Perspectives of Novice Nurses on Early Resignation From Clinical Practice

Date of Conferral

10-25-2023

Degree

Ph.D.

School

Nursing

Advisor

Edna Hull

Abstract

Despite an increase in nurse resignations, there have been few initiatives to address the early resignation of novice nurses. Also, there are few empirical studies addressing the reasons novice registered nurses (RNs) seek early resignation. The primary purpose of this study was to explore the experiences of novice registered nurses on early resignation from clinical practice. More specifically, the study was designed to understand the reasons for early resignation and the challenges experienced in making the decision to resign. Duchscher’s transition shock theory and Kramer's reality shock theory served as the lens for understanding the early resignation of novice registered nurses. A qualitative, phenomenological research design featuring a hermeneutical approach was employed. Semi-structured, one-on-one interviews were conducted using Zoom technology with six registered nurses sharing their lived experiences related to early resignation from clinical practice. Utilizing Creswell’s six steps for qualitative data analysis, the following themes were generated: real-world shock, recognition and acknowledgement of undesirable situations, and the decision to leave without an exit interview. Implications for positive social change include raising awareness of the unique needs and resources needed to support the hiring and retention of novice registered nurses entering clinical practice following program completion.

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