The individuals’ initial reasons to pursue a nursing career and subsequent study dropout intentions: A cross-sectional study
-
Abdelmonim El Fadely
,
Mohamed Ait Babram
,
Samiha Lidrissi Hassani
,
Sabah Selmaoui
,
Boujemaa Agorram
Abstract
Background & Aim: Nursing staff shortages pose challenges for healthcare systems, worsened by student dropouts. This study explores the factors driving students to choose nursing to leave their programs and the relationship between reasons for choice and intentions to withdraw.
Methods & Materials: A cross-sectional study was conducted at three public nursing institutes in Marrakech-Safi, Morocco. Employing a consensus sampling approach with 725 nursing students, 696 individuals responded. A researcher-made questionnaire was employed for data collection, and the data were analyzed using SPSS software (version 22). We used descriptive statistics to understand why students choose nursing and why they consider dropping out. Logistic regression was utilized to explore the correlation between reasons for selecting nursing and the intention to drop out.
Results: Students primarily chose nursing to care for and help others (3.72±1.12), influenced by family/friends (3.60±1.19), and a personal interest in nursing (3.46±1.15). 28.45% of participants contemplated the idea of discontinuing their program. This inclination was mainly attributed to unfavorable clinical placements (3.59±1.21), psychological distress (3.38±1.28), and a tough curriculum (3.34±1.29). According to the predictive model, students motivated by job availability (3.587; 95% CI, 2.914-4.416; p˂.001), salary prospects (1.259; 95% CI, 1.054-1.504; p=.011), and opportunities for international work and/or study (1.196; 95% CI, 1.010-1.417; p=.038) were more likely to drop out.
Conclusion: Improving clinical learning conditions, promoting a positive perception of the nursing profession, and admitting candidates driven by the aspiration to offer support and comfort to individuals appear to be pivotal in retaining students.
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https://doi.org/10.1016/j.nedt.2023.105724
22. Matteau L, Toupin I, Ouellet N, Beaulieu M, Truchon M, Gilbert-Ouimet M. Nursing students' academic conditions, psychological distress, and intention to leave school: A cross-sectional study. Nurse Education Today. 2023 Jun 15:105877.
https://doi.org/10.1016/j.nedt.2023.105877 23. Cho SH, Jung SY, Jang S. Who enters nursing schools and why do they choose nursing? A comparison with female non-nursing students using longitudinal data. Nurse Education Today. 2010 Feb 1;30(2):180-6.
https://doi.org/10.1016/j.nedt.2009.07.009
24. Myburgh JE. An empirical analysis of career choice factors that influence first-year accounting students at the University of Pretoria: a cross-racial study. Meditari: Research Journal of the School of Accounting Sciences. 2005 Jan 1;13(2):35-48.
https://doi.org/10.1108/10222529200500011
25. Cameron J, Roxburgh M, Taylor J, Lauder W. An integrative literature review of student retention in programmes of nursing and midwifery education: why do students stay? Journal of Clinical Nursing. 2011 May;20(9‐10):1372-82.
https://doi.org/10.1111/j.1365-2702.2010.03336.x 26. Memarian R, Vanaki Z, Baraz S. Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion. 2015;4(1):52. https://doi.org/10.4103/2277-9531.162345 27. Bandadi L, Chamkal N, Belbachir S, Ahami AO. Perceived stress among Moroccan nurses student: effect of the emotional self-efficacy. Open Access Macedonian Journal of Medical Sciences. 2020 Feb 20;8(E):156-61.
https://doi.org/10.3889/oamjms.2020.3899
28. Ismaili Idrissi B, Kawkaba S, Taya H. The migration intention of public health professionals in Morocco: Results of a survey. International Journal of Accounting, Finance, Auditing, Management and Economics. 2023;4(3-2):121-42.
https://doi.org/10.5281/zenodo.7981329
29. Girvin J, Jackson D, Hutchinson M. Contemporary public perceptions of nursing: a systematic review and narrative synthesis of the international research evidence. Journal of Nursing Management. 2016 Nov;24(8):994-1006.
