Impact of Nursing Unit Turnover on Patient Outcomes in Hospitals

Bae, Sung Heui; Mark, Barbara A.; Fried, Bruce J.

doi:10.1111/j.1547-5069.2009.01319.x

Cited by 124 publications

(121 citation statements)

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“…As mentioned previously, caring behaviors and relational coordination are related to patient satisfaction in other care settings, [8,16] and thus, the finding of this study is supported by those of the previous studies. In a home care setting, given the short nature of visits, home visiting nurses have less time to directly assess and respond to clients' needs than do nurses working in hospitals or institutional care facilities.…”

Section: Published By Sciedu Presssupporting

confidence: 82%

“…For example, relational coordination among nursing staff in hospitals has a positive impact on patient satisfaction. [8] Nurses' and nursing aids' relational coordination might enhance the quality of life among nursing home residents. [9] However, the effects of relational coordination have not been identified, especially in home care settings.…”

Section: Introductionmentioning

confidence: 99%

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Relational coordination between professionals predicts satisfaction with home visit nursing care

Sakai

Naruse

Nagata

2015

Clinical Nursing Studies

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The authors aimed to identify the relationship between relational coordination among home visit nurses and other home healthcare workers and nursing care satisfaction. In November 2013, the authors collected data from 190 nurses in 34 of 64 home visit nursing agencies in Miyazaki prefecture, Japan. Data were returned by 119 individuals through a web-based or mail survey. Nursing care satisfaction among their clients during the most recent 6 months was evaluated by primary nurses (possible scores: 0-10), based on which the authors created a low-satisfaction (Low-SG) and a high-satisfaction (High-SG) group. Nurses' relational coordination with nursing colleagues, nursing managers, clinicians, care managers, and home helpers was measured with the Relational Coordination Scale Japanese version (Relational Coordination Scale Japanese version [RCS-J]; possible scores: 1-5). Multivariate logistic regression analysis was used to analyze the data. Using data from 90 nurses because of missing data, the RCS-J scores were 3.5 (standard deviation [SD] = 0.6) and 3.8 (SD = 0.5) for Low-SG and High-SG groups, respectively. Multivariate logistic regression analysis showed that RCS-J scores were positively associated with nursing care satisfaction (odds ratio [OR] = 3.05, 95% confidence interval: 1.25-7.45). Further, nurse's age was positively associated with nursing care satisfaction (OR = 1.10, 95% confidence interval [CI]: 1.02-1.18). This finding suggests that well-coordinated home healthcare teams provide higher quality of care than do poor-coordinated teams. However, the results depended on nurses' self-reports. Future research using a more objective index of quality of care would contribute to understanding the benefits of relational coordination.

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Section: Published By Sciedu Presssupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Relational coordination between professionals predicts satisfaction with home visit nursing care

Sakai

Naruse

Nagata

2015

Clinical Nursing Studies

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“…It was found that the units with moderate levels of turnover were prone to have lower levels of work group learning when compared with those with no turnover (p < 0.01), while nursing units with low levels of turnover were prone to have fewer falls among patients than nursing units with no rotation (p < 0.05). Furthermore, the cohesion of the work group and the relational coordination had a positive impact on patient satisfaction (p < 0.01) and increased learning, leading to fewer occurrences of serious medication errors (p < 0.05) (29) .…”

Section: Discussionmentioning

confidence: 99%

Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

Oliveira

Leitão

Aguiar

et al. 2015

Rev. esc. enferm. USP

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Objective:To evaluate intervening factors in patient safety, focusing on hospital nursing staff. Method: The study is descriptive, with qualitative approach, excerpt from a larger study with analytical nature. It was undertaken in a public hospital in Fortaleza, CE, Brazil, between January and June 2013, with semi-structured interviews to 70 nurses, using Thematic Content Analysis. Results: The principal intervening factors in patient safety related to hospital nursing staff were staff dimensioning and workload, professional qualification and training, team work, being contracted to the institution, turnover and lack of job security, and bad practice/disruptive behaviors. These aspects severely interfere with the establishment of a safety culture in the hospital analyzed. Conclusion: It is necessary for managers to invest in nursing staff, so that these workers may be valued as fundamental in the promotion of patient safety, making it possible to develop competences for taking decisions with focus on the improvement of quality care. Evaluating the intervening factors in patient safety: focusing on hospital nursing staff Avaliando os fatores intervenientes na segurança do paciente: enfoque na equipe de enfermagem hospitalar Evaluando los factores intervinientes en la seguridad del paciente: enfoque en el equipo de enfermería hospitalaria DESCRIPTORS:

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“…In addition to that, turnover leads to higher rate of accidents and absenteeism among remaining nurses [15,16]. Likewise, nursing turnover impacts safe medication practice by increasing errors, decreasing the channels of communication among nurses and between nurses and other healthcare providers which results in poor patient satisfaction [17,18].…”

Section: Introductionmentioning

confidence: 99%

Nurses Intent to Leave and Job Satisfaction in Hematology/Oncology Areas: Implications for Policy and Practice

Dagamseh¹,

Haddad²

2016

J Nurs Care

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Purpose/objective: To determine how satisfied the nurses are in the Hematology/Oncology areas, to find what extent the expatriate nurses intend to leave their jobs, and to find the relationship between job satisfaction and turnover intention in Hematology/Oncology units. The focus of this study was on measuring the effect of the demographic characteristics of the participants on their intent to leave and to link those characteristics to their job satisfaction.Design: Quantitative descriptive cross sectional research.Method: Study instruments included questions related to demographic characteristics, intent to leave, and the McCloskey Mueller Satisfaction Scale. Data were extracted and analyzed using Statistical Package for Social Scientists (20.V). Univariate descriptive statistics were conducted on the sample's demographic characteristics including gender, age, marital status, nationality and educational level. Bivariate associations between intent to leave and demographic characteristics were tested using Pearson Chi-square. Differences in satisfaction scores between nurses with and without intent to leave were tested using t-test and ANOVA f-test.Results: A total of 223 (68.6% response rate) expatriate nurses employed in the Hematology/Oncology units were surveyed.104 (46.6%) of the participants reported intent to leave within the next 1-3 years. Leavers were less satisfied in all satisfaction subscales than the stayers. Significant Differences were found between marital status and nationalities on one side and intention to leave on the other side (P value=0.027, 0.014, respectively). Predictors of intent to leave were dissatisfaction with different job aspects. Implications for nursing:Findings can be utilized by nursing managers and policy makers to enhance job satisfaction and use it as predictor for intent to leave. Conclusion:Study results predict relationships between job satisfaction and intent to leave the employment within Hematology/Oncology areas or the organization.

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Impact of Nursing Unit Turnover on Patient Outcomes in Hospitals

Abstract: Managing nursing unit turnover within appropriate levels at the nursing unit is critical to delivering high-quality patient care.

Cited by 124 publications

References 28 publications

Relational coordination between professionals predicts satisfaction with home visit nursing care

Relational coordination between professionals predicts satisfaction with home visit nursing care

Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

Nurses Intent to Leave and Job Satisfaction in Hematology/Oncology Areas: Implications for Policy and Practice

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