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  1. While it is conceptually established that nurse turnover negatively affects care quality outcomes, previous studies have focused on the antecedents of nurse turnover (Hayes et al., 2012; O'Brien-Pallas et al., 2006), while few have empirically investigated the consequences of nurse turnover, especially the effect of nurse turnover on care quality (Leiter & Maslach, 2009; O'Brien-Pallas et al ...

    • Method
    • Data Analysis
    • Results
    • Discussion
    • Study Strengths and Limitations
    • Conclusion
    • Key Points
    • CPD Reflective Questions

    The Preferred Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist and flow diagram were used to design and report the review process (Moher et al, 2015) (Figure 1). Figure 1. Flow diagram of included and excluded studies

    Qualitative data analysis through thematic indexing of identified recruitment and retention factors was used. Items were aggregated to provide an overall total number of factors in each thematic group.

    The online search strategy retrieved 4864 records. Of these, 2138 duplicates were excluded, leaving 2726 articles, of which 2284 articles were then excluded after screening by title, leaving 442 articles, of which 374 were excluded after screening by abstract, which were assessed for eligibility. Sixty-eight full-text studies were screened, yieldin...

    This study provides an up-to-date overview of the evidence on barriers to the retention of nurses in hospital settings, which include: poor nursing leadership and management, lack of educational opportunities and career progression, the organisational culture and environment, working terms and conditions, demographic and personal challenges. The th...

    The authors conducted a comprehensive search strategy with strict adherence to PRISM guidelines (Moher et al, 2015). The search strategy, data extraction and quality assessment were all performed independently by the authors and consensus on the findings was reached among the team. However, the review focused on retention factors for hospital nurse...

    Globally, healthcare institutions are striving to address nursing shortages, a problem that has been heightened by the COVID-19 epidemic. Many of the identified factors that affect staff turnover require immediate evidence-based co-operative strategies between both employees and employers. Nursing shortages inevitably have a direct impact on patien...

    Nursing shortages inevitably have a direct impact on patient safety and the quality of care delivered
    Turnover factors observed across studies have not changed over time
    There is an urgent requirement to develop and implement strategic policy and clinical practice responses to address high nurse turnover rates
    What can you do to reduce staff turnover in your clinical setting?
    Does your healthcare organisation have nurse retention strategies? If so, can you identify and outline your individual responsibility and your organisation's responsibility to ensure these can succ...
    Identify current national policies to address nursing staff shortage and reflect on how these policies influence your daily practice
    Consider the themes highlighted in this review and how they affect patient safety
  2. Apr 18, 2017 · Because employee turnover is a key performance indicator that directly impacts a number of critical operational variables, a well-researched and collaboratively designed turnover reduction initiative, such as outlined here, including the contributions of human resources staff, hospital executives, and department/unit management, can serve as a valuable support system and resource.

    • Emma Kurnat-Thoma, Mary Ganger, Kelly Peterson, Lesley Channell
    • 2017
  3. Jul 20, 2024 · Aim.To establish current evidence on the relationship between transformational nursing leadership and turnover intention. Background.The persistent nursing shortage in healthcare has led to heightened demands for addressing both current needs and the healthcare requirements of a growing population.

  4. journals.lww.com › nursingmanagement › FulltextNursing Management - LWW

    Method 2 is a strategy using the variable staffing plan to determine the number of clinical nurses needed in a department. (See Figure 2.)A variable staffing plan is a guide displaying the number of staff members needed to provide the necessary care hours, which varies based on patient census and types of care that patients require. 5 The variable staffing plan provides the number of clinical ...

  5. Oct 10, 2023 · Introduction Globally, hospitals are confronted with major challenges of turnover of nurses. Knowledge of the factors that account for the turnover of nurses will aid in creating strategies that will enhance nurse managers’ leadership behaviour and job satisfaction to reduce turnover. The study, therefore, investigated the mediating role of job satisfaction on toxic leadership and turnover ...

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  7. Oct 10, 2024 · Background Team-based primary care (PC) enhances the quality of and access to health care. The Veterans Health Administration (VHA) implements team-based care through Patient Aligned Care Teams (PACTs), consisting of four core members: a primary care provider, registered nurse (RN) care manager, licensed vocational nurse, and scheduling clerk. RNs play a central role: they coordinate patient ...