Essay On Nurse Turnover

Improved Essays
Nurse turnover represents a significant cost burden to the Canadian health system and places patients at risk. According to the CNA, on average, one in five nurses working in Canadian hospitals leaves their job each year; costing the institution on average $25,000. Lowering nurse turnover will not only promote a more stable nursing workforce, but will also; increase job satisfaction, reduce overtime hours, and reduce the probability of medical error (O’Brien, Tomblin, & Shamian, 2008). Investing in transformational leadership and utilizing Kotter’s Eight-Stage Change Process will help reduce turnover of nurses, which will in turn improve patient outcomes and reduce costs.
Nursing shortages and high turnover rates have become a huge challenge for health care organizations all over the world. High turnover rates are not only costly, but affect quality of care, patient safety, and patient satisfaction (Sellgren, Ekvall, & Tomson,
…show more content…
Nursing staff turnover has been a major problem for many years. The focus of the health care system however, has remained on effectiveness and productivity rather than job satisfaction. A study by Sellgren et al. (2007) suggests that money spent on recruitment, orientation, and training of new employees, could instead be better spent reducing staff turnover, by establishing a workplace that values the current employees. Similarly, Mohammad (2015) associated better leadership on patient care units with improved mental health among nursing staff, increased job satisfaction, and higher staff productivity. Promoting a style of leadership that focuses on the wants, aspirations, and needs of the followers; as characterized by transformational leadership; would help to establish a workplace where nurses feel

Related Documents

  • Improved Essays

    Bedside Rounding

    • 804 Words
    • 4 Pages

    From experience, we know people often struggle with change in the workplace, which can in turn create resistance within. Yoder-Wise (2015), outlines Beven’s Seven Change Factors as an effective means to successfully promote change in the controlled chaos of healthcare and include clarity, engagement, resources, alignment, leadership, communication, and tracking. As the nurse-manager, nursing staff will be informed of the need for change and proposed method. Next, requesting input and ideas will promote employee engagement.…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Zinn et al. (2012) found that when a new graduate nurse leaves his or her job within the first year, the turnover cost can range from $22,420 to $77,200 while the estimated cost of orientating a new employee ranges from $8,000 to $50,000. Consequently these figures provide a powerful reason to find sustainable programs for recruitment and retention. These high turnover rates weaken the ability of care teams to ensure quality patient care outcomes (Zinn et al., 2012). The American Association of Colleges of Nursing recognizes the importance of and highly recommends nurse residency…

    • 761 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Leadership and management are an integral part of every nurse’s job, from staff nurse through to those in official executive roles. Management responsibilities such as organising, planning, delivering and evaluating care are activities that a nurse will enagage with every single day while at work. With an ever-limited and aging workforce, a decrease in available resources, a more acutely ill patient population and a profound period of change within the National Health Service (NHS) today’s health care workers are exposed to high stress levels to meet the demands required of them, which is resulting in effective nursing leadership and management being a challenging and difficult task.…

    • 395 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Roussel, L., Thomas, P., & Harris, J. (2016). Management and leadership for nurse administrators. (7th edition). Boston: Jones & Bartlett. ISBN: 9781284067620 Waxman, KT. (2013).…

    • 919 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    In 2013, the Bureau of Labor Statistics reported data listing Registered Nurses (RNs) among the top occupations in terms of job growth through 2022 and due to the expected growth of the RN workforce, the Bureau also projects the need for 525,000 replacement nurses in the workforce. Consequently, the ability of the nursing workforce to sustain itself is severely threatened (Laschinger, Grau, Finegan, & Wilk, 2010). Newly graduated nurses, representing the future of the profession, are a key resource for addressing the nursing shortage and will become a precious health human resource. Stressful working conditions, however, result in an alarmingly high rate of burnout and turnover within their first few years of practice; the high nurse turnover…

    • 186 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Everyone knows most of that is not going to happen. I believe the nurse to patient ratios and increased demand on getting patients length of stay has become a huge problem when it comes to turnover and burnout in nursing. Cho, Park, Jeon, Change, and Hong (2014) stated that due to the increased demand and turnover, it is affecting nurses stress, fatigue, sleep habits, and overall job…

