Assessing factors influencing professional nurses' attrition in South Africa : a case study of private hospitals in Johannesburg

South Africa faces an immense shortage of healthcare professionals, especially trained and experienced critical care nurses. This thesis assesses factors influencing professional nurses ‘attrition in two selected private hospitals. This results in an HR risk; loss of skills, task shifting and the use of less skilled nurses, and not limited to the high workloads in intensive care units together with the job dissatisfaction consequently. To confirm this, a case study making use of a qualitative approach, follows the definition of a social constructivism framework. The study assessed 40 trained and experienced critical care nurses in focus groups of 5, with which a stratified purposive sampling technique was used and the focus group interviews were 90 minutes Seven structured interviews were undertaken, (using a narrative summary) with hospital operational managers working directly with the critical care nurses. Audio-recorded data were analysed by thematic content analysis using Creswell’s steps content analysis method. Multiple reasons, as given by nurses, to discontinue their services in private hospitals emerged. These were: Heavy workloads, shortage of trained staff, medico-legal risks; lack of supervision, support and teamwork, physical and emotional exhaustion, fatigue, stress and burnout, differential salary scales, non-competitive retirement packages role ambiguity, inadequate equipment, unresolved conflict with colleagues or management, personal financial crisis, lack of recognition and Lack of career development or promotion. These factors make use of themes, which include issues related to line management, administration, subjective and uncertainty of roles. Operational managers confirmed such reasons for the discontinuation of services offered by critical care nurses in private hospitals. Management views to the attrition of critical care nurses were that: (a) The staffing crisis was a serious matter of concern, (b) the use of less skilled staff resulted in negative effects on patient care and (c) the low number of critical care nursing staff negatively affected organisational goals