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Related Experiment Video

Updated: Jul 3, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Published on: January 8, 2020

Exploring Retention Among Army Nurses: A Qualitative Study.

Stephanie K Kessinger1, Jacqueline Jones, Lori L Trego

  • 1Stephanie K. Kessinger is a U.S. Army lieutenant colonel and chief of nursing science at Landstuhl Regional Medical Center, Landstuhl, Germany. Jacqueline Jones is a professor and assistant dean, and Lori L. Trego is a professor, both at the University of Colorado College of Nursing, Anschutz Medical Campus, Aurora. The authors have received funding from the TriService Nursing Research Program (Award No. 11207-N24-A05) at the Uniformed Service University, Bethesda, MD. The views expressed here are those of the authors and do not necessarily reflect the position or policy of the U.S. government, Department of Defense, Army Nurse Corps, TriService Nursing Research Program, or Landstuhl Regional Medical Center. Contact author: Stephanie K. Kessinger, stephanie.k.kessinger.mil@health.mil . The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|December 24, 2025
PubMed
Summary

Military nurses stay in their roles when they have positive relationships with colleagues and leaders, and can balance their professional and personal lives. These factors are key to improving retention.

Keywords:
military nursingnurse retentionqualitative research

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Area of Science:

  • Military Health
  • Nursing Retention
  • Qualitative Research

Background:

  • Elevated U.S. nurse turnover (16.4%) costs hospitals over $3 million annually.
  • U.S. military faces a shortage of over 1,300 active-duty nurses due to resignations.
  • Impacts on service members, families, and national defense necessitate understanding military nurse retention.

Purpose of the Study:

  • Explore unique experiences of active-duty U.S. Army nurses.
  • Identify key concepts influencing military nurse retention.
  • Inform strategies to improve the military nursing workforce.

Main Methods:

  • Interpretive, descriptive qualitative study design.
  • Recruited 24 active-duty Army nurses via social media.
  • Conducted semistructured interviews via Zoom and analyzed using reflexive thematic analysis.

Main Results:

  • Retention influenced by "people" factors: leaders, mentors, community, and patients.
  • Dual roles as military officers and individuals/family members impact retention.
  • Multifactorial concepts identified affecting nurse retention in the military.

Conclusions:

  • Positive relationships and role balance are crucial for retention.
  • Recommendations include relationship-based leadership and mentorship.
  • Enhance community, institute clinical tracks for sustained focus on nursing.