Retaining public health nurses in rural British Columbia - The influence of job and community satisfaction

Background: Although the need to retain rural registered nurses is pressing, little is known about what influences them to stay in their current employment. The objectives of the study were: to examine public health nurses' (PHNs) job and community satisfaction; to relate job and community satisfaction to their decision to stay in their current employment in rural British Columbia. Methods: A survey was mailed to all front-line PHNs in 48 rural and small urban communities in British Columbia. Of the 164 eligible PHNs, 124 responded (76% response rate). Results: PHNs were most satisfied with their professional status, professional interaction and autonomy, their communities' acceptance of their partners, friendliness of the community and their friends. They were least satisfied with their salary. job satisfaction or community satisfaction was not found to influence retention. Instead, "filter factors" such as age, retirement, family needs and the economy affected PHNs' intent to stay or leave. Conclusion: If PHNs are to be retained in rural areas, their economic and family life situations merit greater attention, as does their experience of living and working in rural communities.