References
Enhancing the retention of newly qualified nurses
Abstract
The retention of newly qualified nurses (NQNs) is a pressing issue in healthcare systems, particularly in high-pressure environments such as acute care. This article explores the key challenges faced by NQNs, including lack of career development opportunities, negative workplace cultures and burnout, all of which contribute to high turnover rates. Strategies such as structured preceptorship and mentorship programmes, emotional wellbeing initiatives, and leadership support are examined. The article underscores the importance of building a positive work environment to retain NQNs, thereby improving workforce sustainability and patient care. Additionally, recommendations are provided to enable a proactive approach to improving NQN retention.
The retention of newly qualified nurses (NQNs) is a pressing concern in healthcare systems globally, where chronic staff shortages are compounded by high turnover rates among early career nurses. In November 2024, the Royal College of Nursing (RCN) analysed the latest Nursing and Midwifery Council (NMC) data of UK-educated nursing staff leaving the register in England. Between 2021 and 2024, the number leaving within 10 years of registration increased by 43%, and the number leaving within 5 years rose by 67% (RCN, 2024).
The transition from student to professional is associated with elevated stress, emotional exhaustion and a heightened risk of burnout (Ho et al, 2021). These challenges coincide with increased clinical responsibilities, often in demanding settings such as acute and emergency care, where high stakes necessitate resilience and adaptability. The healthcare sector cannot afford to lose NQNs at such high rates. Besides the substantial financial costs associated with recruitment and training, the constant turnover undermines continuity of care and places additional stress on the remaining workforce. Improving NQN retention is essential for workforce stability, and having a competent and qualified nursing workforce impacts on patient safety and quality of care (Zaitoun et al, 2023).
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