Nursing Turnover: Costs, Causes, & Solutions

Nurse turnover is defined as “the number of nurses changing jobs within an organization or leaving an organization within a given year” (Baumann 2010). Retaining nurses is one of the most important issues in health care as its effects range from challenges in human resource planning, to high costs in financial and organizational productivity (Beecroft et al, 2008), to workgroup processes and morale, to patient safety and quality of care (i.e. patient satisfaction, length of patient stay, patient falls, and medication errors) (Bae et al, 2010). Nursing Solutions Inc (NSI) reported the national average turnover rate for hospitals increased from 13.5% in 2012 to 14.7% last year. Nurses working in Med/Surg had more turnover than any other specialty with a rate of 16.8%. Other specialties that exceeded the national average were ER, Behavior Health, Step Down, and Telemetry. The cost of this high turnover ranges from $36,000 to $88,000 to lose a bedside RN, resulting in an average hospital losing $3.74M to $6.98M (NSI, 2014). The NSI 2013 “National Healthcare Retention Surv…




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