New Graduate Nurses: A Qualitative Study on Retention and Job Satisfaction in Canada

Introduction:
Canada has faced a persistent shortage of nurses, largely due to poor working conditions and high workloads, an issue made worse by the COVID-19 pandemic. Addressing this problem requires human resource planners to consider generational differences and values when designing strategies to retain nurses. A targeted focus on new graduate nurses (NGNs) is especially important, as they are at a high risk of burnout and early resignation.

Goals and Methods: The aim of this study is to identify effective strategies that can help prevent burnout and mass resignation among NGNs. The study recruited NGNs aged 22-35, who graduated from a Canadian nursing school, passed their licensing exam within the last five years (2019-2024), and are currently working as registered nurses or registered practical nurses in an acute care setting in Toronto, Ontario, Canada. These participants took part in 60-90 minute virtual focus groups, where a semi-structured interview guide was used to explore their personal and professional experiences. Data analysis was conducted using Social Ecological and Intersectionality frameworks, focusing on the intersection of various factors influencing their experiences (N=15).

Results:
The study revealed four key themes related to NGN professional development: 1) Accessibility of Nursing Education and Practicum Placements, 2) Preparedness, Orientation, and Mentorship upon entering the workforce, 3) Challenges transitioning to independent practice, including facing multi-level structural violence, and 4) NGNs' perspectives on their long-term professional trajectory.

Conclusions:
NGNs face significant challenges, including insufficient workplace orientation, overwhelming workloads, and burnout. As a result, many are considering further education or alternative roles in nursing. To retain NGNs in acute care settings, responsive and supportive leadership is essential, particularly in addressing their professional development and well-being.