Evaluation of a Retention Program to Reduce Nursing Staffs' Turnover Rate and Promote Patients' Safety in Respiratory Care Ward

Monday, 30 July 2012

Tzu-Ting Huang, PhD, RN
School of Nursing, Chang Gung University, Tao-Yuan, Taiwan

Learning Objective 1: The learner will be able to know the determinants of nurse turnover, and how to design a nurse retention program.

Learning Objective 2: The learner will be able to use the evidence-base nurse retention program for decreasing turnover effectively.

Background. High nurse turnover can be harmful to an organization’s performance and ability to meet patient needs and provide quality care. The cost of nurse turnover is high.

Aims. To examine the impact of a mulitifaced retention programme for nurses on their turnover rate, knowledge and retention intention, as well as on the infection rate of ventilator dependent patient in a Respiratory Care Ward.

Methods. Twenty nine RNs participated in this study. This programme included reviewing hiring criteria and retention process, enhancing professional excellence, establishing mentorship, and building team identity. The outcome variable were knowledge of respiratory care, and turn over rate among RNs, and patients’ infection rate.

Results. After the intervention, we found that the new RNs had more knowledge (p<.01) than pre-intervention; and the turnover rate were decreased significantly from 78.57% in 2008 to 6.67% (2009) and 12.90% (2010), respectively (p<.0001). Also, there were significantly decreased in infection rate among patients from 4.34‰ (2008) to 3.99‰ (2009) and 3.39‰ (2010) (p<.0001).

Conclusion. The results of this trial suggest that the retention program could reduce staffs’ turnover rate and patients’ rate.