Influence of Financial Rewards on Job Retention among Critical Care Nurses in Selected Public and Private Hospitals in Kenya

  • Joanne Jeptoo Laboso Kabarak University
  • Vincent Kiprono Mukthar Egerton University
  • Elijah Nyangena University of Kabianga
Keywords: Financial Rewards, Job Retention, Critical Care Nurses, Public Hospitals, Private Hospitals
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Abstract

Critical care nursing is a pivotal element in the provision of healthcare services. The presence of proficient critical care nurses is fundamental to achieving optimal patient outcomes. Nevertheless, most public and private hospitals in Kenya often face difficulties retaining qualified critical care nurses. These challenges have been attributed to many factors, chief among them being poor financial compensation. Therefore, this study assessed the influence of financial rewards on nurse retention in selected public and private hospitals in Kenya. The study focused on two prominent healthcare facilities: Tenwek Hospital, a private level six hospital in Bomet County, and Moi Teaching and Referral Hospital (MTRH) in Uasin Gishu County. It adopted a descriptive survey research design. The target population comprised 149 critical care nurses from the two hospitals. A census sampling approach was utilised due to the relatively small population size of 149 critical care nurses. The data for the study was collected using a structured questionnaire, whose response rate was 89.3% (133 questionnaires). Descriptive statistics, including frequencies, percentages and mean scores, were generated on the collected data using SPSS Version 28. Inferential statistics were used to examine the relationship between financial compensation and retention of critical care nurses. From the findings, financial rewards demonstrated a strong positive correlation with job retention (r = 0.920, p < 0.01), highlighting that adequate compensation plays a crucial role in influencing a nurse’s decision to remain in their current role. Therefore, financial incentives such as competitive salaries and bonuses significantly motivated nurses to stay. Based on these conclusions, the study recommends that hospitals review and improve their compensation packages, incorporating regular salary reviews and performance-based incentives to boost retention.

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References

Armstrong, M. (2010). Armstrong’s Handbook of Human Resource Management Practice (11th ed.). Kogan Page.

Auerbach, D. I., Buerhaus, P. I., & Staiger, D. O. (2017). The Future of the Nursing Workforce in the United States: Data, Trends, and Implications. Health Affairs, 36(1), 2-12.

Ballard, M., Westgate, C., Alban, R., Choudhury, N., Adamjee, R., Schwarz, R., ... & Schechter, J. (2021). Compensation models for community health workers: comparison of legal frameworks across five countries. Journal of Global Health, 11, 04010.

Bamford, S., & Engelbrecht, L. (2019). The Role of Private Hospitals in Retaining Nursing Staff: A South African Perspective. Health SA Gesondheid, 24, 1-9.

Barasa, E. W., Manyara, A. M., Molyneux, S., & Tsofa, B. (2015). Recentralization within decentralization: County hospital autonomy under devolution in Kenya. PLoS ONE, 10(8), e0135222.

Buchan, J., Duffield, C., & Jordan, A. (2018). Skill Mix in the Health Workforce: Reviewing the Evidence. International Journal of Nursing Studies, 80, 1-12.

Chan, C. W., Wong, F. K., Cheung, M. Y., & Lee, R. L. (2013). Using narrative inquiry and ethnography to understand the impact of continuing education on practice: A study of community nurses working with clients with dementia in Hong Kong. Nurse Education Today, 33(7), 714–719.

Chenevert, D., Jourdain, G., Cole, N., & Banville, B. (2013). The role of human resource management practices in predicting organizational commitment and turnover intention in the public sector. International Journal of Human Resource Management, 24(28), 4193–4215.

Cohen, J. I., & Tal, S. (2019). Factors Influencing Job Retention in Nursing: A Comparison of Public and Private Hospitals. Nursing Outlook, 67(1), 42-50.

Cronbach, L. J., & Azuma, H. (1962). Internal-consistency reliability formulas applied to randomly sampled single-factor tests: An empirical comparison. Educational and Psychological Measurement, 22(4), 645-665.

Gichuru, L. W. (2014). Factors influencing job satisfaction among health workers under the Economic Stimulus Programme in Isiolo County, Kenya (Unpublished master's thesis, University of Nairobi).

Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., ... & North, N. (2012). Nurse turnover: A literature review – An update. International Journal of Nursing Studies, 49(7), 887–905.

Hussein, R. (2020). Quality of work life in higher education institution: The perception of nurse educators at Faculty of Nursing, Alexandria University. International Journal of Novel Research in Healthcare and Nursing, 7(1), 202-213.

Lindqvist, R., & Lundgren, A. (2019). The Nursing Workforce in Europe: A Cross-National Comparison of the Nursing Workforce Supply and Demand. BMC Nursing, 18(1), 29.

Liu, J., & Wang, Y. (2020). The Transition of China's Healthcare System: Challenges and Opportunities. Health Policy and Planning, 35(4), 453-459.

Mbindyo, P., Blaauw, D., & English, M. (2013). The role of clinical officers in the Kenyan health system: A question of impact and sustainability. Human Resources for Health, 11, 32.

McIsaac, M., Buchan, J., Abu-Agla, A., Kawar, R., & Campbell, J. (2024). Global Strategy on Human Resources for Health: Workforce 2030—A Five-Year Check-In. Human Resources for Health, 22(1), 68.

Muthuri, R. N. D. K., Senkubuge, F., & Hongoro, C. (2020, June). Determinants of motivation among healthcare workers in the East African community between 2009–2019: a systematic review. Healthcare, 8(2), 164. MDPI.

Nyongesa, P. N. (2022). Influence of Leadership Role on Health Sector Service Delivery in the Devolved Units in Western Kenya Region. International Journal of Social Sciences and Management Review, 5(5), 58-71.

Ogutu, E. A., & Muturi, W. (2020). The Challenges of Retaining Health Workers in the Private Sector: A Case Study of Private Hospitals in East Africa. Global Health Action, 13(1), 1-9.

Ojakaa, D., Olango, S., & Jarvis, J. (2014). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Human Resources for Health, 12(1), 33.

Pillay, R. (2018). Retention Strategies for the Nursing Workforce in South Africa: A Review. International Nursing Review, 65(1), 37-44.

Schaufeli, W. B., Bakker, A. B., & Van Rhenen, W. (2009). How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 30(7), 893-917.

Shields, M. A., & Ward, M. (2001). Improving nurse retention in the National Health Service in England: The impact of job satisfaction on intentions to quit. Journal of Health Economics, 20(5), 677–701.

Tenwek Hospital (2024). Human Resource Records on Critical Care Nurse Turnover, 2020–2024. Tenwek Hospital.

Wamunyu, J. N. (2016). Assessment of Factors Influencing Job Satisfaction among Nurses at Nakuru Level Five Hospital, Kenya (Unpublished master's thesis, Kenyatta University).

Wiskow, C. (2017). The role of decent work in the health sector. In Health Employment and Economic Growth: An Evidence Base. Geneva: World Health Organization.

Yaseen, A. (2013). Effect of compensation factors on employee satisfaction-a study of doctor’s dissatisfaction in Punjab. International Journal of Human Resource Studies, 3(1), 142-157.

You, L. M., Aiken, L. H., Sloane, D. M., Liu, K. E., He, G. P., Hu, Y., ... & Sermeus, W. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), 154-161.

Published
13 November, 2025
How to Cite
Laboso, J., Mukthar, V., & Nyangena, E. (2025). Influence of Financial Rewards on Job Retention among Critical Care Nurses in Selected Public and Private Hospitals in Kenya. East African Journal of Health and Science, 8(3), 118-128. https://doi.org/10.37284/eajhs.8.3.3965

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