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Understanding student nurse attrition: learning from the literature
Sharon Urwin1, Robert Stanley, Malcolm Jones
1Faculty of Health and Social Care Sciences, Kingston University and St. George's University of London, Kingston Hill, Kingston upon Thames KT2 7LB, United Kingdom.
Student attrition in nursing is a complex issue with individual, institutional, and political factors. While concerning, some nursing attrition is inevitable to maintain professional standards.
Area of Science:
- Nursing Education
- Healthcare Management
- Professional Standards
Background:
- Student attrition in nursing is a persistent and complex challenge.
- Factors influencing attrition are multifaceted, involving educational commissioning and National Health Service (NHS) developments.
- Defining and understanding nursing attrition requires a comprehensive approach.
Purpose of the Study:
- To review the UK literature on student attrition in nursing.
- To identify and analyze contributory factors at individual, institutional, and political/professional levels.
- To inform strategies for managing nursing student attrition.
Main Methods:
- An integrative review of the United Kingdom (UK) literature was conducted.
- Analysis focused on identifying micro (individual), meso (institutional), and macro (political/professional) factors.
- Literature findings were synthesized to understand the complexity of attrition.
Main Results:
- Nursing student attrition is influenced by a combination of individual, institutional, and broader political/professional factors.
- These factors interact, creating a complex landscape for managers and researchers.
- The UK literature highlights the multifaceted nature of attrition challenges.
Conclusions:
- Addressing nursing student attrition requires strategies tailored to micro, meso, and macro levels.
- A degree of attrition is unavoidable to uphold professional standards in nursing.
- Tinto's model of social integration may offer valuable insights for future research on nursing attrition.
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