Civility and Nurse Retention: Stop the Exodus

Monday, 18 November 2013

Sheila Ray Montgomery, RN, BSN
Larry Wayne Dean, MSN
Neurosurgical Intensive Care Unit, UAB Hospital, Birmingham, AL

Learning Objective 1: The learner will be able to discuss the link between nurse retention and increased civility.

Learning Objective 2: The learner will identify four components of civility.

This project aimed to increase the awareness of civil interactions within the environment, and increase the number of positive interactions between professional staff. An environment was chosen that historically reported a nurse turnover rate greater than 20 percent x >5years. Managerial involvement included the development of several nurses and mentorship throughout the project.  One Staff Nurse and One Lead Charge Nurse were paired together to do a literature search examining civility and develop key ideas, establishing civility definitions, guidelines for project, education needed and disseminate that throughout ICU.  Staff turnover rates collected once yearly x 4 years.  This ICU environment reflected a decrease of more than 50% in nursing turnover rates. With greater emphasis being directed towards quality outcomes, safe patient transfers, and patient satisfaction, nurses within ICU environments cannot engage in hostilities. The departing of experienced nurses must stop. Decreasing hostilities within the ICU environment created through an increase in civility can increase nurse retention.