Differences in preferences for rural job postings between nursing students and practicing nurses: evidence from a discrete choice experiment in Lao People’s Democratic Republic

Human Resources for Health

Kate Tulenko⁵  Laura Wurts⁵  Inpong Thong Phachanh³  Chanthakhath Paphassarang³  Phouthone Vangkonevilay³  Outavong Phathammavong¹  Margaret E Kruk²  Wanda Jaskiewicz⁵  Peter C Rockers⁴ 

[1] World Health Organization, Vientiane, Lao People’s Democratic Republic;Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY, USA;Lao People’s Democratic Republic Ministry of Health, Vientiane, Lao People’s Democratic Republic;Department of Global Health and Population, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA;CapacityPlus, IntraHealth International Inc., Washington, DC, USA

关键词: Laos People’s Democratic Republic;    Discrete choice experiment;    Retention;    Attraction;    Human resources for health;    Nursing;   

Others  :  822523
DOI  :  10.1186/1478-4491-11-22

 received in 2012-11-29, accepted in 2013-05-07,  发布年份 2013

【 摘 要 】

Background

A discrete choice experiment was conducted to investigate preferences for job characteristics among nursing students and practicing nurses to determine how these groups vary in their respective preferences and to understand whether differing policies may be appropriate for each group.

Methods

Participating students and workers were administered a discrete choice experiment that elicited preferences for attributes of potential job postings. Job attributes included salary, duration of service until promotion to permanent staff, duration of service until qualified for further study and scholarship, housing provision, transportation provision, and performance-based financial rewards. Mixed logit models were fit to the data to estimate stated preferences and willingness to pay for attributes. Finally, an interaction model was fit to formally investigate differences in preferences between nursing students and practicing nurses.

Results

Data were collected from 256 nursing students and 249 practicing nurses. For both groups, choice of job posting was strongly influenced by salary and direct promotion to permanent staff. As compared to nursing students, practicing nurses had significantly lower preference for housing allowance and housing provision as well as lower preference for provision of transportation for work and personal use.

Conclusions

In the Lao People’s Democratic Republic, nursing students and practicing nurses demonstrated important differences in their respective preferences for rural job posting attributes. This finding suggests that it may be important to differentiate between recruitment and retention policies when addressing human resources for health challenges in developing countries, such as Laos.

【 授权许可】

   
2013 Rockers et al.; licensee BioMed Central Ltd.

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