2.50
Hdl Handle:
http://hdl.handle.net/10755/304264
Category:
Full-text
Type:
Presentation
Title:
Nurse Turnover, Patient, Nurse, and System Outcomes
Author(s):
Roche, Michael A.; Duffield, Christine
Lead Author STTI Affiliation:
Non-member
Author Details:
Michael A. Roche, RN, PhD, MHSc, BHSc, DipAppSc, CertMHN, michael.roche@uts.edu.au; Christine Duffield, RN, PhD;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose:

Workforce shortages and retention are critical issues facing healthcare organizations. Turnover rates in Australia have been estimated at between 12% and 38% and internationally from 14% to 39.2%. Both individual and organisational factors have been linked to turnover, but the impact of turnover on nurse and patient outcomes has been less frequently examined. This study describes the rate and costs of nurse turnover in Australia and the impact of turnover. It is part of an international project to examine the cost of nurse turnover and the impact of turnover on patient safety and nurse health and safety outcomes.

Methods:

Data were collected on 62 nursing units in 11 public general acute hospitals in Australia, for two three-month periods each, between 2008 and 2010. Data included details of turnover, a unit profile, patient outcomes, the nurse practice environment, job satisfaction and other information. Turnover was defined as the voluntary transfer or resignation of nurses from their position. Ethics approval was granted. A total of 1673 Nurse Surveys were received (44% response) and over 5000 patient files were audited. In accordance with previous research that found significant differences between nursing units, data were described and correlational analyses undeertaken at that level.

Results:

Turnover rates showed substantial variation between units. The temporary replacement of staff vacancies represented the largest proportion of turnover costs. Patient falls, medication errors and other patient outcomes also varied per unit, and were associated with nurse experience and the practice environment. There was a relationship between nurse turnover, long work hours and the practice environment.'

Conclusion:

Nurse turnover rates and costs are significant challenges to hospitals, but vary substantially between organisations. Improvements to the nursing practice environment, including access to continued education, career development opportunities and enhanced continuity of care, may influence turnover rates and patient outcomes.

Keywords:
Nurse staffing; Practice environment; Nurse turnover
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNurse Turnover, Patient, Nurse, and System Outcomesen
dc.contributor.authorRoche, Michael A.en
dc.contributor.authorDuffield, Christineen
dc.contributor.departmentNon-memberen
dc.author.detailsMichael A. Roche, RN, PhD, MHSc, BHSc, DipAppSc, CertMHN, michael.roche@uts.edu.au; Christine Duffield, RN, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/304264-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> <p>Workforce shortages and retention are critical issues facing healthcare organizations. Turnover rates in Australia have been estimated at between 12% and 38% and internationally from 14% to 39.2%. Both individual and organisational factors have been linked to turnover, but the impact of turnover on nurse and patient outcomes has been less frequently examined. This study describes the rate and costs of nurse turnover in Australia and the impact of turnover. It is part of an international project to examine the cost of nurse turnover and the impact of turnover on patient safety and nurse health and safety outcomes. <p><b>Methods: </b> <p>Data were collected on 62 nursing units in 11 public general acute hospitals in Australia, for two three-month periods each, between 2008 and 2010. Data included details of turnover, a unit profile, patient outcomes, the nurse practice environment, job satisfaction and other information. Turnover was defined as the voluntary transfer or resignation of nurses from their position. Ethics approval was granted. A total of 1673 Nurse Surveys were received (44% response) and over 5000 patient files were audited. In accordance with previous research that found significant differences between nursing units, data were described and correlational analyses undeertaken at that level. <p><b>Results: </b> <p>Turnover rates showed substantial variation between units. The temporary replacement of staff vacancies represented the largest proportion of turnover costs. Patient falls, medication errors and other patient outcomes also varied per unit, and were associated with nurse experience and the practice environment. There was a relationship between nurse turnover, long work hours and the practice environment.' <p><b>Conclusion: </b> <p>Nurse turnover rates and costs are significant challenges to hospitals, but vary substantially between organisations. Improvements to the nursing practice environment, including access to continued education, career development opportunities and enhanced continuity of care, may influence turnover rates and patient outcomes.en
dc.subjectNurse staffingen
dc.subjectPractice environmenten
dc.subjectNurse turnoveren
dc.date.available2013-10-22T20:32:20Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:32:20Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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