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Nursing turnover: costs, causes, & solutions
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Benchmark-Effective Approaches in Leadership and Management
Nursing Shortage and Nurse Turn-over Nursing shortage is the main issue result in nurse turnover. This is very real in now a day. According to Booyens 64% of turnover can be avoidable but organizations failed to keep the employee. However 36% of turnover considered being unavoidable due to various life events. (Booyens, S. 2007). Nursing shortages and turnover continuous to present critical challenges in the all levels of healthcare. Several factors explain the cause of nursing turnover. Most of the time nurses supposed to work under stressful conditions for long hours, which can lead to job burnout and dissatisfaction results in making mistakes and errors can affect quality of patient
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However, the different methods of leadership and management to the issue can help to improve the nursing satisfaction and healthy work environment..
Nursing leaders vs. Managers The management and leadership are different things, but some situations, both overlap and sound similar. They focus on different areas and but they both are important in the process to accomplish the desired outcome. Management is defined as the coordination and integration of resources through planning, organizing, coordinating, directing, and controlling to accomplish specific institutional goals and objectives (Huber 5). The nurse managers have various roles in leading their unit. A manager role includes is to be a leader as well as a follower. Nurse managers face challenges due to ineffective skills. One of the problems due to ineffective leadership skill is nursing shortage and nurse turnover. They have the responsibility of developing and dealing the relationships with higher authorities, colleagues, and staff for achieving the goal. They need to assess the work environment continuous to make sure that are maintaining a healthy, positive work place, especially in the staffing and workload. The nurse manager with effective leadership and communication skills are capable of managing the
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A leader is the one who works with the team to develop and achieve the future goals and objectives. (Yoder-Wise 35.). Unlike manager’s leaders doesn’t have the authority to get others to do things. Leadership is more about how people behave and how people engage with others. Anyone with communication skills, influence and motivate others to complete the task can be a leader. When there is a crisis, a leader could communicate with the team and ensure that they have understood the given task and make sure the team doing right. . Clancy (2003) noted that leaders need to “consistently find the courage to hold true to their beliefs and convictions” (p. 128). (Huber 7). A leader supposed to be a problem finders and problem solvers. If any problems in the workplace for others leaders supposed to help them to overcome their problems. Few reasons for staff shortage and turnovers due to feeling overworked, less recognition for their work, etc. The work of McDaniel and Wolf (1992), Taunton, Boyle, Woods, Hansen, and Bott (1997), research from Magnet hospitals (Scott, Sochalski, & Aiken, 1999), and work by Shobbrook and Fenton (2002). All these studies have denoted leadership behaviors that include supportive and encouragement of staff, high vision, and willingness to share leadership responsibilities positively influence staff nurse retention. The AONE (2002) reported that hospitals who proved with great
The nursing shortage and turnover are an issue that continually, constantly and bedevils the nursing leaders and managers. Without sufficient numbers in nursing, patient care and safety is considerably compromised, with lapses in service delivery, overworked and overwhelmed nurses more prone to making mistakes and across board dissatisfaction. Nursing shortage leads to nurse turnover because of the ones carrying our nursing duties are finding it hard to meet the demand, and they eventually burn out. This paper critically examines the issues of the nursing shortage and turnover and how the nurse leaders and managers can tackle the situation, easing the outcomes (The Truth About Nursing, 2012).
As the forthcoming nursing shortage threatens the United States, organizations must be knowledgeable in the recruitment and retention of nurses. The challenge facing health care organizations will be to retain sufficient numbers of nurses to provide safe, efficient, quality care to patients. Organizations will look to recruit and attract quality nurses to fill vacancies. As turnover in nursing is a recurring problem, health care organizations will look for strategies to reduce turnover. The rate of turnover for bedside nurses in 2013 ranged from 4.4 to 44.6% (American Nurses Association, 2013). Nurse retention focuses on keeping nurses in the organization and preventing turnover. The purpose of this paper is to discuss the significance of recruitment and retention of nurses, review the literature, and explore how recruitment and retention apply to nursing.
With the ongoing changes in the healthcare field, nursing workforce retention presents itself as one of the greatest challenges facing healthcare systems today. According to the American Nursing Association, nursing turnover is a multi-faceted issue which impacts the financial stability of the facility, the quality of patient care and has a direct affect on the other members of the nursing staff (ANA, 2014). The cost to replace a nurse in a healthcare facility ranges between $62,100 to $67,100 (ANA, 2014). The rising problem with nursing retention will intensify the nursing shortage, which has been projected to affect the entire nation, not just isolated areas of the country, gradually increasing in its scope from 2009 to 2030 (Rosseter, 2014). The nursing shortage is directly related to the increased rate of the population growth, the decrease in enrollment of new nursing students, the aging population as well as the problem of nursing retention (STTI, 2014). In order to determine interventions that are necessary to retain the nursing workforce, evidence-based research must be reviewed to understand strategies needed to alleviate this problem. The literature reviewed shows a direct relationship between nursing retention and the satisfaction of the nurses with the environment in which they work. The healthcare environment, as seen from a nurse’s perspective, is affected by many factors such as the autonomy of the nurses, the support from leadership, the opportunities for professional development and the quality of the relationships between the nurses and other disciplines. These factors should be analyzed and then interventions should be undertaken to improve these aspects of the nursing environment and minimize items that le...
