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Background: Nurse retention is a persistent and complex problem. Using a system approach, we aimed to understand what is currently impacting nursing turnover and the interplay between the micro‐, meso‐ and macrolevel factors. Materials and Methods: We surveyed and interviewed current and former nurses using a convenience sampling approach. The survey n = 479, which targeted working nurses, included questions on job satisfaction and workload. For interviews, we recruited both practising nurses and nurse leavers n = 35. The interviews explored individual experiences and perspectives on nursing and what influences nursing turnover. The data were analysed through a system lens, exploring the relationship between an individual’s behaviour, interactions and relationships (microlevel), the organisational environment, including policies and regulations (mesolevel) and the social, economic, political and cultural norms within which individuals and organisations reside (macrolevel). Results: Results showed a complex interplay of micro‐, meso‐, and macrofactors shaping the nursing experience. The survey data revealed poor satisfaction with work‐life balance (51%), control over work (43%) and remuneration (43%). Over half (53%) of the participants were considering leaving their organisation, and 36% were contemplating exiting the profession due to exhaustion (74%), inadequate staffing (72%), feeling undervalued (66%), low pay (61%) and excessive pressure (58%). Qualitative interviews revealed negative personal interactions, generational conflicts, unmet or poor expectations of nursing (microlevel), limited autonomy, administrative burdens, poor work‐life balance (mesolevel), integration challenges and prohibitive immigration policies for foreign nurses, negative public perceptions and the impact of education on nursing expectations (macrolevel). Furthermore, we found that these factors do not operate in isolation; rather, micro‐, meso‐ and macrolevels interact. Conclusions: Our study underscores the importance of adopting a system approach to understand and address nursing retention issues. Examining micro‐, meso‐ and macrofactors and the interplay between these levels is essential in developing targeted interventions to improve nurse retention.

Objectives. To characterize COVID-19 vaccine uptake and hesitancy among US nurses. Methods. We surveyed nurses in 3 national cohorts during spring 2021. Participants who indicated that they did not plan to receive or were unsure whether they planned to receive the vaccine were considered vaccine hesitant. Results. Among 32 426 female current and former nurses, 93% had been or planned to be vaccinated. After adjustment for age, race/ethnicity, and occupational variables, vaccine hesitancy was associated with lower education, living in the South, and working in a group care or home health setting. Those who experienced COVID-19 deaths and those reporting personal or household vulnerability to COVID-19 were less likely to be hesitant. Having contracted COVID-19 doubled the risk of vaccine hesitancy (95% confidence interval [CI] = 1.85, 2.53). Reasons for hesitancy that were common among nurses who did not plan to receive the vaccine were religion/ethics, belief that the vaccine was ineffective, and lack of concern about COVID-19; those who were unsure often cited concerns regarding side effects or medical reasons or reported that they had had COVID-19. Conclusions. Vaccine hesitancy was unusual and stemmed from specific concerns. Public Health Implications. Targeted messaging and outreach might reduce vaccine hesitancy. (Am J Public Health. 2022;112(11):1620–1629. https://doi.org/10.2105/AJPH.2022.307050 )

ALMOST £5 million is to be invested in a three-year campaign to tempt former nurses back to the profession.ALMOST £5 million is to be invested in a three-year campaign to tempt former nurses back to the profession.

Letters have been sent to tens of thousands of former practising nurses in England urging them to return to the profession.

Do you know any former colleagues or friends who may want to return to nursing? Health Education England has invested £4.7 million in training resources and launched a national campaign to persuade former nurses that it has ‘never been easier to return’. Details can be found at comeback.hee.nhs.uk

Background Nurses are potentially exposed to carcinogens in their working environment. We investigated the risks for 21 types of cancers in Danish nurses. Methods We identified 92 140 female nurses from the computerized files of the Danish Nurses'Association. By record linkage, we reconstructed information on employment since 1964 using data from a national pension fund; information on vital status and reproduction was obtained from the Central Population Register. Each woman was followed-up from 1980-2003 in the Danish Cancer Registry. We calculated standardized incidence ratios (SIR) and 95% confidence intervals (95% CI). Using Poisson regression models, we made internal comparisons in subgroups of nurses, adjusting for potential confounders. Results We documented 8410 cancers during follow-up and found significantly increased SIR for breast cancer (SIR 1.1, 95% CI 1.1-1.2), cancers of the brain and nervous system (SIR 1.2, 95% CI 1.1-1.3), melanoma (SIR 1.2,95% CI 1.1-1.3), and other skin cancers (SIR 1.2,95% CI 1.1-1.2). Significantly decreased risks were observed for alcohol-and tobacco-related cancers. Nurses who were accredited by the Association after 1981 had significantly increased risks for thyroid cancer (SIR 1.9, 95% CI 1.3-2.5) and cancers of the brain and nervous system (SIR 1.5, 95% CI 1.2-1.9). Former nurses had significantly increased SIR for all cancers combined and breast cancer the first ten years after leaving the profession. In a Poisson regression analysis of breast cancer and duration of employment in hospitals, adjusted for reproductive factors, nurses had an increase risk the first 25 years of employment, but not for longer periods. Conclusion The increased risk of breast cancer and the decreased risk of alcohol-and tobacco-related cancers support the findings of most other studies on nurses. The elevated risks for cancers of the breast, brain, nervous system, and thyroid warrant further study.

Contribution to a series of case studies drawn from actual cases reported to the UKCC Professional Conduct Department over the past 10 years. Reports the cases of 3 nurses whose names have been removed from the register and who wish to be reinstated. Outlines the criteria which ex-nurses have to meet in order to be restored back to the register.

Lisa Bayliss-Pratt, director of nursing at HEE and chair of the return to practice steering group, admitted the scheme would not tackle shortages on its own, but added: \"This is a quick way to get nurses into the system.\"

The education and training body is pinning its hopes on tempting former nurses back to the profession as part of measures to address the chronic nursing shortage currently affecting the country.

Having a preterm-born child is often fraught with ongoing challenges for the child's mother. Yet little is known regarding how that experience, over time, may influence the mother's health and well-being, how it influences her perceptions and practices of parenting, and the meaning(s) she attributes to it. The purpose of this study was to explore mothers' personal narratives of their experience of being the mother of a former preterm infant now at preschool age, what meaning(s) they attribute to it, and what nurses can do to support these women. Narrative Inquiry was the research method utilized. The theoretical perspective selected to guide the interpretation of what it is like to be the mother of a former preterm infant now at preschool age is Transformative Learning Theory. Six mothers whose former preterm infants are now at preschool age provided their personal narrative via in-person interview or in written form via email. Each study participant's personal story of being the mother of a preschooler born preterm was elicited and retained as the primary unit of data. Interpretation and analysis of the data was conducted using hermeneutic data analysis, identifying narrative functions (revealing patterns of thinking, memories, and identity), contexts, and central, metaphoric, participant-specific themes. Identified participant-specific themes include “I matter too,” “savoring the moments,” “honoring new paradigms,” “against all odds,” “affirming my worth,” and “lessons from loss.”