Why are nurses leaving? Findings from an initial qualitative study on nursing attrition

Area of Science:

• Nursing
• Healthcare Workforce Studies
• Qualitative Research

Background:

• The persistent nursing shortage necessitates understanding workforce dynamics.
• Limited research exists on factors influencing nurses' departure from clinical roles.
• Registered nurses (RNs) are vital to healthcare systems, making their retention a priority.

Purpose of the Study:

• To explore and understand the multifaceted factors that lead registered nurses (RNs) to leave clinical practice.
• To provide insights into the experiences of nurses who have transitioned out of direct patient care roles.
• To inform strategies aimed at mitigating nurse attrition and supporting the nursing workforce.

Main Methods:

• A qualitative, phenomenological research design was employed.
• In-depth interviews were conducted with registered nurses (RNs) no longer practicing clinically.
• Data analysis focused on identifying common themes and experiences related to leaving clinical nursing.

Main Results:

• Emerging themes indicate complex push and pull factors influencing RNs' decisions.
• Work environment stressors, work-life balance challenges, and career dissatisfaction were significant.
• Lack of professional autonomy and limited opportunities for advancement also contributed.

Conclusions:

• The decision for RNs to leave clinical practice is influenced by a combination of systemic and personal factors.
• Addressing workplace conditions and enhancing support systems are critical for retaining nurses.
• Further research should investigate interventions to improve RN retention and satisfaction.