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Background: Nurses turnover intention, representing the extent to which nurses express a desire to leave their current positions, is a critical global public health challenge. This issue significantly affects the healthcare workforce, contributing to disruptions in healthcare delivery and organizational stability. In Ethiopia, a country facing its own unique set of healthcare challenges, understanding and mitigating nursing turnover are of paramount importance. Hence, the objectives of this systematic review and meta-analysis were to determine the pooled proportion ofturnover intention among nurses and to identify factors associated to it in Ethiopia. Methods: A comprehensive search carried out for studies with full document and written in English language through an electronic web-based search strategy from databases including PubMed, CINAHL, Cochrane Library, Embase, Google Scholar and Ethiopian University Repository online. Checklist from the Joanna Briggs Institute (JBI) was used to assess the studies' quality. STATA version 17 software was used for statistical analyses. Meta-analysis was done using a random-effects method. Heterogeneity between the primary studies was assessed by Cochran Q and I-square tests. Subgroup and sensitivity analyses were carried out to clarify the source of heterogeneity. Result: This systematic review and meta-analysis incorporated 8 articles, involving 3033 nurses in the analysis. The pooled proportion of turnover intention among nurses in Ethiopia was 53.35% (95% CI (41.64, 65.05%)), with significant heterogeneity between studies (I2 = 97.9, P = 0.001). Significant association of turnover intention among nurses was found with autonomous decision-making (OR: 0.28, CI: 0.14, 0.70) and promotion/development (OR: 0.67, C.I: 0.46, 0.89). Conclusion and recommendation: Our meta-analysis on turnover intention among Ethiopian nurses highlights a significant challenge, with a pooled proportion of 53.35%. Regional variations, such as the highest turnover in Addis Ababa and the lowest in Sidama, underscore the need for tailored interventions. The findings reveal a strong link between turnover intention and factors like autonomous decision-making and promotion/development. Recommendations for stakeholders and concerned bodies involve formulating targeted retention strategies, addressing regional variations, collaborating for nurse welfare advocacy, prioritizing career advancement, reviewing policies for nurse retention improvement. [ABSTRACT FROM AUTHOR]

To explore the challenges experienced by nursing students during their internship at the highest institutions in Addis Ababa, Ethiopia.Methods: This phenomenological study was conducted with seven purposively selected nursing student participants to explore the challenges. Data were collected using a semi-structured interview guide with open-ended questions; telephone interviews were done, and notes were organized from May to July 2022. Content thematic analysis were done using the seven-step approach of Colaizzi's framework of analysis.Results: Five themes were identified, namely: nursing students' factors; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints were among the challenges experienced by nursing students. Participants raised that low motivation and willingness to learn among nursing students, lack of support and guidance, large number of students per clinical attachment, improper assessment methods, lack of learning equipment, lack of sufficient time for simulations (skill laboratory demonstration), and poor time management for theory and practice activities were some of the specific challenges they faced during their clinical internships.Conclusion: The challenges nursing students at the highest institutions encountered during their internship were factors related to nursing students; role model-related factors; factors related to instructors; factors related to the responsibilities of the institutions; and factors related to time constraints. Therefore, effective communication and understanding among concerned bodies are needed to better reflect these challenges, and an appropriate plan and intervention should be done to improve students' clinical supervision and support. [ABSTRACT FROM AUTHOR]