A Single-Site Approach: Identifying the Micro-Level Influences on Nurse Retention
Cheryl A Smith-Miller1, Michaela Cline
1Author Affiliations: Nurse Scientist (Dr Smith-Miller), Center for Nursing Excellence, UNC Medical Center; Chair - IRB Committee E (Dr Smith-Miller), UNC-CH Office of Human Research Ethics University of North Carolina, Chapel Hill; Adjunct Faculty (Dr Smith-Miller), UNC School of Nursing; and Oncology Nurse Navigator (Cline), Mary Anne Long Patient Family Resource Center, UNC Cancer Hospital, Chapel Hill, North Carolina.
Background:
Persistently high turnover rates reflect nurses' discontent. Although personal reasons, career advancement, and relocation are cited as the top reasons for departures, macro-level data overlook the organizational and unit-level factors that erode nurses' desire to stay.
Methods:
Survey methods were used for data collection. The analysis included statistical and qualitative methods.
Results:
Salary, benefits, and work schedules were important in influencing nurses' decisions to stay, but their importance varied by career stage. Ergonomic aspects of nurses' daily work were key themes.
Conclusions:
Organizational and unit elements play enduring roles in job satisfaction. Critically examining nurses' work environment from meso- and micro-level ergonomic perspectives can enhance understanding of nurse retention and provide evidence to fine-tune retention strategies.
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