Survey: Nurse retention problems persist amid slight improvements in working conditions

Editor's Note

Although fewer Michigan nurses planned to leave the profession in 2023 compared to 2022, the profession still faces unsafe conditions, understaffing, and high rates of abuse, according to a two-year, statewide survey published July 18 in JAMA Network Open.

Conducted by researchers at the University of Michigan School of Nursing in Ann Arbor, the study surveyed more than 9,000 registered nurses in 2022 and more than 7,000 in 2023. Of those totals, 39.1% and 32%, respectively, reported intentions to leave. Other key findings include:

• Workloads, management concerns, and pay/benefits were the top reasons cited for leaving the profession.
• Among those planning to leave, 41.8% intended to stay in nursing but change employers.
• In 2022, 27.9% of respondents planned to stay in the profession but reduce hours, while 18.1% to pursue travel nursing.
• In 2023, 18.0% of respondents planned to stay in the profession but reduce hours, while 7% planned to pursue travel nursing.
• Reports of abuse or violence, understaffed shifts, and use of mandatory overtime declined from 2022 to 2023, but remain at high levels (43.4% s 50.2% for abuse or violence; 48.2% vs 41% for understaffed shifts; and 18,7% vs. 11.7% for mandatory overtime).
• Workplace abuse or violence and higher emotional exhaustion increased the likelihood of planned departures, while favorable practice environments and safety ratings reduced it.

Health system leaders and policymakers should prioritize initiatives that support nurse retention and reduce potential workforce instability, researchers conclude.