Nurse Turnover and Management Approaches Research Paper

Nurse Turnover and Management Approaches Research Paper

Nurse turnover is among the most burning issues to be addressed within the healthcare system. These healthcare professionals have to work in a challenging working surroundings characterized by considerable workload, high responsibility, low salaries, and limited promotional alternatives (Nei, Snyder, & Litwiller, 2015). Nurses need to work long hours and reply to numerous challenges day by day, which tends to lead to a high degree of burnout and job dissatisfaction. The way hospitals view the problem additionally contributes to the rise in turnover in American hospitals. Park and Boyle (2015) observe that healthcare services find nurse turnover inevitable, so they often ignore a certain diploma of turnover, especially in relation to hospital departments. When the problem becomes alarming, managers attempt to address it however can do little to enhance the situation. This paper includes a transient evaluation of nurse turnover and strategies employed by nurse leaders and managers to lower its prevalence in healthcare services.

Turnover and the Provision of Care

It has been estimated that hospitals which are unable to ensure their nursing employees retention lose as much as six percent of their annual budgets yearly (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017). Nurse turnover is associated with a direct impact on the standard of the provided care and affected person outcomes. High turnover is said to the shortage of nursing at some points, which finally ends up in overload and burnout. Medical errors turn into frequent, which has an adverse influence on affected person security. Nurses find it difficult to develop effective relationships with sufferers and their families as they concentrate on the implementation of particular clinical procedures. Patient satisfaction can hardly be achieved in such environments.

Besides, this phenomenon impacts the event of relationships between healthcare practitioners, nursing professionals’ dedication, or somewhat inadequate dedication to organizational targets. Wei, Roberts, Strickler, and Corbett (2019) state that new nurses are particularly susceptible, and the majority of nursing professionals go away within the first year of work at a selected hospital or unit. It can additionally be discovered that correct relationships between nursing practitioners negatively correlate with nurse turnover.

Professional Standards and Turnover

Although the issue under evaluation is advanced and requires a quantity of steps and measures, one of the ways to reduce this phenomenon is to ensure compliance with requirements linked to interprofessional relationships (Wei et al., 2019). Nurses ought to consider the availability of high-quality care and patient safety, but adherence to those requirements can’t reduce the related burnout, fatigue, and job dissatisfaction. Clearly, healthcare professionals comply with the existing guidelines when finishing their every day routine, which permits them to avoid errors and handle their duties effectively. Professional requirements regulating the relationships between nurses, interactions between nurses and nurse leaders and managers may be instrumental in addressing the issue (Nei et al., 2015). Mentorship and help supplied to newcomers and programs aimed toward creating a good working ambiance have proved to be effective in making nurses much less willing to quit.

Nurse Leaders and Managers

It has been found that managers play one of the central roles within the growth of the working environment, which has an impression on nursing practitioners’ intention to leave. Managers organize the work of the unit and guarantee the provision of high-quality care to patients and their households (Duffield, Roche, Dimitrelis, & Frew, 2015). In simple phrases, these healthcare practitioners manage various features, including but not confined to shifts, and handle conflicts, if any. Managers are always in the position of energy and enjoy the status of the formal leader. Nursing leaders carry out one other position as they supply mentorship, assist in setting objectives, and creating relationships with patients or different healthcare professionals (Wei et al., 2019). These healthcare practitioners hardly ever have formal energy, however they are often informal leaders who benefit from the trust of their colleagues. It is clear that the roles managers and leaders play are completely different and have particular effects. Nurse leaders are additionally in nearer contact with nursing professionals, in order that they contribute to the development of the atmosphere in the unit.

Depending on their status, nurse managers and leaders use diverse techniques to handle the problem of turnover. Managers tend to utilize authoritarian or transactional leadership types as they concentrate on duties and established targets. They often pay little attention to the wants of nursing professionals as a end result of they’re extra concerned about particular procedures to be carried out. Nurse leaders make the most of a transformational leadership fashion since they think about relationships and collaboration (Wei et al., 2019). The differences between methods employed by managers and leaders influence these practitioners’ roles and influence on nurse turnover.