https://doi.org/10.1111/jonm.12413 30. Nageshwar V. Public Perception of Nursing as a Profession. International Journal for Research in Applied Sciences and Biotechnology. 2018;5(5):15-19. https://doi.org/10.31033/ijrasb.5.5.3
3. Bakker EJ, Verhaegh KJ, Kox JH, van der Beek AJ, Boot CR, Roelofs PD, et al. Late dropout from nursing education: An interview study of nursing students' experiences and reasons. Nurse Education in Practice. 2019 Aug 1;39:17-25.
https://doi.org/10.1016/j.nepr.2019.07.005
4. Halperin O, Mashiach-Eizenberg M. Becoming a nurse—A study of career choice and professional adaptation among Israeli Jewish and Arab nursing students: A quantitative research study. Nurse Education Today. 2014 Oct 1;34(10):1330-4. https://doi.org/10.1016/j.nedt.2013.10.001 5. McKenna L, Mambu IR, Sommers CL, Reisenhofer S, McCaughan J. Nurses' and nursing students' reasons for entering the profession: Content analysis of open-ended questions. BMC Nursing. 2023;22(1):152.
https://doi.org/10.1186/s12912-023-01307-8 6. Teresa-Morales C, Rodríguez-Pérez M, Ramos-Pichardo JD. Reasons for choosing and completing nursing studies among incoming and outgoing students: A qualitative study. Nurse Education Today. 2023 Jun 1;125:105794.
https://doi.org/10.1016/j.nedt.2023.105794
7. Wilkes L, Cowin L, Johnson M. The reasons students choose to undertake a nursing degree. Collegian. 2015 Sep 1;22(3):259-65.
https://doi.org/10.1016/j.colegn.2014.01.003 8. Elibol E, Seren AK. Reasons nursing students choose the nursing profession and their nursing image perceptions: A survey study. Nursing Practice Today. 2017 Jul 18;4(2):67-78.
9. Kolar K, Mijatović D, Todorovski M, Babić J. Choosing Nursing as a Profession. Croatian Nursing Journal. 2018 Jun 29;2(1):53-62.
https://doi.org/10.24141/2/2/1/5 10. Turan Z, Öner Ö, Atasoy I. Male and female nursing students' opinions about gender and nursing as a career in Turkey: A qualitative study. Nurse Education in Practice. 2021 May 1;53:103078.
https://doi.org/10.1016/j.nepr.2021.103078 11. Glerean N, Hupli M, Talman K, HaavistoE. Young peoples' perceptions of the nursing profession: An integrative review. Nurse Education Today. 2017 Oct 1;57:95-102.
https://doi.org/10.1016/j.nedt.2017.07.008 12. Önder E, Önder G, Kuvat Ö, Taş N. Identifying the importance level of factors influencing the selection of nursing as a career choice using AHP: Survey to compare the precedence of private vocational high school nursing students and their parents. Procedia-Social and Behavioral Sciences. 2014 Mar 19;122:398-404.
https://doi.org/10.1016/j.sbspro.2014.01.1361 13. Marznaki ZH, Khanjankhani K, Salisu WJ, Hajihosseini F, Barzegari S. Identifying and ranking the factors affecting the choice of nursing discipline among nursing students in Iran: A fuzzy hierarchical analysis. Journal of Nursing Research. 2021 Oct 1;29(5):e171.
https://doi.org/10.1097/jnr.0000000000000449 14. Mooney M, Glacken M, O'Brien F. Choosing nursing as a career: A qualitative study. Nurse Education Today. 2008 Apr 1;28(3):385-92.
https://doi.org/10.1016/j.nedt.2007.07.006 15. Dal Ü, Arifoğlu BÇ, Razı GS. What factors influence students in their choice of nursing in North Cyprus?. Procedia-Social and Behavioral Sciences. 2009 Jan 1;1(1):1924-30.
https://doi.org/10.1016/j.sbspro.2009.01.338 16. McCrae N, Askey‐Jones S, Laker C. Merely a stepping stone? Professional identity and career prospects following postgraduate mental health nurse training. Journal of Psychiatric and Mental Health Nursing. 2014 Nov;21(9):767-73.
https://doi.org/10.1111/jpm.12131 17. Bolan CM, Grainger P. Predicting success. High school to nursing. The Canadian Nurse. 2003 Mar;99(3):18-22.
