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Paper Details


Dr. Haddy Tunkara-Bah

Journal Title:International Journal of Medical Studies

Background: Human resources are the foundation of a health system and a key prerequisite for improving health outcomes. In recent years, there is a crisis in human resources for health in The Gambia due to high attrition rate of trained health care professionals. As employees leave an organization, they take with them much-needed skills and qualifications that they developed during their tenure. However, understanding the factors that satisfy or dissatisfy nurses can guide the development of interventions that can improve the working conditions and discourage attrition among them. Therefore, the purpose of this study was to determine the factors influencing the attrition of nurses in the Royal Victoria Teaching Hospital (RVTH). Methods: A descriptive study design was used and information was obtained through self –administered questionnaire from a simple randomly selected sample of 75 nurses. Data was analyzed with SPSS version 15 using descriptive and inferential statistics and the significant level was set at 0.05. Results: Findings from the study indicate that 24% of the respondents already left the hospital and 67% of those working with RVTH during the time of data collection reported that they had the intention to leave. Among those who left the hospital, most of them were trained midwives and had working experience of 10 years or more. The study respondents rated the hospital low in meeting their basic human needs. The main factors reported to be contributing to their attritions were low opportunity for promotion, management and financial problems, lack of self-esteem and self-actualization and low sense of love and belonging. Conclusion: The high rate of attrition among nurses in RVTH calls for urgent interventions that will include reviewing the remuneration of nurses and management reform that targets their human needs.