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Why do nursing students leave bachelor program? Findings from a qualitative descriptive study.

Federica Canzan1, Luisa Saiani2, Elisabetta Mezzalira2

  • 1Department of Diagnostics and Public Health, University of Verona, Strada le Grazie 8, 37100, Verona, Italy. federica.canzan@univr.it.

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Summary

Many nursing students leave their Bachelor of Science in Nursing (BSN) programs due to a mismatch with the profession or a lack of resources. Providing adequate support and counseling is crucial for student retention in nursing education.

Keywords:
Academic failureAttritionDeterminantsDrop-outEducation policyNursing studentsRetention

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Area of Science:

  • Nursing Education
  • Student Attrition
  • Qualitative Research

Background:

  • Nursing student attrition is a complex issue with limited qualitative research on first-year needs.
  • Previous studies focused on individual predictors, neglecting students' lived experiences.

Purpose of the Study:

  • To explore the reasons behind first-year Bachelor of Science in Nursing (BSN) student attrition.
  • To identify student needs and inform strategies for reducing drop-out rates.

Main Methods:

  • A qualitative descriptive study was conducted.
  • Semi-structured interviews were performed with 31 nursing students at Verona University.
  • Data analysis followed Sandelowski & Barroso's descriptive approach.

Main Results:

  • Students cited a realization of unsuitability for nursing as a primary reason for attrition.
  • Perceived lack of psychological, physical, and practical resources impacted student persistence.
  • Disappointment with internships and a lack of clinical teacher support were significant factors.

Conclusions:

  • Some attrition is a natural realization of unsuitability for the nursing profession.
  • Effective counseling and support are essential to help nursing students navigate training and future careers.