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Factors Affecting Nurse Retention at an Academic Magnet® Hospital

Buffington, Annsley RN, BSN, OCN; Zwink, Jennifer RN, MS, OCN; Fink, Regina PhD, RN, AOCN, FAAN; DeVine, Deborah RN, MS, AOCN, CRNI; Sanders, Carolyn PhD, RN, NEA-BC

Journal of Nursing Administration: May 2012 - Volume 42 - Issue 5 - p 273–281
doi: 10.1097/NNA.0b013e3182433812

Objective: The aim of this study was to examine the factors affecting the retention of registered nurses (RNs) and validate the revised Casey-Fink Nurse Retention Survey© (2009).

Background: Creating an organizational culture of retention may reduce nurse turnover. Focusing on why nurses leave and identifying factors why nurses stay are essential.

Methods: A descriptive survey design gathered data from RNs with 1 or more years of experience providing direct patient care and employed in inpatient/ambulatory settings in an acute care, academic, Magnet® hospital.

Conclusions: There were no statistically significant relationships between nurse respondents’ perceptions of work environment/support/encouragement and age or years of experience. However, there were significant differences between inpatient and ambulatory nurse responses in several key areas including job satisfaction, mentorship, and educational support. Overall, nurses reported feeling a lack of support and recognition from managers. Results provide evidence to support improved strategies to foster nurse retention.

Author Affiliations: Level IV Clinical Nurse (Ms Buffington); Oncology/BMT Nurse Manager (Ms Zwink); Research Nurse Scientist (Dr Fink); Director, Patient Services (Ms DeVine); Vice President Patient Services and Chief Nursing Officer (Dr Sanders), University of Colorado Hospital, Aurora.

The authors declare no conflict of interest.

Correspondence: Dr Fink, University of Colorado Hospital, PO Box 6510-901, Aurora, CO 80045 (

© 2012 Lippincott Williams & Wilkins, Inc.