Paper
Thursday, July 10, 2008
An Empirical Study of Turnover Rate and Inclination among Nurses Using Survival Model
Hui-Chuan Shih, MSN, Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, Tao-Hsin Tung, PhD, Department of Medical Research and Education, Cheng-Hsin General Hospital, Taipei, Taiwan, and Yung Ming, RN, MSN, Nursing Department, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
| Learning Objective #1: To use the appropriate statistical approach to estimate the turnrate of nursing staff. |
| Learning Objective #2: To find the significant factors related to turnover rate |
The turnover of nursing staff could influence the quality of nursing service and patients' health. This retrospective hospital-based study is conducted to explore the turnover rate and correlated factors using survival analysis approach. The study period was between July, 1, 2000 to December, 31, 2006. There were 515 nurses studied. The results show that from the Kaplan-Meier method, the 3-month, 6-month, 1-year, 3-year, and 5-year turnover rate were 6.3%, 11.2%, 16.5%, 37.0%, and 50.0%, respectively. To assess the independent contribution to the turnover rate of nursing staff, the variables were further examined using Cox regression model. The main reasons related to turnover rate included: 1.Too many clinical work and written materials (RR=2.35, 95%CI: 1.33-4.01). 2. The rotation system makes life work and rest abnormally (RR=3.12, 95%CI: 1.26-5.41). 3. Medical disputes due to clinical working (RR=2.00, 95%CI: 1.19-3.42). 4. Can't have a holiday on vacation to make life have no quality (RR=2.44, 95%CI: 1.76-4.71). In conclusion, multiple strategies to encourage nursing staff to increase quality of nursing service are necessary.