Exploring Factors Associated With Turnover Among Registered Nurse (RN) Supervisors in Nursing Homes

Kash, Bita A.; Naufal, George; Cortés, Leslie Maas; Johnson, Christopher

doi:10.1177/0733464809335243

Cited by 27 publications

(37 citation statements)

References 34 publications

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“…This finding is consistent with the findings of other researchers who revealed that the intention to leave is one of the most realistic predictors of real staff turnover 29 . …”

Section: Discussionsupporting

confidence: 93%

A Grounded theory study of the intention of nurses to leave the profession

Alilu

Zamanzadeh

Valizadeh

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective: this study explores the process of the development of an intention to leave bedside nursing. Method: the process was studied from the perspective of 21 nurses using the grounded theory method. Data were collected using semi-structured interviews and the constant comparative method of Corbin and Strauss was used for data analysis. Results: according to the participants, the two main categories, "social image of nursing", and "culture and structure of the bedside", were the contextual factors that influence why nurses are leaving bedside care provision.Disappointment with a perceived lack of progress or improvement in the clinical experience formed primary psychosocial concerns for the participants. Competence and a process of selfcontrol were steps taken by the participants. These, associated with interventional conditions produced the outcomes of the loss of professional commitment and desire to leave bedside nursing. "Failure to integrate personal expectations with organizational expectations: in search of escape" was the central category of the study that linked the categories together. Conclusion: the findings of this study provide useful information about the needs of nurses for overcoming the intention to leave bedside care. The identification of this process can help in recognizing emerging problems and providing solutions for them.

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“…This finding is consistent with the findings of other researchers who revealed that the intention to leave is one of the most realistic predictors of real staff turnover 29 . …”

Section: Discussionsupporting

confidence: 93%

A Grounded theory study of the intention of nurses to leave the profession

Alilu

Zamanzadeh

Valizadeh

et al. 2017

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…High staff turnover, demanding workloads and a heavily regulated work environment have created a unique and taxing social milieu in which the management of conditions such as HF can be negatively impacted (Forbes‐Thompson & Gessert , Kash et al . , Marcella et al . ).…”

Section: Introductionmentioning

confidence: 99%

The role of unregulated care providers in managing heart failure patients in long‐term care facilities

Heckman

Boscart

D'Elia

et al. 2017

Journal of Clinical Nursing

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“…Director of nursing (DON) turnover, occurring in more than one third of nursing homes (NH) annually (AHCA, 2010), relates to high turnover in all levels of nursing staff, and poorer clinical outcomes in NH residents (Castle, Engberg, & Men, 2007; Kash, Naufal, Cortés, & Johnson, 2010). However, our understanding of this phenomenon is limited (Castle, 2005; Castle & Anderson, 2011).…”

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confidence: 99%

Top Nurse-Management Staffing Collapse and Care Quality in Nursing Homes

2012

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Director of nursing turnover is linked to staff turnover and poor quality of care in nursing homes; however the mechanisms of these relationships are unknown. Using a complexity science framework, we examined how nurse management turnover impacts system capacity to produce high quality care. This study is a longitudinal case analysis of a nursing home (n = 97 staff) with 400% director of nursing turnover during the study time period. Data included 100 interviews, observations and documents collected over 9 months and were analyzed using immersion and content analysis. Turnover events at all staff levels were nonlinear, socially mediated and contributed to dramatic care deficits. Federal mandated, quality assurance mechanisms failed to ensure resident safety. High multilevel turnover should be elevated to a sentinel event for regulators. Suggestions to magnify positive emergence in extreme conditions and to improve quality are provided.

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Exploring Factors Associated With Turnover Among Registered Nurse (RN) Supervisors in Nursing Homes

Cited by 27 publications

References 34 publications

A Grounded theory study of the intention of nurses to leave the profession

A Grounded theory study of the intention of nurses to leave the profession

The role of unregulated care providers in managing heart failure patients in long‐term care facilities

Top Nurse-Management Staffing Collapse and Care Quality in Nursing Homes

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