Improving Nurse Retention Example
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.Improving Nurse Retention Example
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 (Nottingham et al., 2011).Improving Nurse Retention Example
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).
The average cost of turnover for a bedside registered nurse (RN) ranges from $37,700 to $58,400, according to a 2016 survey from nurse recruitment and retention firm NSI Nursing Solutions that examined hospital figures from 2011 to 2015. The average hospital loses $5.2 million to $8.1 million due to RN turnover, and each percent change in RN turnover costs or saves a hospital an additional $373,200.
Unfortunately, figures are not trending in the right direction. Approximately a third (32.9 percent) of hospitals report a vacancy rate of 10 percent or more. The RN vacancy rate in 2016 was 8.5 percent, representing a 1.3 percent increase from the previous year.
Hospitals should implement nurse retention strategies to improve these numbers. “While an overwhelming majority (84.8%) of organizations view retention as a ‘key strategic imperative’ it is not evident in operational practice/planning,” according to the authors of the survey. “Although viewed in such a strong light, only half or 51.5% have a formal retention strategy.”
Nurse Retention Strategies
Create a Positive Working Environment
Engagement starts with recruiting, according to Health Stream, a healthcare workforce solutions company. Hospitals should create an efficient, two-way interview process that showcases what the institution has to offer and analyzes the candidate’s behavioral competencies. Non-clinical skills like positive attitude, teamwork, collaboration, drive and initiative impact performance and retention.Improving Nurse Retention Example
Provide Opportunities for Professional Development
Offering tuition reimbursement can help nurses further their education and open up their career opportunities. The landmark 2010 Institute of Medicine report, The Future of Nursing, called for increasing the number of bachelor’s-prepared nurses in the workforce to 80 percent by 2020. Hospitals can improve quality of care by helping nurses advance their education to the bachelor’s level and beyond.
Reduce Overtime
A Health Affairs study by Amy Witkoski Stimpfel, PhD, RN, and others found that nurses who work shifts longer than 12 hours are 1.45 times more likely to leave their jobs within a year. Hospitals can respond by making a “fundamental culture change from overtime being the ‘rule’ to overtime being the exception,” says Karlene Kerfoot, PhD, RN, in Hospitals & Health Networks magazine. “If hospitals implement measures to reduce shift and workweek length, and set guidelines for what is an acceptable amount of overtime, nurses will not feel obligated to tack on extra hours.”Improving Nurse Retention Example
Adopt a Nurse Residency Program
Hospitals that enlist new graduates in a residency program have improved nursing retention, according to Debra Wood, RN, in AMN Healthcare Briefings. Residency programs can help experienced nurses feel less frustration and greater satisfaction when assisting with orientation.
Reward Longevity and Excellence
One hospital in St. Louis achieved a voluntary turnover rate of less than 1 percent by creating a culture where nurses wanted to stay at the bedside, in part due to the rewards the hospital offered, Wood reports.Improving Nurse Retention Example
- Staff members received up to five days of pay when the hospital met its goals.
- An incentive program allowed nurses to earn as much as $2,000 for accomplishments like presenting at a conference, completing a fellowship program or receiving thank you notes from patients.
- Nurses with 15 or more years at the hospital automatically received an additional five days of vacation time.
Practice Shared Governance
About 13 percent of nurses are dissatisfied with their work schedule and lack of independence, according to Witkoski Stimpfel. Shared governance measures like self-staffing, which enables nurses to select shifts based on availability, can give nurses a sense of ownership over their unit.
Advancing Nurse Education
Current nurses can further their education to enhance the quality of patient care and pursue more advanced career opportunities. Alvernia University’s online RN to BSN degree prepares nurses for specialty and management roles. The program takes place in a convenient online learning environment that accommodates students’ work and personal schedules.Improving Nurse Retention Example