Title

Should I Stay Or Should I Go? Career Change And Labor Force Separation Among Registered Nurses In The U.S.

Keywords

Career change; Nursing shortage; Registered nurses; Retention; Retirement; Survival analysis; USA

Abstract

Efforts to retain nurses within the profession are critical for resolving the global nursing shortage, but very little research explores the phenomenon of nursing workforce attrition in the U.S. This study is the first to simultaneously investigate the timing of attrition through survival analysis, the exit path taken (career change vs. labor force separation), and the major socioeconomic, family structure, and demographic variables predicting attrition in this country. Using nationally representative U.S. data from the 2004 National Sample Survey of Registered Nurses (N=29,472), we find that the rate of labor force separation is highest after the age of 60, a typical pattern for retirement. However, a non-trivial proportion of career change also occurs at older ages (50+ years old), and the rate of labor force separation begins to climb at relatively young ages (30-40 years old). Particularly strong predictors of early labor force separation include being married and providing care to dependents in the home (young children or elderly parents). Career change is predicted strongly by higher levels of education, male gender, and current enrollment in a non-nursing degree program. Having an Advanced Practice credential reduced the hazards of attrition for both exit paths. The results suggest a fruitful path for future research and a number of policy approaches to curbing nurse workforce attrition. © 2010 Elsevier Ltd.

Publication Date

6-1-2010

Publication Title

Social Science and Medicine

Volume

70

Issue

12

Number of Pages

1874-1881

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.socscimed.2010.02.037

Socpus ID

77952675423 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/77952675423

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