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Turnover in nursing introduction
Turnover in nursing introduction
Literature review on nurses retention
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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. Significance of Recruitment and Retention “In 2010, the US Department of Labor Statistics (DLS) projected a 22 percent increase in the demand for RNs or 581,500 new jobs by 2018, to total a projected 1,039,000 jobs needed to be filled by 2018” (Cottingham, DiBartolo, Battistoni, and Brown, 2011, p. 250). It is imperative that strategies be implemented to improve the recruitment of nurses to meet the needs. Without improvements in the recruiting of new grads or seasoned nurses, organizations will need to rely on expensive agencies and traveling nurses; therefore, causing a financial burden on organizations (Cottingham et al., 2011). Recruitment becomes a greater challenge in organizations with high turnover due to the increased number of vacancies. Nationwide, only 14% of employees feel satisfied with their jobs (Clawson & Haskins, 2011). This lack of satisfaction can... ... middle of paper ... ...pected to approach 500,000 by 2025, and today 30-50% of RNs leave their practice setting or even the profession within three years of graduating (MacKusick & Minick, 2010). Nursing leaders can use all of the strategies described above to help retain nursing staff. Their success is vital to ensure safe staffing, judicious use of health care dollars, and a high level of expertise at their institutions. Conclusion Being aware of recruitment and retention strategies is a must for a nurse manager. As leaders, we must take the time to invest in our future nurses by utilizing evidence-based practices to ensure our profession thrives and can continue to provide safe, high-quality care to our patients. Being aware of recruitment and retention strategies is necessary in this ever changing world of healthcare to ensure we have competent nurses to carry us into the future.
Zimmerman, C. & Ward-Smith, P. (2012). Attrition of new graduate RN: Why nurses are leaving the profession. Retrieved from http://mlppubsonline.com/display_article.php?id=1094500.
"Projected Supply, Demand, and Shortages of Registered Nurses: 2000-2020." American Health Care Association. U.S. Department of Health and Human Services, Jul 2002. Web. 10 Mar 2012.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
RNs are on the top of the list of jobs open in health care, and are also in the top ten to have open jobs (Damp). In the US there are approximately 3.1 million RNs; they make up about seventy percent of a hospital staff. Nurses aren’t only women now; statistics have shown that the amount of men in the nursing field is growing (Cardillo). Nursing is expected to be in a higher demand in cities, and small areas. It is expected for it to grow twenty-six percent in the next few years ("Degree Programs for Registered Nurses”). Facilities are never over staffed; nursing jobs will always be
With the passage of the Affordable Care Act, more Americans than ever now have access to healthcare services. This may seem like a good thing since nurses play such a vital role in the administration of preventative and routine care (two of fastest growing areas of healthcare). But in reality, the United States has a massive nursing shortage and the problem is likely to only get worse. Due to the influx of patients into the healthcare system and the aging and retirement of baby boomers, nursing positions aren't being filled fast enough to keep up with demand. In fact, 2-3 million baby boomers will age into Medicare every year for the next 30 years. For this reason, the need to fill nursing positions will outpace nearly all other fields.
In the most practical terms, the United States is still facing a major shortage of nurses. Simultaneously, the U...
This job position is needed in locations all around the world. To obtain a bachelor’s degree as a registered nurse takes four years. Over those four years, paying for college expenses can often become costly. However, the years of school gives reward nurses job security due to their high demand. There will be a variety of options and opportunities for employment, and nurses will not have to be in fear of finding a job or being laid off. As the Bureau of Labor Statistics states, “There were 2.7 million registered nurses employed in the U.S. in 2014. That number will grow to 3.19 million by 2024, according to projections” (“Registered Nurse-A Career Guide bls.gov). Those numbers allow society to see the growth in the nursing industry. Because nursing is a job in high demand, it will only continue to grow. In addition to job security, a good salary is another advantage to being a registered
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,
There is and has been a shortage of nurses in the United States and according to The AACN (n.d) the nursing labor force is expected to grow from 2.7 million in 2012 to 3.24 million in 2022, which is a 19% increase. According to Gallup (2002) in 2002 there were 126,000 unfilled nursing positions and in 2020 that number will grow to a total 400,000. There are several recruiting tactics that healthcare organizations can perform, increase salary, offer hiring bonuses, offer high quality benefits and offer financial support for nursing education. Pay structure within an organization is important on being able to hire talented nursing professional, according to Noe, Hollenbeck, Gerhart & Wright (2014/2016) they are not lowering the pay of current
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
I think the healthcare industry will constantly have an issue with recruiting health care workers of any kind. It is such a difficult job that one will not fully understand until they have worked in the environment. People need to have a better understanding of the challenges health care workers face on a daily basis. This could be anything from the workload, poor salary, not enough staff members, to poor organization. The health care industry is a life and death business that affects everyone working within that facility. It has bad days and good days. Professionals can bring all the resources in that they have to keep the workers within their facility but the turnover rate will still constantly be on the rise. I think is due to the fact that RNs do not fully understand the difficulty of the job until they experience it first hand.
...parture from the nursing profession or retirement from the line of work. Several key elements have been established throughout the research that lead to theses nurses feeling the need to retire and include: burnout, physical demands, mental health, linkage to the organization, hours worked, organizational culture, work intensity, and fiscal requirements. Organizations are beginning to establish evidence-based strategies in an effort to retain older registered nurses. Human resources are beginning to formulate policies and procedures to meet the needs of these aging nurses, which focus on their safety, stress levels, preferred work setting, schedule, and job satisfaction. The ability to delay retirement of these nurses or creating career paths that help facilitate a transition to a different work setting could help ease the shortage of nurses in the next decade.
Employee retention is a practice in which the employees are convinced to stay in the organization for the most period of time or until the accomplishment of the plan. There is no scarcity of opportunities for a capable person. There are countless organizations, which are looking for such employees. If individuals are not satisfied by the job they are doing, they might switch over to some other more appropriate job. In today’s upbringing it turns out to be very imperative for organizations to retain their employees (Dibble, 2000). Employee retention is supportive for the organization with that of the employee. Employees today are diverse. They are not the ones who don’t have first-rate opportunities in hand. As soon as they dissatisfy with the current organization or the job, they switch over to the next job. It is the duty of the organization to keep their paramount employees (Phillips and Connell, 2003). Employee retention concerns taking measures to convince employees to remain with the organization for the most period of time. Today employees’ retention has become the major issue for organizations. Hiring knowledgeable workers for the job is essential for an organization. However retention is even more crucial than hiring (Inkson, 2007).