High turnover of nurses compromises patient care and adds to the cost of healthcare. To determine why nurses changed positions or left a midwestern health system, the authors surveyed registered nurses who voluntarily terminated or changed their employment status to as-needed (PRN) within a 9-month period. They discuss the most frequent reasons given for these changes and suggest solutions for retention.
Authors’ affiliations: Grand View College, Des Moines, Iowa (Dr Strachota), and Iowa Methodist/Iowa Lutheran/Blank Children’;s Hospital, Des Moines (Ms Normandin, Ms O’;Brien, Ms Clary, Ms Krukow).
Corresponding author: Ellen Strachota, PhD, RN, Department of Nursing, Grand View College, 120 Grandview Ave, Des Moines, IA 50316-1599 (Estrachota@gvc.edu).