1. Buffington, Annsley RN, BSN, OCN
  2. Zwink, Jennifer RN, MS, OCN
  3. Fink, Regina PhD, RN, AOCN, FAAN
  4. DeVine, Deborah RN, MS, AOCN, CRNI
  5. Sanders, Carolyn PhD, RN, NEA-BC


Objective: The aim of this study was to examine the factors affecting the retention of registered nurses (RNs) and validate the revised Casey-Fink Nurse Retention Survey(C) (2009).


Background: Creating an organizational culture of retention may reduce nurse turnover. Focusing on why nurses leave and identifying factors why nurses stay are essential.


Methods: A descriptive survey design gathered data from RNs with 1 or more years of experience providing direct patient care and employed in inpatient/ambulatory settings in an acute care, academic, Magnet(R) hospital.


Conclusions: There were no statistically significant relationships between nurse respondents' perceptions of work environment/support/encouragement and age or years of experience. However, there were significant differences between inpatient and ambulatory nurse responses in several key areas including job satisfaction, mentorship, and educational support. Overall, nurses reported feeling a lack of support and recognition from managers. Results provide evidence to support improved strategies to foster nurse retention.