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Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
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Related Experiment Video

Updated: Jun 16, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Nurses That Stay.

M Maureen Lal1

  • 1Author Affiliation: Sr Director, Magnet Recognition Program , Silver Spring, Maryland.

The Journal of Nursing Administration
|August 21, 2024
PubMed
Summary

Hospital nurse turnover and vacancy rates neared 2019 levels in 2023, yet healthcare organizations still face challenges retaining registered nurses (RNs). Understanding why nurses leave is crucial for effective retention strategies.

Area of Science:

  • Healthcare Management
  • Nursing Workforce Studies
  • Organizational Psychology

Background:

  • Recent data indicates a near return of registered nurse (RN) turnover and vacancy rates to pre-pandemic (2019) levels in 2023.
  • Despite decreasing rates, healthcare organizations continue to experience significant difficulties in retaining their nursing staff.
  • This situation necessitates an examination of the underlying reasons for nurses departing from healthcare facilities.

Purpose of the Study:

  • To analyze the current trends in registered nurse (RN) turnover and vacancy rates.
  • To investigate the persistent challenges in nurse retention within healthcare organizations.
  • To identify key factors influencing nurses' decisions to leave their current positions.

Main Methods:

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  • Analysis of the 2024 NSI National Health Care Retention & RN Staffing Report data.
  • Review of historical trends in nurse staffing and retention, referencing the 1983 "Magnet Hospitals" study.
  • Qualitative and quantitative assessment of factors contributing to nurse attrition.

    • Main Results:

    • Average RN turnover and vacancy rates in hospitals approached 2019 figures in 2023.
    • The period saw a peak in these rates mid-way through the timeframe, followed by a decline.
    • Healthcare organizations are still struggling with effective nurse retention strategies despite fluctuating rates.

    Conclusions:

    • While RN staffing metrics show improvement, the underlying issues driving nurse retention challenges persist.
    • Understanding the "why" behind nurses leaving is paramount for developing sustainable retention solutions.
    • Revisiting foundational principles of nurse attraction and retention, such as those identified in the "Magnet Hospitals" study, may offer valuable insights.