Strategies that Can Be Utilized

As mentioned above, effective collaboration and interplay with different healthcare professionals may help nurses to adjust to the challenging working surroundings and gain the necessary resilience. Wei et al. (2019) establish seven methods to build nurse resilience that embrace such important aspects as the promotion of positivity, facilitation of social connections, focus on nursing professionals’ strengths, encouragement of their growth. At the identical time, it might be essential to implement analysis to establish the extent to which particular measures can be utilized. Park and Boyle (2015) emphasize that the understanding of the degree of nurse turnover in a division or unit can shed gentle on the precise challenges nurses face.

Kurnat-Thoma et al. (2017) developed a ten-element program that may cut back nurse turnover. The primary parts of this initiative are the concentrate on communication and collaboration between totally different healthcare professionals working at totally different levels. The focus is on the help given to new nurses who are introduced to current standards and practices. Nurse leaders and managers should collaborate when interacting with nurses, especially when it comes to those who have been working for up to a yr. It can additionally be essential to make sure adherence to the corresponding skilled requirements which may be instrumental in growing appropriate working environments. Compliance with these requirements can also assist in creating or sustaining the organizational tradition that shall be based on the principles of assist, empathy, and collaboration.

Leadership Style to Be Employed

Transformational leadership is commonly thought to be the simplest type to be utilized in the modern world. Recent analysis exhibits the benefits of the utilization of this framework within the clinical setting (Wei et al., 2019). Transformational leaders create a good working environment and assist employees in understanding their roles and worth. Although transactional leadership may be the best suited in the healthcare context, it appears to be considerably outdated. Wei et al. (2019) notice that nurses place a greater worth on relationships rather than materials awards. The increase in salaries can have a short-term effect as the workload and other challenges will make nurses rethink their life priorities.

Therefore, the use of the punishment and award approach is changing into less effective. It is significant to empower nurses, making them ready to handle numerous issues that they need to encounter of their follow. Park and Boyle (2015) counsel that the resources allotted to motivate nurses financially must be accompanied and, in some cases, changed by initiatives aimed at the improvement of proper interactions between healthcare practitioners. It is essential to create a system where all nurses understand their roles, work together with their colleagues freely, and receive assist from nurse leaders and managers.


In conclusion, it’s essential to state that nurse turnover is a serious problem that must be addressed within a short time frame. The shortage of nursing practitioners is prone to persist, so it is critical to assist nurses adapt to the challenging working environment. The medical staff’s intention to go away is usually related to workload, burnout, lack of appreciation, and ineffective communication at completely different levels. Nurse managers and leaders ought to play a central role in addressing the problem as they might help nursing professionals complete tasks and keep a positive attitude in path of the profession. Transformational leadership is the instrument to be employed as interactions between folks ought to be the foremost precedence when addressing nurse turnover. Clearly, it’s also important to make sure proper nurse staffing and acceptable funding. The provision of coaching to nursing managers and leaders may also be needed. Hospitals must allocate enough assets to make nurse managers and leaders able to present support and guidance. However, relationships and communication must be an indispensable a part of initiatives aimed on the discount of turnover.


Duffield, C., Roche, M. A., Dimitrelis, S., & Frew, B. (2015). Leadership abilities for nursing unit managers to lower intention to leave. Nursing: Research and Reviews, 57-64. Web.

Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—a 10-element onboarding program intervention. SAGE Open Nursing, 3, 1-13. Web.

Nei, D., Snyder, L. A., & Litwiller, B. J. (2015). Promoting retention of nurses. Health Care Management Review, 40(3), 237-253. Web.

Park, S. H., & Boyle, D. K. (2015). How hospitals view unit-level nurse turnover knowledge collection. JONA: The Journal of Nursing Administration, 45(2), 100-106. Web.

Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders’ methods to foster nurse resilience. Journal of Nursing Management, 27(4), 681-687. Web.

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