    • 1158 Words
    • 5 Pages
    Great Essays
  • Decent Essays

    Turnover In the healthcare setting, it has been studied that within the current staffing, scheduling, and patient care levels, something are needed to be done to avoid unsafe circumstances (Richards). If any of these examples become a problem, a nurse may start to think of turnover. Turnover is the effect of quitting a job. Richards states that in the nursing field, it is common for nurses to turnover because of how little time they get for themselves or sleep time (Richards).…

    • 231 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Defining what leadership is, who leaders are, and what leaders do is not easy (Grossman & Valiga, 2017). Some of the classic theories include Great Man Theory, Trait Theories, Situational Theories, Contemporary Leadership Theories, Transformational Leadership, Authentic Leadership, and Adaptive Leadership. Applicable to this case study is the transformational leadership. This theory was first introduced by Burns (1978), and he described it as being context based, a process for motivating followers believing in similar internal values directed toward the “greater good”, and having an emphasis for leaders and followers to enjoy a close bond (Grossman & Valiga, 2017). In this case study, this type of leadership fits the charge nurse because it emphasizes how nurses need to lead in order to be able to make a difference and consistently provide a high quality of care (Grossman & Valiga, 2017).…

    • 929 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Grace Kondourajian Mrs. Klenke English III, Period 4 3 December 2015 Nursing Needs The nurses of every hospital are the glue that keeps things running smoothly and proficiently. Decades have suffered from the shortage of nurses all around the world. The shortage of nurses is an issue that affects almost every branch of health care. USA today addressed the topic with some shocking statistics:…

    • 1369 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Nurse Burnout

    • 1072 Words
    • 5 Pages

    Nurse turnover causes a work environment of nurses who do not want to approach one another (O’Brien-Pallas, et al p.170). An example of how this can be harmful is that nurses may not get along with another to the point that the focus on the patient is lost. Many areas within the healthcare system can be affected such as human resources and administrators. Nurse shortages can cause policy manufacturers, supervisors, and nurses to not have human resource planning in the hospital (O’Brien-Pallas, et al 170). The inability to keep nurses or replace them efficiently is a problem related to not having human resource planning.…

    • 1072 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    1. Staff shortage is one of the biggest issues in many health care organizations in the united states. It has a direct relationship with the poor patient outcomes and unstable health care system. In our department as we all noticed that every month we have to provide orientation to the new nurses and other health care providers, which has a negative impact on the health status of patients. Old staffs are more experienced than new staffs so they have better skills and knowledge to deal with health care challenges so it is most crucial to minimize the shortage of staffs.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    If willing, management and nurses themselves have the opportunity to change the system they work in to improve it. Discussing change is good, but how does one start to actually initiate the needed change? Fortunately, there are change theories that explain…

    • 1295 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The economic downturn of the 1990s created a need for more cost effective health care practices in Canada. Baumann & Blythe (2003) observed that during this time, reducing expenses became the focus for governments and institutions, and the majority of hospitals used a bookkeeping method of restructuring (p. 1566). Thus, the easy option of reducing human resources, the largest expenditure in running health care institutions, was taken without carefully planning and considering indirect or long-term outcomes (Baumann & Blythe, 2003, p. 1566). This resulted in many cuts to the nursing workforce, the largest group of health care professionals (for example, the number of registered nurses in Ontario dropped by 8000 from 1995 to 1998) (Baumann &…

    • 1494 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…

    • 839 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In 1998, a nursing shortage began due to the confluence of several factors that were, at the time, unknown. The lack of nurses is becoming apparent and putting out negative effects for the world to see through the registered nurses habits in caring for these patients. Hospital administrators suggested higher wages and increased training for nurses; however, efforts to provide these did not end the shortage. The controversy here is higher wages cannot make up for being intensely overworked, causing severe exhaustion and job dissatisfaction…but some people are still trying to increase wages without reducing workload. Because many aspects of society are affected, the nursing shortage has become a concern among hospital administrators.…

    • 1446 Words
    • 6 Pages
    Improved Essays