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Should I Stay, or Should I Go? Experiences of Newly Licensed Nurses in Clinical Practice

Traci L Alberti¹, Katherine Gregory, Viktoriya Babicheva

¹Author Affiliations: Academic Dean of Nursing (Dr Alberti), School of Nursing and Health Sciences, Merrimack College, North Andover, MA; Dean (Dr Gregory), Connell School of Nursing, Boston College, Chestnut Hill, MA; Research Data Consultant & Acquisition Analyst (Babicheva) and Senior Research Statistician (Dr McTernan), Boston College, Research Services, Chestnut Hill, MA; Research Assistant (Chen), John Hopkins University Medical Center, Baltimore, MD; Senior Director Leadership Development & Government Affairs (Dr Waddell), ACNO, Organization of Nurse Leaders, Woburn, MA.

The Journal of Nursing Administration

|February 18, 2026

Abstract

Objective:

Describe qualitative factors explaining why newly licensed nurses (NLNs) intend to stay or leave clinical practice.

Background:

One in 3 NLNs will leave nursing within 1 year of entry into practice. Understanding factors related to NLN retention is imperative to address workforce shortages.

Methods:

Descriptive statistical analysis of demographics and qualitative analysis of 3 open-ended survey questions, from a larger study, distributed via email through Listservs for NLNs licensed ≤5 years.

Results:

One hundred twenty NLNs responded. Themes for intent to stay are cultural fit, schedule, and being a part of a healthy work environment. Reasons for intent to leave include work environment, current treatment of nurses, and personal well-being.

Conclusions:

Flexibility, appreciation, and healthy work environments are factors valued by NLNs when determining their intent to stay or leave nursing. Younger NLNs place greater emphasis on work-life balance, salary, and support. Nurse administrators play a pivotal role in influencing factors that have been identified to enhance NLN retention.

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