Concerns, satisfaction, and retention of Canadian community health nurses

Document Type


Publication Date


Publication Title

Journal of Community Health Nursing





First Page


Last Page





article, Attitude of Health Personnel, Burnout, Professional, Canada, community care, Community Health Centers, community health nursing, Cross-Sectional Studies, female, Health Services Needs and Demand, home care, Home Care Services, human, Humans, Interprofessional Relations, job satisfaction, male, nurse, nursing administration research, nursing methodology research, nursing staff, Nursing, Supervisory, Occupational Health, Ontario, Personnel Staffing and Scheduling, Personnel Turnover, Public Health Nursing, Questionnaires, risk factor, Salaries and Fringe Benefits, salary, social support, statistical significance, Workload, workplace


This study of Canadian community health nurses (N = 1,044) compared the work-related concerns, job satisfaction, and factors influencing the retention of public health, home care, and community care access center (CCAC) nurses. Community health nurses identified similar work-related issues as being of greatest concern to them, but there were significant differences among the 3 groups of nurses in the magnitude of these concerns. There were also significant differences among the 3 groups for satisfaction with their jobs and their immediate supervisors, with CCAC nurses being the least satisfied except for the greater dissatisfaction of home care nurses with their pay and benefits. For the retention factors, the differences were primarily in the areas of job features and supportive work relationships. There are both similarities and differences among public health, home care, and CCAC nurses. Initiatives to address community health nurses' concerns, improve their job satisfaction, and increase their retention will require interventions tailored to the specific community health care setting. Copyright © 2005, Lawrence Erlbaum Associates, Inc.