Date of Conferral



Doctor of Business Administration (D.B.A.)


Business Administration


Edward Paluch


In spite of decades of research, concerning nurse's intention to leave their employer (ITL), in 2011, 31.2% of the British nurses surveyed indicated they had formed an ITL. Grounded in reasoned action theory as developed by Ajzen and Fishbein, the purpose of the correlational study was to provide hospital managers with information regarding the relationship among nurse's job satisfaction (JS), organizational culture (OC), and ITL. The archival data from the 2011 NHS Staff Survey included responses from nurses (n = 21,257) across the British National Health Service. The Spearman's rho correlates rs (21,257) indicated relationships among nurse's job satisfaction, organizational culture, and ITL. Among nurse's considering leaving their employer, the findings were statistically significant (p < .01) with a large effect size (-.534) for JS and medium effect size (-.345) for OC. With the ITL benchmark of planning to leave in 12 months, the findings were significant (p < .01) with medium effect size (-.495) for JS and medium effect size (-.321) for OC. Among nurses who intended to leave as soon as they had another job the significant results (p < .01) had a large effect size for JS (-.525) and medium effect size (-.340) for OC. As nurses form ITL, they might participate in work avoidance behaviors such as increased absenteeism. The study findings and the instruments used in this study may identify areas for improvement as pathways to manage the costs associated with turnover and absenteeism. Furthermore, reducing turnover and absenteeism might contribute to social change. Reducing turnover and absenteeism might improve the quality of care provided to patients. Addressing the factors that might contribute to ITL may also improve the quality of life for nurses