This article enhances our understanding of nurses’ work as they see it, in an exploration of the links between changing work, the labour relations climate, workload, stress, retention and recruitment. Conventionally separate bodies of literature on occupational health and safety, public sector industrial relations and human resource management informed the design and implementation of the study. Interviews with nurses revealed a high level of commitment but also indicated clear links between the labour relations climate, work intensification leading to high stress and poor work–life balance, retention and recruitment. The study concludes that working conditions must be improved to gain a healthy workplace and because wage increases on their own are not enough to make nursing more attractive.