title: Young registered nurses' intention to leave the profession and professional turnover in early career: a qualitative case study.
abstract: In a time of global nursing shortages an alarming number of young registered nurses have expressed a willingness to leave the profession. In this qualitative case study we investigate in depth why young nurses leave nursing profession and reeducate themselves for a new career. The study is based on longitudinal interviews of three young registered nurses in Finland. These nurses were first interviewed between December 2006 and May 2007, when they were 29-32 years old and having an intention to leave the profession. The second interview took place four years later, from January 2011 to March 2011 when all of them had made the transition to a new career. Data were analyzed in two stages. In the first stage, comprehensive career story narratives were formed on the basis of the interviews. In the second stage, emerging themes in these stories were compared, contrasted, and interpreted in the context of the overall career histories. Nursing as a second career choice and demanding work content as well as poor practice environment and the inability to identify with the stereotypical images of nurses were main themes that emerged from these career stories. The results of this interpretative qualitative study reflect a shift toward insights into understanding professional turnover as a complex and long-lasting process.
authors.affiliation: Department of Nursing Science, University of Turku, 20014 Turku, Finland.
authors.forename: Mervi
authors.initials: M
authors.lastname: Flinkman
authors.forename: Ulpukka
authors.initials: U
authors.lastname: Isopahkala-Bouret
authors.forename: Sanna
authors.initials: S
authors.lastname: Salanterä
references.citation: J Adv Nurs. 1996 Feb;23(2):380-8
references.pmid: 8708254
references.citation: Nurse Res. 2004;11(3):70-6
references.pmid: 15065485
references.citation: Int J Nurs Stud. 2009 Feb;46(2):268-76
references.pmid: 18775535
references.citation: Appl Nurs Res. 2008 May;21(2):75-83
references.pmid: 18457746
references.citation: Am J Nurs. 2005 May;105(5):62-9
references.pmid: 15867536
references.citation: J Adv Nurs. 2006 Feb;53(3):333-43
references.pmid: 16441539
references.citation: BMJ. 2012 Mar 20;344:e1717
references.pmid: 22434089
references.citation: Qual Health Res. 2012 Oct;22(10):1404-13
references.pmid: 22745362
references.citation: J Nurs Scholarsh. 2012 Sep;44(3):266-73
references.pmid: 22732012
references.citation: Nurs Ethics. 2002 May;9(3):279-90
references.pmid: 12035433
references.citation: J Adv Nurs. 2009 Jun;65(6):1171-81
references.pmid: 19374670
references.citation: Nurse Educ Today. 2013 Feb;33(2):143-7
references.pmid: 23040878
references.citation: Int J Nurs Stud. 2013 Feb;50(2):174-84
references.pmid: 23107005
references.citation: J Healthc Manag. 2006 Mar-Apr;51(2):96-108; discussion 109-10
references.pmid: 16605220
references.citation: J Nurs Manag. 2013 May;21(4):605-13
references.pmid: 23406374
references.citation: N Engl J Med. 2011 Mar 17;364(11):1037-45
references.pmid: 21410372
references.citation: J Health Serv Res Policy. 2005 Jul;10(3):150-7
references.pmid: 16053591
references.citation: Int J Nurs Stud. 2008 Jul;45(7):1064-80
references.pmid: 17706221
references.citation: Int J Nurs Stud. 2008 May;45(5):727-39
references.pmid: 17280674
references.citation: J Nurs Manag. 2005 Jul;13(4):338-44
references.pmid: 15946173
references.citation: J Adv Nurs. 1998 Apr;27(4):785-9
references.pmid: 9578209
references.citation: J Prof Nurs. 2009 Jul-Aug;25(4):197-203
references.pmid: 19616187
references.citation: Aust Health Rev. 2004 Dec 13;28(3):340-8
references.pmid: 15595917
references.citation: J Adv Nurs. 2010 Jul;66(7):1422-34
references.pmid: 20497270
references.citation: Hum Resour Health. 2010 Apr 27;8:10
references.pmid: 20423491
references.citation: J Adv Nurs. 2003 Aug;43(4):335-43
references.pmid: 12887349
references.citation: J Nurs Manag. 2013 Apr;21(3):405-18
references.pmid: 23406301
references.citation: J Clin Nurs. 2008 Dec;17(24):3262-8
references.pmid: 19146584
references.citation: Int J Nurs Stud. 2007 Feb;44(2):175-82
references.pmid: 17064706
references.citation: J Adv Nurs. 2010 Mar;66(3):616-26
references.pmid: 20423396
references.citation: Scand J Caring Sci. 2007 Jun;21(2):169-77
references.pmid: 17559435
references.citation: Nurs Inq. 2012 Dec;19(4):297-307
references.pmid: 23134276
references.citation: J Adv Nurs. 2004 Sep;47(6):664-71
references.pmid: 15324436
references.citation: J Adv Nurs. 2005 Feb;49(3):315-22
references.pmid: 15660556
references.citation: Am Psychol. 2008 May-Jun;63(4):241-51
references.pmid: 18473609
references.citation: J Nurses Staff Dev. 2010 Jan-Feb;26(1):2-8; quiz 9-10
references.pmid: 20098166
references.citation: Am J Med Qual. 2012 May-Jun;27(3):241-9
references.pmid: 22102163
references.citation: J Adv Nurs. 2009 May;65(5):1103-13
references.pmid: 19183235
references.citation: Int J Nurs Stud. 2012 Jul;49(7):887-905
references.pmid: 22019402
references.citation: J Adv Nurs. 2007 May;58(3):207-15
references.pmid: 17474909
references.citation: J Adv Nurs. 1990 Jul;15(7):850-4
references.pmid: 2203842
references.citation: Nurs Inq. 2006 Jun;13(2):103-9
references.pmid: 16700753
references.citation: Collegian. 2010;17(1):3-12
references.pmid: 20394269
references.citation: Soc Sci Med. 2005 Dec;61(12):2482-91
references.pmid: 15964672
references.citation: J Nurs Manag. 2008 Sep;16(6):724-33
references.pmid: 18808467
references.citation: J Nurses Staff Dev. 2009 Jan-Feb;25(1):28-34
references.pmid: 19182555