The Role of Nurse Managers in Supporting Novice Nurse Retention: A Phenomenological Qualitative Study

Abstract

Introduction: Retaining novice nurses has become a critical issue in healthcare systems worldwide. High attrition rates among early-career nurses compromise care continuity, increase operational costs, and weaken team cohesion. Nurse managers play a pivotal role in shaping work environments that influence novice nurse retention.
Methods: This phenomenological qualitative study explored the lived experiences of seven nurse managers in supporting novice nurses within a tertiary hospital setting in Indonesia. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis grounded in Colaizzi's approach.
Results: Three overarching themes emerged: (1) creating a supportive and inclusive environment, (2) facilitating professional development and confidence building, and (3) managing organizational barriers to retention. Participants highlighted the importance of psychological safety, mentorship, and adaptive leadership in enhancing novice nurses' work engagement and retention.
Conclusion: Nurse managers are essential agents in fostering environments conducive to novice nurse retention. Their leadership behaviors, relational competencies, and advocacy within the organization significantly shape retention outcomes. Institutional policies must integrate leadership development programs tailored to novice nurse support.