 en_US
dc.journal.issue 49 en_US
dc.keywords Nurses en_US
dc.keywords Retention en_US
dc.keywords Underserved areas en_US
dc.keywords Hospital en_US
dc.keywords Primary health care en_US
dc.keywords Lebanon en_US
dc.keywords Rural en_US
dc.keywords Human resources for health en_US
dc.identifier.doi http://dx.doi.org/10.1186/1478-4491-11-49 en_US
dc.identifier.ctation El-Jardali, F., Alameddine, M., Jamal, D., Dimassi, H., Dumit, N. Y., McEwen, M. K., ... & Murray, S. F. (2013). A national study on nurses’ retention in healthcare facilities in underserved areas in Lebanon. Human resources for health, 11(1), 49. en_US
dc.author.email hani.dimassi@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-11-49 en_US
dc.author.affiliation Lebanese American University en_US

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