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Why do student nurses leave? Suggestions from a Delphi study.

Lynn Last1, Paul Fulbrook

  • 1Institute of Health & Community Studies, Bournemouth University, Bournemarth House, Christchurch Road, Bournehouse, Dorset BH1 3LT, UK. llast@bournemouth.ac.uk

Nurse Education Today
|August 6, 2003
PubMed
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Student nurses often leave their programs due to cumulative stress, unmet expectations, and poor communication, not single factors. Addressing these issues can improve retention in nursing education.

Area of Science:

  • Nursing Education
  • Student Retention
  • Healthcare Professions

Background:

  • High dropout rates among nursing students are a significant concern.
  • Limited research exists on the specific reasons for student nurse attrition.
  • Ethical restrictions prevent the use of university exit interview data for analysis.

Purpose of the Study:

  • To establish a consensus on the reasons why student nurses leave their pre-registration education programs.
  • To identify key factors contributing to student nurse attrition.
  • To inform strategies for improving the student nurse experience and retention.

Main Methods:

  • A two-phase study was conducted, beginning with qualitative data collection (focus groups, interviews).
  • A quantitative questionnaire was developed based on initial findings.

Related Experiment Videos

  • A three-round Delphi study with an expert panel of student nurses achieved 75% consensus.

    • Main Results:

    • No single factor, except academic failure, was identified as the sole reason for students leaving.
    • Key contributing factors include communication issues between university and clinical settings.
    • Other significant factors identified were feelings of not being valued, unmet expectations, and stress.

    Conclusions:

    • Student nurses' decisions to leave are influenced by a combination of factors with a cumulative effect.
    • Addressing communication, support, and expectations is crucial for retaining student nurses.
    • Recommendations are proposed to enhance the overall student nurse educational experience.