Exploring the reasons Rwandan nurses change employment status.
AIM: The purpose of the study was to explore the reasons that influence Rwandan nurses to change employment status. METHODOLOGY: The study used quantitative, exploratory, and descriptive design. A convenient sample size of eighty-eight (88) nurses, purposively selected using snowballing method, participated in the study from CAMERWA and RAMA organizations. Data was collected by use of a self -administered questionnaire, which had closed and open ended questions. Data were analyzed by SPSS 13.0 for Windows. FINDINGS: Low salary payments (53.8%),lack of policies and procedures( 42.5%), poor staffing in health care facilities (54.8%)and some respondents said they never choose to be nurses (31 %), and therefore they did not want to remain in nursing(23 .9%.) Reasons included lack of autonomy (65.9%), lack of promotion criteria (52.3%) Lack of career advancement and training were among the major reasons for change of employment status. Nurses however recommended that if the salary is increased, and opportunities for training and further education are improved then retention can be improved, CONCLUSION: Intrinsic and extrinsic factors were both identified as factors that influenced the nurses to change employment status, it is the government and the relevant healthcare facilities to pay attention to what motivates nurses, since they are the major role players in the health sector.