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Retention of RN-to-BSN Students: An Integrative Review
The Journal of Nursing Education
|July 8, 2025
Summary
Student retention in RN-to-BSN programs is challenging. Effective strategies must address environmental, professional, and affective factors to support registered nurses (RNs) in completing their Bachelor of Science in Nursing (BSN).
Area of Science:
- Nursing Education
- Higher Education Retention Strategies
Background:
- Student retention is a significant challenge in higher education, particularly for Registered Nurses (RNs) pursuing a Bachelor of Science in Nursing (BSN).
- RN-to-BSN programs must implement creative and comprehensive retention strategies to support student progression.
Purpose of the Study:
- To identify strategies undergraduate nursing programs utilize for retaining RN-to-BSN students.
- To synthesize current literature on RN-to-BSN student retention.
Main Methods:
- An integrative review guided by Toronto and Remmington's method.
- Systematic search of seven databases for literature published in the United States (2011-2024).
- Analysis and synthesis of twenty selected articles.
Main Results:
- Synthesized findings organized using Jeffrey's nursing universal retention and success model.
- Most reviewed literature focused on environmental and professional integration factors.
- Fewer studies addressed student affective factors influencing retention.
Conclusions:
- A comprehensive framework considering intrinsic and extrinsic factors is crucial for RN-to-BSN student retention.
- Addressing diverse student needs is imperative for program success.
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