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Reasons Registered Nurses Leave or Change Employment Status

Strachota, Ellen PhD, RN; Normandin, Pamela MSN, RN, CCRC; O’Brien, Nancy AMLS; Clary, Mary RN, CCRC; Krukow, Belva MSN, RN

Journal of Nursing Administration: February 2003 - Volume 33 - Issue 2 - p 111-117

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 (

© 2003 Lippincott Williams & Wilkins, Inc.