18. Kox JH, Groenewoud JH, Bakker EJ, Bierma-Zeinstra SM, Runhaar J, Miedema HS, Roelofs PD. Reasons why Dutch novice nurses leave nursing: A qualitative approach. Nurse Education in Practice. 2020 Aug 1;47:102848.
https://doi.org/10.1016/j.nepr.2020.102848 19. Neilson GR, McNally JG. Not choosing nursing: Work experience and career choice of high academic achieving school leavers. Nurse Education Today. 2010 Jan 1;30(1):9-14.
https://doi.org/10.1016/j.nedt.2009.05.007 20. Clements AJ, Kinman G, Leggetter S, Teoh K, Guppy A. Exploring commitment, professional identity, and support for student nurses. Nurse Education in Practice. 2016 Jan 1;16(1):20-6.
https://doi.org/10.1016/j.nepr.2015.06.001 21. Sorensen J, Nielsen DS, Pihl GT. It's a hard process–Nursing students' lived experiences leading to dropping out of their education; a qualitative study. Nurse Education Today. 2023 Mar 1;122:105724.
https://doi.org/10.1016/j.nedt.2023.105724
22. Matteau L, Toupin I, Ouellet N, Beaulieu M, Truchon M, Gilbert-Ouimet M. Nursing students' academic conditions, psychological distress, and intention to leave school: A cross-sectional study. Nurse Education Today. 2023 Jun 15:105877.
https://doi.org/10.1016/j.nedt.2023.105877 23. Cho SH, Jung SY, Jang S. Who enters nursing schools and why do they choose nursing? A comparison with female non-nursing students using longitudinal data. Nurse Education Today. 2010 Feb 1;30(2):180-6.
https://doi.org/10.1016/j.nedt.2009.07.009
24. Myburgh JE. An empirical analysis of career choice factors that influence first-year accounting students at the University of Pretoria: a cross-racial study. Meditari: Research Journal of the School of Accounting Sciences. 2005 Jan 1;13(2):35-48.
https://doi.org/10.1108/10222529200500011
25. Cameron J, Roxburgh M, Taylor J, Lauder W. An integrative literature review of student retention in programmes of nursing and midwifery education: why do students stay? Journal of Clinical Nursing. 2011 May;20(9‐10):1372-82.
https://doi.org/10.1111/j.1365-2702.2010.03336.x 26. Memarian R, Vanaki Z, Baraz S. Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion. 2015;4(1):52. https://doi.org/10.4103/2277-9531.162345 27. Bandadi L, Chamkal N, Belbachir S, Ahami AO. Perceived stress among Moroccan nurses student: effect of the emotional self-efficacy. Open Access Macedonian Journal of Medical Sciences. 2020 Feb 20;8(E):156-61.
https://doi.org/10.3889/oamjms.2020.3899
28. Ismaili Idrissi B, Kawkaba S, Taya H. The migration intention of public health professionals in Morocco: Results of a survey. International Journal of Accounting, Finance, Auditing, Management and Economics. 2023;4(3-2):121-42.
https://doi.org/10.5281/zenodo.7981329
29. Girvin J, Jackson D, Hutchinson M. Contemporary public perceptions of nursing: a systematic review and narrative synthesis of the international research evidence. Journal of Nursing Management. 2016 Nov;24(8):994-1006.
https://doi.org/10.1111/jonm.12413 30. Nageshwar V. Public Perception of Nursing as a Profession. International Journal for Research in Applied Sciences and Biotechnology. 2018;5(5):15-19. https://doi.org/10.31033/ijrasb.5.5.3
| Files | ||
| Issue | Vol 11 No 1 (2024): Winter | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v11i1.14945 | |
| Keywords | ||
| career choice; nursing students; student dropouts; nursing; Morocco | ||
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How to Cite
1.
El Fadely A, Ait Babram M, Lidrissi Hassani S, Selmaoui S, Agorram B. The individuals’ initial reasons to pursue a nursing career and subsequent study dropout intentions: A cross-sectional study. NPT. 2024;11(1):80-88.
