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High registered nurse (RN) turnover is a challenge. This study found workplace morale and compensation were key factors in RN retention at one site, differing from national trends.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Human Resources

Background:

  • The United States faces a significant shortage of registered nurses (RNs).
  • The pediatric RN turnover rate at this specific institution was 15% annually, exceeding the national average.
  • High RN turnover rates impact patient care and healthcare system efficiency.

Purpose of the Study:

  • To investigate the primary factors influencing registered nurse (RN) retention at a specific pediatric healthcare facility.
  • To identify site-specific drivers of RN turnover to inform targeted retention strategies.

Main Methods:

  • A descriptive correlational study was employed.
  • The Revised Casey-Fink Nurse Retention Survey tool was utilized to collect data.
  • Quantitative survey data were analyzed to identify key retention factors.

Main Results:

  • Workplace morale emerged as the most significant factor influencing nursing retention at this site.
  • Pay and benefits were identified as the second most critical factor impacting RN retention.
  • These findings contrast with national studies that often cite job dissatisfaction and burnout as primary retention issues.

Conclusions:

  • Local workforce surveys are crucial for understanding unique retention challenges.
  • Healthcare institutions must tailor retention strategies based on site-specific data, not just national trends.
  • Addressing workplace morale and compensation is vital for improving RN retention in this pediatric setting.