Reasons for Leaving the Nursing Profession: An Exploratory Study

Introduction. High turnover of nurses is a serious threat to healthcare worldwide with negative impact on patients, institutions, and nurses. Understanding the reasons why nurses leave the profession is essential to address this critical issue.

Goals and Methods. The study followed an exploratory qualitative design within an interpretative paradigm, using semi-structured interviews with five former nurses and reflexive thematic analysis supported by Atlas.ti. The purpose of the study was to explore and contribute to an understanding of the reasons why nurses leave the profession. Ethical approval was granted by the local committee.

Results. Preliminary findings indicate that participants described a strong initial motivation to become nurses, shaped by family support, role models, and education. However, the work environment, characterized by poor relationships, unrealistic expectations of the profession, the low status of nurses, disrespectful management, and the routine work, contributed to their decision to leave. The decision-making process was accompanied by emotional and physical exhaustion, impact on family life, and feelings of regret toward patients. Despite frustration, nurses saw positive experience and meaning in their work. Their identity as nurses remained intact even after leaving their original occupation. In their new careers, they found fulfilment, and personal growth.

Conclusions. Preliminary findings suggest that the decision to leave the nursing profession was influenced by a combination of personal, professional, and social factors. Although their initial motivation was strong and well-supported, negative experiences in the workplace led to frustration and the decision to leave the profession. Their nurse identity persisted even after leaving the profession, despite all participants expressing satisfaction with their new careers. The chosen study design allowed to examine the life stories of nurses and opened up the possibility of further interpreting their experience, which will be the next step of the study. The study was supported by VEGA No. 1/0123/24.