The Nurse Turnover Rate: A Case Study

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The nursing shortage in the United States is growing at an alarming rate. According to the United States Department of Labor, by 2024 the need for registered nurses will increase by sixteen percent due to growth and replacement. There are numerous factors contributing to the nursing shortage such as the aging of the current workforce, a reduction in nursing educators and a decrease in retention of new graduates. As the “baby boomer” generation ages, this increases the number of patients who will need care and also increases the number of current nurses who will be approaching retirement age and leaving the workforce (Zinn, Guglielmi, Davis & Moses, 2012). Turnover rates for new graduate nurses are highest in their first year of employment. However, nurse residency programs can be implemented to decrease turnover rates and increase retention.
The nursing shortage should be concerning for anyone in healthcare whether they are in a direct patient care position or not, due to the financial instability related to reimbursement methods. “When considering the difficult reimbursement environment hospitals find themselves in today, nursing executives should seriously consider a
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Yoder-Wise (2015) describes a shared governance as an organizational structure where nurses have authority to make decisions and accountability forms the foundation. In a shared governance structure, teamwork and conflict management are crucial (Yoder-Wise 2015, p. 149). Goode et al. (2013) found “residents in Magnet hospitals (when compared with non-Magnet hospitals) did gain significantly more in overall confidence and competence and in the organize-prioritize and communication-leadership factors”. This is also an example of a democratic style of management, because multiple people are involved in the process and share the decision making (Yoder-Wise 2015, p.

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