title: Retention of Native American nurses working in their communities.
abstract: OBJECTIVE
  The purpose of this study was to describe the experiences of Native American nurses working in their tribal communities to address retention.
  
  
  METHODS
  An interpretive phenomenological study guided by a Native American research agenda and a Native American nursing practice model.
  
  
  METHODS
  In-depth interviews with nine Native American nurses were conducted. Data analysis used interpretive phenomenological procedures including an iterative process with Native American consultants and researchers to develop themes.
  
  
  CONCLUSIONS
  Native American nurses experienced a great deal of stress and illness as they attempted to fulfill their mission to help their people. The three themes were: (a) paying the price to fulfill my mission, (b) being and connecting holistically, and (c) transcending the system. Recommendations include strategies for nurse educators, tracking the ethnicity of nurses in each Indian Health Service area, documenting their reasons for leaving, and conducting further research to develop community-based interventions to improve retention.
authors.affiliation: Washington State University, Spokane, WA 99210, USA. jkatz@wsu.edu
authors.forename: Janet R
authors.initials: JR
authors.lastname: Katz
authors.forename: Gail
authors.initials: G
authors.lastname: O'Neal
authors.forename: C June
authors.initials: CJ
authors.lastname: Strickland
authors.forename: Dawn
authors.initials: D
authors.lastname: Doutrich
mesh_terms: D000328:Adult; D018864:Cultural Diversity; D006303:Health Services, Indigenous; D006801:Humans; D007198:Indians, North American / Q000523:psychology; D007588:Job Satisfaction; D008875:Middle Aged; D033262:Narration; D024802:Nurse's Role; D009740:Nursing Staff / Q000523:psychology / Q000600:supply & distribution*; D010563:Personnel Turnover; D014481:United States; D016549:United States Indian Health Service; D000078329:Workforce