Abstract

The attrition of experienced registered nurses from bedside nursing represents a growing concern in the healthcare industry and compounds a national and global nursing shortage. Experienced nurses possess valuable assessment, communication, and critical thinking skills associated with improved patient outcomes. The problem is experienced registered nurses retiring before the age of retirement eligibility. The gap in the literature provided an opportunity for a descriptive, phenomenological qualitative study to explore the lived experiences of experienced nurses to determine which factors influence nurses' decision to retire early. Constructs of the conceptual framework were identified using the Nursing Services Delivery Theory's open system approach. The purpose of the study was to explore the lived experiences of experienced nurses working in hospitals in Virginia to determine factors influencing the nurse's decision to retire before the retirement eligibility age. Participants included 16 registered nurses over the age of 45 years, with at least 20 years of experience in bedside nursing and working at any hospital in Virginia. Data collection included recorded semi-structured interviews and the investigator's electronic journal of notes. A thematic analysis of the transcribed narratives using Colaizzi's seven-step method of inductive reduction revealed seven emergent themes supported by current literature, including a passion for nursing, self-efficacy, rewards, and recognition, generational diversity, physical decline, technology fatigue, intention to leave. A subtheme of moral distress adds to the body of nursing research and warrants future research. The findings and conclusions of the study are included in an organized written presentation.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28092494; ProQuest document ID: 2447994752. The author still retains copyright.

Author Details

Janice Sinoski, EdD, RN, MSN/Ed, CCRN-K, CEN, CPI, CHEP

Sigma Membership

Xi Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Experienced Nurses, Retention, Attrition, Workplace Challenges

Advisor

Lana Sloan

Second Advisor

David Burrage

Degree

Doctoral-Other

Degree Grantor

American College of Education

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-07-29

Full Text of Presentation

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