Work Experiences of Generation Z Nurses Prior to Leaving the Nursing Profession for Other Careers: A Qualitative Study
Keywords:
Working Experiences, Generation Z Nurses, Nursing turnover, Career transition, Qualitative researchAbstract
This qualitative study aimed to describe the working experiences and reasons for resignation of Generation Z nurses who had resigned to pursue other careers. The study employed a qualitative research approach. Participants were 17 registered nurses of Generation Z, who had previously worked in public and private hospitals. Data were collected via in-depth interviews, observation, and field notes until data saturation was achieved. The data were then verbatim transcribed and analyzed using content analysis guided by the concepts of Creswell and Poth.
The findings revealed that the experiences of Generation Z nurses could be categorized into four main themes. 1) Work Performance and Adaptation in the Nursing Role, 2) Conflicts and Obstacles in the Work System and Colleagues, 3) Nature of Work and Its Impact on Personal Life, and 4) Push and Pull Factors Leading to Resignation from the Nursing Profession. This study provides a deep understanding of the complex factors contributing to nurse turnover among the new generation. The findings can inform nursing administrators and policymakers in developing effective human resource management strategies for the retention of Generation Z nurses.
Downloads
References
Julbol C. Factors influencing retention of registered nurses: A case study of private hospitals at Hatyai District, Songkhla Province. Master Thesis Nursing,2019. Songkla University, Songkla. (in Thai)
Kanthar A. Impacts and solutions to the nursing workforce shortage in Thailand. Journal of Nursing Science,2014; 32(1), 81-90. (in Thai)
Yuanmae V. Factors Affecting the Outlook for the Resignation of the Main Professional Personnel in Hospitals. Under the Nakhon Ratchasima Provincial Health Office. journalkorat. 2020; 6(2):92-111. (in Thai)
Wongkanghae S, Sae-Khow K, Klangsin P, Ninnart W, & Pumpradit W. The Challenge for Nursing Administrators in Human Resource Management: Generation Z Professional Nurses’ Group. Journal of Nursing and Health Sciences,2023; 17(1), 1-11. (in Thai)
Douglas K, & Gray S. Generational complexities present new challenges for nurse leaders. Nurse Leader Journal. 2020;18(2):126-9.
Wongthai S, & Oumtanee A. Working with multi-generation colleagues: Perspectives of generation Z nurses. Journal of The Royal Thai Army Nurses. 2020;21(1):96-104. (in Thai)
Sanguanphak S. Factores affecting turnover intention of generation z professional nurses in a university hospital. Master Thesis Management, Mahidol University.2021. (in Thai)
Suliman M, & Aljezawi M. Nurses’ work environment: indicators of satisfaction. Journal of nursing management. 2018;26(5): 525-30.
Serafin L, Cieslak K, Rzonca E, & Gierszewska M. What is the most needed competence for newly graduated generation z nurses? focus groups study. Nurse Education Today. 2020; 94(1):1045-73.
Siriphim C. Generation Y professional nurses: a challenge for nursing administrators. Nursing Journal of the Ministry of Public Health. 2018; 28(1):1-12. (in Thai)
Kuewong G, & Oumtanee A. Stress of newly graduated nurses working at an intensive care unit. Journal of The Royal Thai Army Nurses. 2017;18(2):158-65. (in Thai)
Bragg S, & Bonner A. Losing the rural nursing workforce: Lessons learnt from resigning nurses. The Australian Journal of Rural Health. 2015;23(6):366-70.
Creswell JW, & Poth CN. Qualitative inquiry and research design: Choosing among five approaches. 4th ed. Los Angeles: Sage,2018.
Guba EG, & Lincoln YS. Naturalistic inquiry. Beverly Hills (CA): Sage Publications; 1985.
Blomberg K, Isaksson AK, Allvin R, Bisholt B, Ewertsson M, Kullén Engström A, et al. Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of nursing management. 2016;24(1):80–7.
Baharum H, Ismail A, McKenna L, Mohamed Z, Ibrahim R, & Hassan NH. Success factors in adaptation of newly graduated nurses: a scoping review. BioMed Central Nursing. 2023;22(1):125-51.
Goode CJ, Lynn MR, McElroy D, Bednash GD, & Murray B. Lessons Learned From 10 Years of Research on a Post-Baccalaureate Nurse Residency Program. The Journal of Nursing Administration 2013;43(2):73-9.
Phichitsiri S, & Pongrangsarn P. The relationship between exemplary leadership of head nurse and nurse job-satisfaction in lower northern regional hospital under Ministry of Public Health. NU Journal of Nursing and Health Sciences. 2020;14(3):107-19. (in Thai).
Kafle S, Paudel S, Thapaliya A, & Acharya R. Workplace violence against nurses: a narrative review. Journal of Clinical and Translational Research. 2022 ;8(5):421-34.
Baek GL, & Lee E. Impact of workplace bullying and resilience on new nurses’ turnover intention in tertiary hospitals. Nursing & health sciences. 2022;24(4):801-810.
Kamara GM, Yeşiltaş M, Jalloh AA, & Nwosu LC. Mediating role of job satisfaction in the impact of work-life balance on turnover intentions of hospital nurses: a case study of government hospital in Free town, Sierra Leone. Science Engineering and Health Studies. 2023;17(1):11-8.
Zuraff H. Shift work and its association with mental health outcomes: A Systematic Review. Int Journal of Research in Human Resource Management. 2025;7(1):147-53.
Lee SH, & Yi YJ. Work values and communication styles among Generation X,Y, and Z nurses: A cross-sectional study. International Nursing Review. 2024;71(1):115-21.
Dick TK, Patrician PA, & Loan LA. The Value of Nursing Care: A Concept Analysis. Nursing Forum. 2017;52(4):357-65.
Pressley C, & Garside J. Safeguarding the retention of nurses: A systematic review on determinants of nurse’s intentions to stay. Nursing open. 2023;10(5):2842-58.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of The Royal Thai Army Nurses

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.

