A four-year analysis of US and Canadian academic nurse administrators’ job satisfaction and intent to stay

Published:January 19, 2023DOI:


      • Academic nurse leadership is in crisis.
      • Several modifiable factors have significant relationships to job satisfaction and intent to stay.
      • Innovative approaches are necessary to meet needs of academic nurse leaders.



      A crisis in vacancies for academic nurse leaders across North American has been recognized. Their role has become increasingly multifaceted, facing rapidly changing responsibilities that must evolve with health care, higher education and leadership.


      This retrospective study was conducted to investigate relationships among relevant variables included in the COACHE Faculty Job Satisfaction survey.


      The sample included survey responses from academic nursing administrators (n = 174). Analysis of variance and multiple linear regression modeling were utilized.


      Clarity in the tenure process (F (6, 92) = 2.92, p = .001), collaboration (p =.000) as well as academic leadership decisions of the dean or division chair (p = .006), and work-life balance (p =.005) were found to be significant.


      Understanding the factors important to administrators will assist in innovative approaches to attract and retain qualified leaders.


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      1. American Association of Colleges of Nursing. (2022). Data spotlight: Update on nursing faculty vacancies. doi:10.1097/01.NEP.0000000000000851. (Accessed October 2, 2022).

        • American Association of University Professors
        The 2022 AAUP survey of tenure practices, Washington, DC.
      2. American Association of University Professors. (n.d.) 1940 Statement of principles on academic freedom and tenure. (Accessed October 2, 2022).

        • Apen L.
        • Rosenblum R.
        • Solvason N.
        • Chan G.
        Nursing academic leadership: An urgent workforce shortage in nursing education.
        Nursing Education Perspectives. 2021; 42: 304-309
        • Arian M.
        • Soleimani M.
        • Oghazian M.B.
        Job satisfaction and the factors affecting satisfaction in nurse educators: A systematic review.
        Journal of Professional Nursing. 2018; 34: 389-399
        • Bouws M.
        The nursing dean role: An integrative review.
        Nursing Education Perspectives. 2018; 39: 80-84
        • Bureau of Labor Statistics
        Occupational outlook handbook.
        Postsecondary education administrators, U.S. Department of Labor, Washington, DC, 2022, May 16
      3. Canadian Association of University Teachers. (2021). Academic freedom. (Accessed October 2, 2022).

      4. Collaborative on Academic Careers in Higher Education. (2022). History and mission.

        • Dore D.
        Canadian nursing is in a crisis.
        The Hamilton spectator, Ontario Canada. 2021
        • Emory J.
        • Lee P.B.
        • Miller M.
        • Kippenbrock T.A.
        • Rosen C.
        Academic nursing administrators’ workplace satisfaction and intent to stay.
        Nursing Outlook. 2017; 65: 77-83
        • Gigliotti R.A.
        The impact of COVID-19 on academic department chairs: Heightened complexity, accentuated liminality, and competing perceptions of reinvention.
        Innovative Higher Education. 2021; 46: 429-444
        • Fang D.
        • Kesten K.
        Retirements and succession of nursing faculty in 2016-2025.
        Nursing Outlook. 2017; 65: 633-642
        • Flynn L.
        • Ironside P.M.
        Burnout and its contributing factors among midlevel academic nurse leaders.
        Journal of Nursing Education. 2018; 57: 28-34
        • Granger L.
        Nursing faculty shortage in the US: Has a pandemic compounded an existing problem?.
        Health. 2021;
        • Hudgins T.
        • Brown K.D.
        • Layne D.
        The effect of academic nurse leaders' toxic behaviors.
        Journal of Nursing Education. 2022; 61: 88-92
        • Lee P.
        • Miller M.T.
        • Kippenbrock T.A.
        • Rosen C.
        • Emory J.
        College nursing faculty job satisfaction and retention: A national perspective.
        Journal of Professional Nursing. 2017; 33: 261-266
        • Mahdieh A.
        • Soleimani M.
        • Mohammad B.O.
        Job satisfaction and the factors affecting satisfaction in nurse educators: A systematic review.
        Journal of Professional Nursing. 2018; 34: 389-399
        • Mathews K.
        • Benson R.T.
        • Trower C.
        • Azubuike N.O.
        • Kumar A.
        Collaborative on academic careers in higher education: faculty job satisfaction survey, 2011-2019.
        Harvard University, Cambridge, MA2019
        • Smith E.
        Pitfalls and promises: The use of secondary data analysis in educational research.
        British Journal of Educational Studies. 2008; 56: 323-339
        • The National Center for Education Statistics
        Digest of education statistics: 2020.
        2020 (Washington, DC.)
        • Webber K.L.
        Does the environment matter? Faculty satisfaction at 4-year colleges and universities in the USA.
        Higher Education. 2019; 78: 323-343
        • Worthy K.
        • Dawson R.M.
        • Tavakoli A.S.
        Relationships among nursing deans' leadership styles and faculty job satisfaction levels.
        Journal of Nursing Education. 2020; 59: 68-75