Experience and Perceptions of Retention Strategies in District Nursing Services: A Web-Based Mixed Methods Cross-Sectional Survey.

The response rate could not be calculated because the total membership of the online networks used for recruitment was unknown. The study relied on self-report for all data, including the socio-economic status of the work area, rather than objective measures. No information was gathered on participant demographics such as age, ethnicity or years of experience, which could influence perceptions of retention strategies. The survey was conducted only in England within a specific NHS funding context, so findings may not apply to other countries or health systems. The study design is cross-sectional, so it cannot establish causality between specific strategies and actual retention rates.

The authors declared no conflicts of interest. The study was funded by the General Nursing Council for England and Wales Trust.

Do not interpret the reported associations between socio-economic area, pay band and strategy experience as evidence that implementing these strategies will directly cause improved retention. The study is cross-sectional and relies on self-reported perceptions of effectiveness, not objective turnover data linked to specific interventions.