What might make nurses stay? A protocol for discrete choice experiments to understand NHS nurses’ preferences at early-career and late-career stages

Ejebu, Ourega-Zoé; Turnbull, Joanne; Atherton, Iain; Rafferty, Anne Marie; Palmer, Billy; Philippou, Julia; Prichard, Jane; Jamieson, Michelle; Rolewicz, Lucina; Williams, Matthew; Ball, Jane

Abstract

Introduction: Like many countries, England has a national shortage of registered nurses. Employers strive to retain existing staff, to ease supply pressures. Disproportionate numbers of nurses leave the National Health Services (NHS) both early in their careers, and later, as they near retirement age. Research is needed to understand the job preferences of early-career and late-career nurses working in the NHS, so tailored policies can be developed to better retain these two groups. Methods and analysis: We will collect job preference data for early-career and late-career NHS nurses, respectively using two separate discrete choice experiments (DCEs). Findings from the literature, focus groups, academic experts and stakeholder discussions will be used to identify and select the DCE attributes (ie, job features) and levels. We will generate an orthogonal, fractional factorial design using the experimental software Ngene. The DCEs will be administered through online surveys distributed by the regulator Nursing and Midwifery Council. For each group, we expect to achieve a final sample of 2500 registered NHS nurses working in England. For early-career nurses, eligible participants will be registered nurses who graduated in the preceding 5 years (ie, 2019–2023). Eligible participants for the late-career survey will be registered nurses aged 55 years and above. We will use conditional and mixed logit models to analyse the data. Specifically, study 1 will estimate the job preferences of early-career nurses and the possible trade-offs. Study 2 will estimate the retirement preferences of late-career NHS nurses and the potential trade-offs. Ethics and dissemination: The research protocol was reviewed and approved by the host research organisation Ethics Committees Research Governance (University of Southampton, number 80610) (https://www.southampton.ac.uk/about/governance/regulations-policies/policies/ethics). The results will be disseminated via conference presentations, publications in peer-reviewed journals and annual reports to key stakeholders, the Department of Health and Social Care, and NHS England/Improvement retention leaders. Registration details: Registration on OSF http://doi.org/10.17605/OSF.IO/RDN9G.

Citation

Ejebu, O., Turnbull, J., Atherton, I., Rafferty, A. M., Palmer, B., Philippou, J., …Ball, J. (2024). What might make nurses stay? A protocol for discrete choice experiments to understand NHS nurses’ preferences at early-career and late-career stages. BMJ Open, 14, Article e075066. https://doi.org/10.1136/bmjopen-2023-075066

• Journal Article Type: Article
• Acceptance Date: Nov 28, 2023
• Online Publication Date: Feb 1, 2024
• Publication Date: 2024-02
• Deposit Date: Feb 2, 2024
• Publicly Available Date: Feb 2, 2024
• Journal: BMJ Open
• Print ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 14
• Article Number: e075066
• DOI: https://doi.org/10.1136/bmjopen-2023-075066
• Public URL: http://researchrepository.napier.ac.uk/Output/3499285