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Nadeem Khan is originally from Pakistan. He joined Oxford Brookes as a research student in the Oxford Institute of Nursing and Allied Health Research (OxINMAHR) in 2016. His thesis title is ‘What factors influence nurses’ intention to leave the adult critical care settings?’
I have been living in Oxford for a while now and have studied multiple courses at Oxford Brookes University including PGCert, BSc (Hons) and Critical Care Course. Oxford Brookes University is like a second home to me.
Having qualified and practiced professionally in a large surgical ICU in Pakistan I decided to move to the UK to develop my career in nursing. I progressed to become a lead nurse in oncology before moving to critical care where I have continued to develop my clinical, managerial and teaching roles. I currently work as a Professional Development Nurse in Adult Critical Care.
The primary aim of my research project is to explore factors influencing nurses’ intention to leave the adult critical care areas. The project also aims to develop strategies that could improve retention of critical care nurses, and to contribute to the body of knowledge and develop insights into the factors influencing the stability of the critical care nursing workforce
The shortage of specialist nurses has been an issue for many decades. Although all areas of nursing are affected, critical care areas are especially vulnerable to recruitment and retention problems. A systematic review highlighted that nursing workforce shortages is a global issue affecting both developing and developed countries and more prominent in specialist areas such as critical care. High nurse turnover in critical care areas has financial implications in terms of the resources required to recruit and retain additional nurses and impacts staff morale, productivity, patient safety and quality patient outcomes.
Although high nursing turnover in critical care areas is evident, research into the factors that influence nurses’ intention to leave critical care areas is lacking. A decade ago, medical colleagues acknowledged the issue of high nurse turnover in critical care areas suggesting that efforts should be made to reduce turn over, increase retention and improve working conditions. More recently, high turnover and the issue of nurse retention were highlighted in the British Association of Critical Care Nurses (BACCN) conference by speakers from national and international healthcare and academic organisations. As the need for research in this area is evident, this proposed study aims to provide greater insight into the issues surrounding nurses’ intention to leave the critical care areas and use these insights to develop strategies that could improve the retention of this valuable workforce.
I love being a research student. Despite its challenges and hard work, I really enjoyed my first year and successfully completed a systematic literature review. The biggest challenge for me is to study with full time work and not being able to continue working on a project without having a break for work. Therefore, I have to be super organised.
My plans include finishing my PhD project on time and to a high standard. I am a critical care nurse and I shall always remain a critical care nurse. The dream job would be to become a ‘clinical academic’. I plan to be in a patient facing role where I can give bedside nursing care, but also a role where I can further educate and practice and expand the evidence base to high quality healthcare.