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Why are nurses leaving nursing?

Jane Sumner1, Judith Townsend-Rocchiccioli

  • 1Louisiana State University Health Sciences Center School of Nursing, 1900 Gravier Street, New Orleans, LA 70112, USA.

Nursing Administration Quarterly
|May 27, 2003
PubMed
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Intrinsic factors, not just external pressures, drive nurses away from acute care. Addressing emotional labor, moral distress, and workplace value is key to nurse retention.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • High nurse turnover rates in acute care settings are a persistent challenge.
  • Existing research often focuses on extrinsic factors like workload and pay.
  • Understanding intrinsic motivations and dissatisfactions is crucial for effective retention strategies.

Purpose of the Study:

  • To explore intrinsic factors contributing to nurses' decisions to leave acute care.
  • To examine the impact of bureaucratic, professional, and intra-professional issues on nurse satisfaction.
  • To discuss nursing as emotional work and its relation to moral distress.

Main Methods:

  • Qualitative analysis of factors influencing nurse dissatisfaction.
  • Examination of the nursing profession's unique challenges, including emotional labor and moral distress.

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  • Review of existing literature on nurse retention and workplace environment.

    • Main Results:

    • Bureaucratic issues, interprofessional dynamics, and internal nursing profession factors significantly impact job satisfaction.
    • Emotional labor and moral distress are identified as key intrinsic contributors to nurses' intent to leave.
    • Nurses seek environments where their humanistic contributions are recognized and valued.

    Conclusions:

    • Nurse exodus is significantly influenced by intrinsic factors beyond commonly cited reasons.
    • Addressing emotional labor, moral distress, and fostering a valued work environment are critical for nurse retention.
    • Systemic changes are needed to support nurses' well-being and professional fulfillment in acute care.