Why Nurses Are Leaving: Systematic Review

Tuesday, 13 July 2010

Zehra Ali Muhammad Ahmed Parvani, RN, BScN
School Of Nursing, Aga Khan University, Karachi, Pakistan

Learning Objective 1: identify the reasons for nurses high turn over.

Learning Objective 2: explore factors influencing nurses retention.

Purpose: The aim of this literature review is to clearly identify and outline the factors of turnover among nurses and provide nursing recruitment departments with the information which influence job satisfaction and increase nurses’ retention.

Methods: To review the literature supporting reasons for nurses leaving their job and nurses high turn over Medline, CINAHL, Pubmed, Science Direct and Cochrane Databases were used. The key words “nurses”, “turn over”, “reasons”, "job dissatisfaction" and “leaving” were used to search the articles of last 29 years from 1990 to 2009.


Results and findings indicate that the Job dissatisfaction, high market demand, lack of recognition by peers and management, work load, lack of respect, non supportive management, burn out, lack of autonomy, poor nurse doctor collaboration, lack of recognition by patients, lack of facility for continuing education and poor incentives are the reasons for nurses high turn over.


This systemetic review concludes that the similar turnover problems are common throughout the world. Therefore, it is recommended that proper interventions should be done by the nursing leaders to to retain nurses and enhance their job satisfaction as without nurses it is not possible to provide quality care to patients.