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
First, Allen and Dennis states leadership and accountability go hand in hand. This study shows that nurses are incompetent because they lack sufficient leadership skills. They do not have the ability and skills to manage with compassion and/or competence. Also, they do not empower their team to be sufficient. So why were they hired in the first place if they lacked the necessary skills to perform their jobs? Sometimes, organizations fill the opening because they are desperate to get help. But this causes hospitals to fail. When managers are ineffective, there is overall failure. Managers and nurses alike lose sight of their purpose because they are overworked and lack guidance from senior management. They are told to work harder and smarter but do not have the necessary tools to perform their jobs successfully. By providing efficient training and tools, these nurses were able to provide better care and became more sufficient (Allen and Dennis, 2010).
However, upon securing a job, they find that things on the ground are not as they had expected them to be and this results in some of them deciding to leave the profession early. Research shows that turnovers within the nursing fraternity target person below the age of 30 (Erickson & Grove, 2011). The high turnover within the nursing fraternity results in a massive nurse shortage. This means that the nurses who decide to stay have to work for many hours resulting in exhaustion. A significant percent of nurses quitting their job sites exhaustion and discouragement as the reason that contributed to their decision. In one of the studies conducted on the issue of nurse turnover, 50% of the nurses leaving the profession argued that they felt saddened and discouraged by what they were unable to do for their patients (Erickson & Grove, 2011). When a nurse witness his/her patients suffering but cannot do anything because of the prevailing conditions he/she feels as if he/she is not realizing the reason that prompted him/her to join the nursing profession. The higher rate of nursing turnover is also affecting the quality of care nurses provide to
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
In addition to concerns about the adequacy of the supply of nurses the financial impact of high turnover was startling. According to Jones (2005) Using the updated Nursing Turnover Cost Calculation Methodology, the per RN true cost of nurse turnover is calculated to be 1.2–1.3 times the RN annual salary. That estimate is derived from a retrospective, descriptive study of external RN turnover cost data at an acute care hospital with over 600 beds. The findings indicate that the three highest cost categories were vacancy, orientation and training and newly hired RN productivity. (as cited in Kooker & Kamikawa, C. 2011). For example, At the Queen’s Medical Center, the annual salary of an experienced RN is currently $91,520. Therefore, using the
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
Registered Nurse turnover is a continuous problem in the nursing profession. Turnover in this context is simply defined as “someone leaving a job” (Kovner, Brewer, Fatehi, & Jun, 2014). Some aspects of nurse turnover can be viewed as positive, however, most circumstances of turnover are seen negatively and can be referred to as functional versus dysfunctional. The difference between the two is a “functional turnover, a poorly functioning employee leaves, as opposed to a dysfunctional turnover, when well-performing employees leave” (“One in Five nurses leave First job within a year,” 2014). The nursing profession’s recommendation for improvement focuses on dysfunctional turnover of Registered Nurses. Nurses choose to leave their jobs to explore
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Manager and leader are often used interchangeable. They both have different distinctive features in the role that they play. Management is a problem oriented process whom coordinates the activities of the group to maintain balance and direction (Zerwekh & Claborn, 196). Leader on the other hand One nursing leader or manager that I could think of that satisfies the role of a nursing manager is a nursing supervisor that currently works at my job. She has been a nurse for over twenty years. She graduated from the University of Connecticut with the bachelors of Science in nursing and worked five years at St. Francis Hospital as a staff nurse on the cardiac floor. She then moved to Atlanta, Georgia, where she obtained her masters of science in advanced nurse practitioner at Chamberlain College. After ten years of service at the VA hospital as a nurse practitioner, she moved to Connecticut where she works as a nursing supervisor; she also held teaching positions at a few nursing schools, works at a doctor’s office and currently working on her doctoral degree. She is the nursing supervisor at my job for almost ten years. The job responsibilities include providing patient care as well as overseeing all nursing staff in the entire facility. Also, she ensures there are adequate nursing staff during the shift interacts with families and patients and works with other healthcare providers to solve any problems that arise during the shift. In addition to directing and supervising all aspect of patient care, she also collaborates with other members of the healthcare team to provide the most efficient care. Based on the description of my supervisor, the knowledge about the difference between a manager and leader and observing her role as a nursi...
These characteristics of a nurse manager show how their leadership plays a role in their position in the nursing field. Without this position in the nursing structure, it would be very difficult to produce positive results in providing optimal patient ca...
Singh and Loncar utilized information from two hundred registered nurses who are union members to gain insight upon the changes nursing and hospital management should make to reduce turnover among the nursing staff and gain the maximum benefit from their employee investment. Employees who become disproportionally dissatisfied with their employment fail to strive for the best possible output and instead perform to the bare minimum of standards. This may cause failure to meet service standards, leading to customer dissatisfaction.