title: Attrition among Iranian nursing students: A qualitative study.
abstract: Attrition is a major challenge facing nursing students that results in substantial costs on the education, health, and treatment systems across countries and can have an unwanted effect on the quality and quantity of health services provided as well as on the health of citizens. This descriptive study investigated nursing students' perceptions toward factors influencing attrition. We conducted a qualitative study using a content analysis approach. Nineteen students enrolled in nursing bachelor program were recruited using purposive and snowball sampling. Data were collected using face-to-face interviews, focus group interviews, and participant observation, and analysed using conventional content analysis approach. Attrition factors were categorized into two themes: 'before admission' and 'after admission'. The most important factors were obligation to choose nursing in the National Entrance Exam, poor management in workforce provision and improper supervision, discrepancy between expectations and experiences, and being work abused in clinical training. Authorities in education and practice sectors can use these findings to improve the quality of clinical and theoretical education and to avoid nursing student attrition. This can be achieved through an increase in community awareness of the identity of nursing, efficient management of workforce provision and clear and concise supervision of activities in both theoretical and clinical fields.
authors.affiliation: Nursing Care Research Center and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address: farahani.ma@iums.ac.ir.
authors.forename: Mansoureh
authors.initials: M
authors.lastname: Ashghali Farahani
authors.affiliation: Ramsar Nursing Care Research Center, Babol University of Medical Sciences, Mazandaran, Postal Code: 4691714141 Iran. Electronic address: ghafarifateme@yahoo.com.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ghaffari
authors.affiliation: Nursing Care Research Center and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address: f_oskouie@yahoo.com.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Oskouie
authors.affiliation: Nursing and Midwifery School Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: z.tafreshi@sbmu.ac.ir.
authors.forename: Mansoureh
authors.initials: M
authors.lastname: Zagheri Tafreshi
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D004508:Education, Nursing, Baccalaureate; D017144:Focus Groups; D006801:Humans; D007492:Iran; D015402:Nursing Education Research; D036301:Qualitative Research; D013332:Student Dropouts / Q000523:psychology*; D013338:Students, Nursing / Q000523:psychology*
keywords: Attrition; Intention to leave; Nursing students; Qualitative study