Attrition in Respiratory Care: The Role of Stress versus the Role of Intrinsic and Extrinsic Rewards

In this study, I sought to determine the contribution of potential stressors and intrinsic and extrinsic job rewards to the job satisfaction and attrition of respiratory therapists. Method: The Stress Index, the Job Dimension Survey, and a demo-graphic questionnaire were completed by 71 therapists in three large metropolitan hospitals. Results: I determined by discriminant analysis that the predictor variables contributing to the decision to leave the work force are dissatisfaction with supervision and people on the job, and role, goal, and financial stress, whereas predictor variables for remaining in the field are performance comfort, self-appreciation, proactivity, and regional aspects. Conclusion: Although therapists credit the desire for more job satisfaction and better salary with being responsible for their decision to leave the field, this study shows that dissatisfaction with supervision and co-workers and role, goal, and financial stress are more important factors.