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Characteristics of the Nursing Practice Environment Associated With Lower Unit-Level RN Turnover

Published on Jan 1, 2018in Journal of Nursing Administration1.206
· DOI :10.1097/NNA.0000000000000567
Heather V. Nelson-Brantley1
Estimated H-index: 1
,
Shin Hye Park3
Estimated H-index: 3
,
Sandra Bergquist-Beringer1
Estimated H-index: 1
Abstract
OBJECTIVEThe aim of this study is to examine characteristics of the nursing practice environment associated with lower RN turnover.BACKGROUNDIdentifying characteristics of the practice environment that contribute to lower RN turnover is important for meeting the national quality strategy priority of
  • References (16)
  • Citations (1)
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References16
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#1Chenjuan MaH-Index: 10
#2Jingjing Shang (KU: University of Kansas)H-Index: 1
Last. Marjorie J. Bott (Columbia University)H-Index: 1
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The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care.Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited.Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nurse-nu...
17 CitationsSource
OBJECTIVE: The objectives of this study were to examine the quality of unit-level nurse turnover data collection among the National Database of Nursing Quality Indicators hospitals and to identify the burdens of collecting such data. BACKGROUND: Tracking and managing nurse turnover at the unit level are critical for administrators who determine managerial strategies. Little is known about the quality of and burdens of unit-level turnover data collection. METHODS: Surveys from 178 hospitals were ...
3 CitationsSource
#1Christine Duffield (ECU: Edith Cowan University)H-Index: 38
#2Michael Roche (UTS: University of Technology, Sydney)H-Index: 18
Last. Sofia Dimitrelis (UTS: University of Technology, Sydney)H-Index: 7
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Aims To compare nurse turnover rates and costs from four studies in four countries (US, Canada, Australia, New Zealand) that have used the same costing methodology; the original Nursing Turnover Cost Calculation Methodology. Background Measuring and comparing the costs and rates of turnover is difficult because of differences in definitions and methodologies. Design Comparative review. Data Sources Searches were carried out within CINAHL, Business Source Complete and Medline for studies that use...
77 CitationsSource
#1Shin Hye Park (KU: University of Kansas)H-Index: 3
#2Diane K. Boyle (UW: University of Wyoming)H-Index: 17
Last. Nancy Dunton (KU: University of Kansas)H-Index: 19
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Over the past decade, a shortage of registered nurses (RNs) has been one of the most critical concerns for health care institutions, particularly hospitals (Spetz and Given 2003; Buerhaus, Auerbach, and Staiger 2009). The Bureau of Health Professions of the Health Resources and Services Administration estimated that the RN shortage would grow from 6 percent in 2002 to 20 percent by 2020 (DHHS 2002). Researchers proposed that high turnover and intent of RNs to leave the profession would further w...
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#1Allison S. Gabriel (University College West)H-Index: 14
#2Rebecca J. EricksonH-Index: 18
Last. Gail E. BromleyH-Index: 3
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Few researchers have examined how the components of the Practice Environment Scale of the Nursing Work Index (PES-NWI) relate to nurses' well-being at multiple organizational levels. The objective of the study was to perform a multilevel assessment of the relationships of the PES-NWI subscales with three nurse outcomes: job satisfaction, emotional exhaustion, and turnover intentions. Additionally, we tested the multilevel factor structure of the PES-NWI. In a sample of 699 full-time registered n...
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#1Joanne SpetzH-Index: 28
#2Diane Storer BrownH-Index: 15
Last. Nancy DonaldsonH-Index: 19
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OBJECTIVE:The aim of this study was to assess the cost savings associated with implementing nursing approaches to prevent hospital-acquired pressure ulcers (HAPU).BACKGROUND:Hospitals face substantial costs associated with the treatment of HAPUs. Interventions have been demonstrated as effective for
31 CitationsSource
#1Vincent S. Staggs (KU: University of Kansas)H-Index: 15
#2Nancy Dunton (KU: University of Kansas)H-Index: 19
Abstract Background Nursing turnover is expensive and may have adverse effects on patient care. Little is known about turnover's association with most hospital and nursing unit characteristics, including nurse staffing level and registered nurse skill mix. Objective To explore associations between nursing unit turnover rates and several hospital- and unit-level variables, including staffing level and skill mix. Design Observational cross-sectional study of longitudinal data. Settings 1884 nursin...
26 CitationsSource
#1Laureen Hayes (U of T: University of Toronto)H-Index: 8
#2Linda O'Brien-Pallas (U of T: University of Toronto)H-Index: 34
Last. Nicola North (University of Auckland)H-Index: 12
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Abstract Background Concerns related to the complex issue of nursing turnover continue to challenge healthcare leaders in every sector of health care. Voluntary nurse turnover is shown to be influenced by a myriad of inter-related factors, and there is increasing evidence of its negative effects on nurses, patients and health care organizations. Objectives The objectives were to conduct a comprehensive review of the related literature to examine recent findings related to the issue of nursing tu...
322 CitationsSource
#1Nora E. Warshawsky (UNC: University of North Carolina at Chapel Hill)H-Index: 7
b Background: Although the Practice Environment Scale of the Nursing Work Index has been endorsed as a gauge of the quality of the nursing practice environment by several organizations in the United States promoting healthcare quality, there is no literature describing its use in different practice settings and countries. b Objective: The purpose of this study was to inform research by describing the modifications and use of the scale in a variety of practice settings and countries. b Methods: T...
134 CitationsSource
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Resumo Objetivo Avaliar a confiabilidade e a validade da versao brasileira da Practice Environment Scale entre tecnicos e auxiliares de enfermagem. Metodos Estudo metodologico, transversal, realizado com 91 profissionais selecionados de maneira aleatoria. As seguintes variaveis foram avaliadas: ambiente da pratica profissional da enfermagem (por meio da versao brasileira da Practice Environment Scale ), exaustao emocional (por uma subescala do Inventario de Burnout de Maslach), satisfacao profis...
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#1Linan Cheng (Sichuan University)
#2Yajuan Cui (JLU: Jilin University)
Last. Xiuying Hu (Sichuan University)
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Background General self-efficacy is considered one of the most influential parameters affecting the quality of clinical practice and nurses’ perceived professional benefits (NPPB). Perceived organizational support (POS) is regarded as being central in understanding job-related attitudes, and it is important to enhance POS for nurses to maintain their current employment. NPPB can further reduce nurses’ job burnout and turn-over intention. Many studies have explored the relationships among general...
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#1Rebecka Maria Norman (University of Oslo)H-Index: 1
#2Hilde Hestad Iversen (FHI: Norwegian Institute of Public Health)H-Index: 10
Last. Ingeborg Strømseng Sjetne (FHI: Norwegian Institute of Public Health)H-Index: 10
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Abstract Care workers’ work environment is known to be associated with patient and nurse outcomes. To our knowledge no questionnaire is available for assessing this environment for all care workers in the Norwegian nursing-home setting. This paper describes the development, adaptation and assessment of such a questionnaire: the extended Norwegian version of the Brisbane Practice Environment Measure for Nursing Homes (B-PEM-NH). This version was developed and assessed using semistructured intervi...
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