title: Recruitment, advising, and retention programs - Challenges and solutions to the international problem of poor nursing student retention: A narrative literature review.
abstract: OBJECTIVE
  The aim of this literature review was to identify emerging themes in current research to identify challenges to nursing student retention internationally, as well as strategies to improve persistence.
  
  
  METHODS
  A narrative literature review was conducted.
  
  
  METHODS
  Using CINAHL and HealthSource databases, journal articles were reviewed and evaluated for emerging themes related to the causes of high nursing student attrition rates and strategies to overcome this issue.
  
  
  METHODS
  A five-step approach was used to complete the narrative review, beginning with problem identification, followed by the literature search, data analysis, theme emergence and synthesis of the information.
  
  
  RESULTS
  The literature review supports the idea that poor retention is related not only to student ability, but also to a lack of necessary intervention by faculty beginning with the admission process and continuing throughout the curriculum. Alterations should be made in the recruitment and student selection process. Aggressive academic advising strategies should be implemented, and retention programs should be interwoven in to the nursing curriculum.
  
  
  CONCLUSIONS
  Student retention is a multifaceted issue that requires a multi-modal approach. Changes in recruitment, implementation of academic advising, and curriculum integration have the potential to help correct the problem.
authors.affiliation: 119 Lindsey Lee Ln, Shelby, NC 28152, United States. Electronic address: qmooring@gardner-webb.edu.
authors.forename: Quanza E
authors.initials: QE
authors.lastname: Mooring
mesh_terms: D003479:Curriculum; D004508:Education, Nursing, Baccalaureate; D005181:Faculty, Nursing / Q000523:psychology; D006801:Humans; D038622:Internationality; D012570:School Admission Criteria / Q000639:trends*; D013332:Student Dropouts; D013338:Students, Nursing / Q000523:psychology*
keywords: Academic advising; Attrition rates; Curriculum changes; Nursing education; Nursing student retention; Program challenges