Exploring Factors of Sonographer Retention and Resignation: The Influence of Workplace Culture

Objective: Sonographers experience significant challenges in the workplace that can lead to occupational burnout, turnover, and attrition. This study examined factors that influence a sonographer’s decision to accept an employment position, remain, or choose to leave it. Materials and Methods: A survey was deployed to registrants of the American Registry of Diagnostic Medical Sonography, who were living in the United States. The survey tool collected data on participant’s demographics, education, certifications, work history, and variables contributing to job retention or resignation. Results: Of the 1831 sonographers who responded, 87% were female and 12.5% were male. Nearly 45% of participants had 22+ years of sonography experience. All specialties, work environments, and job titles were represented. On average, sonographers held 2 to 3 jobs, while 15% reported still being in their first position. The 3 most important factors in accepting a job were salary/benefits, schedule, and workplace culture (WC). The main factors contributing to resignation were work environment/colleagues, lack of administrative support, and schedule. Seventy-four percent recommended their workplace, citing respect, trust, teamwork, good management, quality care, autonomy, positive learning environment, and pay. Conclusion: Positive WC plays a unique role in retention of sonographers in the workplace and is a strong indicator of job satisfaction. These cohort findings can guide strategies to improve workplace conditions and reduce attrition.