Introduction: Nurses are now more likely to leave their current role in direct patient care than they were before the COVID-19 pandemic. Country culture and the organization of health care systems drive nurses' decisions to leave or stay in the profession.
Methods: In a fall 2020 survey of nurse professional quality of life, a content analysis of responses to the open-ended question, " was performed. Results were organized within Hofstede's Cultural Dimensions Theory.
Results: Six hundred and fifty-six nurses across five countries responded to the question; 526 comments were analyzed. Most (53.6%) respondents were staff bedside nurses. Themes, such as and were found and understood to reflect cultural values and dimensions such as and .
Discussion: Recommendations include strengthening culturally tailored leadership knowledge to inform and facilitate countries' nurse retention.
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