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An empirical study of the nursing labour supply decision in England
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Wilde, Rebecca (2021) An empirical study of the nursing labour supply decision in England. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b3684500
Abstract
The nursing labour market in England is characterised by both skill and labour imbalances, which are attributable to a variety of factors. Overall, an increasing demand for service care is being confronted with labour shortages. These shortages and the associated difficulties with workforce planning are further magnified by reported high turnover and dissatisfaction among the nursing profession.
This thesis focuses on the behaviour of individual actors in the labour market for nursing and explores the decision-making behaviour of these actors at different phases of career progression. A major concern is the nature of both supply and turnover of nurses within the NHS, and the extent to which this can be modelled, through econometric means, in sufficient detail with due regard for qualitative aspects of supply. Through mixed methods approaches, the research examines why individuals decide to study nursing at degree level; the factors that motivate an individual to register and practice as a nurse; and the factors that influence turnover and intent to leave a job role or the profession. In contrast to previous research, efforts were made to understand how this behaviour differs between single, co-habiting and married nursing-qualified individuals.
It is concluded that the motivations behind the decision-making behaviour of actors are complex. New entrants into the market feel that there is a misalignment of expectations, which stem from training and placement programmes. Current nurse employees present a picture of unmanageable workloads due to increased administration, work-related stress, and poor working conditions resulting from staff and skill shortages. These have, in turn, exacerbated the initial shortages, though the situations vary greatly across time, space and speciality. Additional influencing factors are reductions in training budgets and international recruitment. It is shown that a tendency towards adopting a ‘one size fits all’ policy approach, where different nursing staff are treated more or less the same, is unsustainable. The implications for future policy are that it must be based on a much more differentiated approach and underpinned by a stronger research base.
| Item Type: | Thesis or Dissertation (PhD) | ||||
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| Subjects: | H Social Sciences > HD Industries. Land use. Labor R Medicine > RT Nursing |
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| Library of Congress Subject Headings (LCSH): | Nurses -- Employment -- England, Nurses -- Supply and demand, Labor market -- England, Labor supply -- England | ||||
| Official Date: | June 2021 | ||||
| Dates: |
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| Institution: | University of Warwick | ||||
| Theses Department: | Institute for Employment Research | ||||
| Thesis Type: | PhD | ||||
| Publication Status: | Unpublished | ||||
| Supervisor(s)/Advisor: | Wilson, Robert A., 1951- | ||||
| Format of File: | |||||
| Extent: | xi, 269 leaves : illustrations | ||||
| Language: | eng |
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