title: Assessment of nurse retention challenges and strategies in Lebanese hospitals: the perspective of nursing directors.
abstract: OBJECTIVE
  Assess nurse retention challenges and strategies as perceived by nursing directors in Lebanese hospitals.
  
  
  BACKGROUND
  The Kampala Health Workforce Declaration stressed the importance of retaining an effective, responsive and equitably distributed health workforce, particularly nurses. Little is known about nurse retention challenges and strategies in Lebanon.
  
  
  METHODS
  Nursing directors of 76 hospitals participated and were sent a two-page survey on perceived retention challenges and hospital-based retention strategies.
  
  
  RESULTS
  Retention challenges included unsatisfactory salary, unsuitable shifts and working hours, as well as better opportunities in other areas within or outside Lebanon. Retention strategies included implementing financial rewards and benefits, a salary scale, staff development, praise and improving work environment. Nursing directors did not address all perceived challenges in their strategies.
  
  
  CONCLUSIONS
  To better manage the nursing workforce, nursing directors should regularly measure and monitor nurse turnover rates and also their causes and predictors. Nursing directors should develop, implement and evaluate retention strategies. More information is needed on the management and leadership capacities of nursing directors in addition to their span of control.
  
  
  CONCLUSIONS
  Nursing directors are facing challenges in retaining their nurses. If these problems are not addressed, Lebanon will continue to lose competent and skilled nurses.
authors.affiliation: Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Riad El-Solh Beirut, Beirut, Lebanon. fe08@aub.edu.lb
authors.forename: Fadi
authors.initials: F
authors.lastname: El-Jardali
authors.forename: Mirvat
authors.initials: M
authors.lastname: Merhi
authors.forename: Diana
authors.initials: D
authors.lastname: Jamal
authors.forename: Nuhad
authors.initials: N
authors.lastname: Dumit
authors.forename: Gladys
authors.initials: G
authors.lastname: Mouro
mesh_terms: D003625:Data Collection; D006801:Humans; D007588:Job Satisfaction; D007861:Lebanon; D009718:Nurse Administrators / Q000706:statistics & numerical data*; D009726:Nurses / Q000600:supply & distribution*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013997:Time Factors