Monday, November 3, 2003: 10:30 AM-11:45 AM | |||
An International Examination of the Cost of Turnover and Its Impact on Patient Safety and Nurse Outcomes | |||
| Learning Objective #1: Articulate international issues associated with hospital nurse turnover and related costs and the potential influence on nurse health and patient safety outcomes | |||
| Learning Objective #2: Articulate methodological and measurement challenges in conducting the six-country comparison related to pilot study findings, cost estimations, and nurse and patient outcomes | |||
| Although renewal of personnel can be viewed as contributing to the positive growth of an organization, turnover can also be seen as a major challenge in developing effective mechanisms and policies for recruiting and retaining nurses in line with needs at national and regional levels. An understanding of the relationships among nurse staffing, patient safety, and health outcomes (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; McGillis Hall, Doran, Baker, Pink, Sidani, O’Brien-Pallas, & Donner, 2001; Needleman, Buerhaus, Mattke, Stewart, & Zelevinsky, 2002) and healthcare worker safety outcomes (O’Brien-Pallas, Thomson, Alksnis, & Bruce, 2001; Shamian, O'Brien-Pallas, Kerr, Koehoorn, Thomson, & Alksnis, 2001) is beginning to emerge in the literature. Yet, to date, little is known about how the rate and intensity of nursing turnover (the loss of human capital as providers leave and the lost productivity as new hires are oriented) impact patient and provider safety, and system outcomes. Although previous researchers have estimated turnover to cost between $10,000 US and $25,000 US per nurse in the late eighties (Jones, 1990), definitions of turnover and related costs have not been consistent in the limited research to date. No research was found that examined turnover by considering both incremental staffing costs and health care system costs (i.e., summation of staffing patterns and patient and healthcare worker safety costs). This symposium will: 1) provide an overview of research to date highlighting the issues associated with nurse turnover, nurse staffing, and patient safety outcomes, and the theoretical linkages among them; 2) review the results of a multi country pilot study on nursing turnover; and, 3) describe methodological and measurement challenges associated with this type of work and proposed solutions to minimize error in a large multi country study. | |||
| Organizer: | Linda L. O'Brien-Pallas, RN, PhD | ||
| A Critical Appraisal of the Literature on Nursing Turnover Christine Duffield, RN, BScN, MHP, PhD, FACHSE, Pat Griffin, RN, PhD, Patricia Hinton Walker, PhD, RN, FAAN, Heather K. S. Laschinger, RN, PhD, Linda L. O'Brien-Pallas, RN, PhD, Judith Shamian, RN, PhD, Patricia W. Stone, PhD, MPH, RN | |||
| An International Examination of the Cost of Turnover and its Impact on Patient Safety and Nurse Outcomes - The Pilot Study Patricia W. Stone, PhD, MPH, RN, Christine Duffield, RN, BScN, MHP, PhD, FACHSE, Pat Griffin, RN, PhD, Patricia Hinton Walker, PhD, RN, FAAN, Heather K. S. Laschinger, RN, PhD, Linda L. O'Brien-Pallas, RN, PhD, Judith Shamian, RN, PhD | |||
| Methodological and Measurement Challenges in Conducting an International Study of Nursing Turnover – Lessons from the Pilot Study Linda L. O'Brien-Pallas, RN, PhD, Christine Duffield, RN, BScN, MHP, PhD, FACHSE, Pat Griffin, RN, PhD, Patricia Hinton Walker, PhD, RN, FAAN, Heather K. S. Laschinger, RN, PhD, Judith Shamian, RN, PhD, Patricia W. Stone, PhD, MPH, RN | |||
37th Biennial Convention - Scientific Session
Sigma Theta Tau International