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Dissertation/Thesis Abstract

Retention of Experienced Nurses: A Phenomenological Approach to Understanding Workplace Challenges
by Sinoski, Janice Anne Marie, Ed.D., American College of Education, 2020, 154; 28092494
Abstract (Summary)

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.

Indexing (document details)
Advisor: Sloan, Lana
Commitee: Burrage, David
School: American College of Education
Department: Education
School Location: United States -- Indiana
Source: DAI-B 82/3(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Experience nurses, Nurse attrition, Nurse retention, Registered nurse, Retention, Senior nurse
Publication Number: 28092494
ISBN: 9798664789256
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