Exploring the influence of management practices in retaining nurses in Dunedin's elderly care facilities

The New Zealand healthcare sector, particularly aged care, faces significant challenges due to an ageing population and a shortage of healthcare personnel. This study employs a qualitative research methodology, utilising semi-structured interviews and interpretive analysis, to examine the impact of management practices on nurse retention within aged care facilities in Dunedin, New Zealand. Key factors influencing nurse retention include workload management, mentorship, professional development, leadership practices, and organisational culture.

The findings suggest that transformational leadership—characterised by effective communication, empathy, and staff engagement—is essential for enhancing nurse retention and job satisfaction. The provision of professional support through mentorship programmes fosters nurses’ confidence and resilience. Additionally, effective workload management and structured pathways for professional growth play a crucial role in mitigating burnout and enhancing overall job satisfaction.

This research employs Social Exchange Theory (SET) and Organisational Commitment Theory (OCT) to investigate how supportive management practices foster reciprocal commitment, job satisfaction, and the intention to remain within the aged care sector. The study further underscores the necessity for policy interventions to improve nursing working conditions in aged care and to establish a sustainable, high-quality workforce. Three critical areas requiring attention include leadership effectiveness, burnout mitigation, and professional development opportunities.

The findings indicate that transformational leadership enhances organisational commitment by providing emotional support, professional recognition, and career advancement opportunities, aligning with SET and OCT. Examining these factors enables healthcare administrators to develop actionable strategies for nurse retention, ultimately improving the quality of care provided in aged care facilities.

This study contributes to existing knowledge by offering empirical insights into the specific leadership traits and organisational strategies that enhance nurse retention in aged care. By addressing gaps in current research, it provides a comprehensive understanding of how supportive management practices influence job satisfaction and workforce stability, thereby improving nurse retention in elderly care settings in New Zealand.