Empirical Analysis of Nurse Retention. What Keeps RNS in Nursing?

Download Article

Authors : Syeda Tasneem Kausar


This paper is atheoretical critique of a quantitative research article written by Dotson, M.J, Cazier, J.Aand Spaulding, T.J entitled: An Empirical analysis of Nurse Retention. What keeps RNs in Nursing? The article discusses the importance of nurse retention to the individual organization and the health industry as a whole. Along with, it also describe the reasons why nurses walk out of the nursing profession which include: burn out, physical stress, emotional stress, and increased work load with lack of motivation. Throughout the course, Authors interviewed online 861 RNs from Southern United states and for that they prepared a questioner. The author developed an instrument which include variables such as altruism, economic factors, and value congruence which have an impact on the staff performance, this variables were pretested to modified contradictory variable according to the study. The analysis were made by using the structural equation modeling (SEM) and with that they also use Cronbach’s alpha to measure the internal consistency and the reliability of the instrument. SEM allow the comparison of various factor which conclude that the stress and value congruence both reveal the association with behavior to leave the job but the impact of altruism on behavior to leave the job is not so evident. Author’s find the stress has the major impact to leave the job.

  The purpose behind the study was to examine whether the value congruence and altruism would affectthe nurses turn over or not. The Author’s conclude that the factors which are important to retain nurses in jobs include: the stress reduction, Job satisfaction, value congruence, change the hiring process, and improve the work are of the organization to retain nurse for a long.   My evaluation/critique of this article is a holistic interpretation of the study as an example of a quantitative research project and is based on my understandings.

As a Quantitative study, author’s research usesthe questioner which was assessed by a model (S.E.M) and confirmatory factor analysis which help to reduce the error in results and make it more reliable to use. The author’s also give the proper reference of the different article which were the base to initiate the research and most of them were recent. For conclusion the author did not presents the graphical presentation of data which would have given more clear impression for the quantitative results.

Overall the article is a literary work in terms of it critique of current research study on the factors that contributes to the retention of RNs in Health organization and profession.


Empirical analysis of nurse retention; Structure equation model (S.E.M); Cronbach’s alpha; Altruism; Value congruence; Physical and emotional stress


1) Arnold, E &Everett ,S.B  (1994) Statistical methods for investigations. (2nd ed) New York .Halsted Press.

2) Dotson, M.J, Dave. D.S ,Cazier, J.A and Spaulding ,T. J (2014) An Empirical Analysis of Nurse Retention; what Keeps RNs IN Nursing? Journal of Nursing Administration. pp 111-116 vol 44

3) Polgar. S & Thomas, S.A (1998) Introduction to Research in the health sciences (3rd ) .London, Harcourt and company L




7) www.uta.edu/faculty/sawasthi/statistics/stsepath.html 29/03/2014.

8)http://journals./www.com/jonajournals/ fulltext/2014/020001An_Empirical_Analysis_of_Nurse_Retention_What11.aspx