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Staff engagement, co‐workers' complementarity and employee retention

Evidence from English NHS hospitals

Bibliographic Data

ID9725610
AuthorsGiuseppe Moscelli (0000-0002-0675-1564, University of Surrey and IZA Bonn, corresponding author), Melisa Sayli (0000-0001-5286-6373, University of Surrey), Marco Antônio Da Silva Mello (0000-0002-1323-3087, University of Aberdeen), Marco Mello (University of Aberdeen and University of Surrey), Alberto Vesperoni (0000-0003-0385-6106, King's College London)
Year2025
Volume92
Issue365
Pages42-83
Publication date2025-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEconomica (JOURNAL)
Journal identifiersISSN: 0013-0427 • E-ISSN: 1468-0335
PublisherWiley (PUBLISHER • GB)
DOI10.1111/ecca.12554
OpenAlexW4403216071
LanguageEN
References cited62

Retention of skilled workers is essential for labour‐intensive organizations like hospitals, where an excessive turnover of doctors and nurses can reduce the quality and quantity of services provided to patients. Exploiting a unique and rich panel dataset based on employee‐level payroll and staff survey records from the universe of English NHS hospitals, we investigate empirically the role played by two non‐pecuniary job factors, staff engagement and the retention of complementary co‐workers, in affecting employee retention within the public hospital sector. We estimate dynamic panel data models to deal with reverse causality bias, and validate these estimates through unconditional quantile regressions with hospital‐level fixed effects. Our findings show that a one standard deviation increase in nurse engagement is associated with a 16% standard deviation increase in their retention; and also that a 10% increase in nurse retention is associated with a 1.6% increase in doctor retention, with this co‐workers' complementarity spillover effect driven by the retention of more experienced nurses. Nurse and doctor engagement is positively associated with managers who have effective communication, involve staff in the decision‐making process, and act on staff feedback; in particular, older nurse engagement is responsive to managers caring for staff health and wellbeing

Business · Complementarity (molecular biology) · Employee engagement · Employee retention · Political science · Public relations · Employment and Welfare Studies · Healthcare innovation and challenges · Job Satisfaction and Organizational Behavior · Marketing

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