An investigation into the impact of the Single Spine Salary Structure on attrition and performance of Nurses in Ghana Health Service, Kumasi Metropolis

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This study examines the impact of the single spine pay policy on attrition and performance of nurses working in Ghana Health Service facilities in the Ashanti region. It looks into how the SSPP could address the migration of nurses and how productivity could be linked to pay. The study also enumerates factors that could push or pull employees to their current work. The analytical type of research with quantitative and qualitative approaches was adopted. With a population of 2784 nurses, a sample size of 200 was used by employing stratified and simple random techniques. Results show that factors that could help retain nurses and improve their performance included increase in salaries, incentives, opportunity for career development, and favorable working environment. Again, by assessment, performance of nurses had improved but results indicated otherwise. It was realized that the service was not exceptionally attractive to nurses with increased attrition of nurses in the Kumasi Metropolis of GHS even after the implementation of the SSPP. It is recommended that there should be the establishment of incentives with favorable career development policies and good working environment. Successive governments are requested to maintain the SSPP and implement all components of it to help address the issue of migration and improvement of the performance of nurses in the GHS, Kumasi Metropolis.
A thesis submitted to the Department of Human Resource and Organizational Development, Kwame Nkrumah University of Science and Technology in partial fulfillment of the requirements for the degree of MASTER OF BUSINESS ADMINISTRATION (HRM OPTION).