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Nursing Turnover: Cost, Causes, and Solution

Problem Statement

Nursing turnover is one of the major concerns in the health care system. Nurses comprise the highest number of workers in the United States. Their turnover is considered an important factor that influences the profitability of the healthcare organization. Any health facility needs to have efficient, highly trained and fully engaged nursing staff so as to address the patient care appropriately. The cost of losing a single nurse is equal to the nurse’s annual pay (Li, 2013). The effects of losing a nurse are numerous and affect the health facility in a variety of ways. First of all, there is a decrease in the quality of patient care, increase in the unexpected staff costs, loss of patients, increased nursing and medical turnover, and increased accidents and absenteeism rates. In this case, the solution to the problem is finding the right approach to determining the primary cause of nurse turnover. This paper reviews the outcomes and money related expenses of nursing turnover, the essential drivers of nursing turnover, and techniques to increase maintenance in these urgent social insurance employments. The paper concentrates on the examination of enlisted nursing populaces albeit the vast numbers of the discoveries in this analysis relate to other human services occupations. Social insurance associations are unequivocally educated to influence the outcomes of this review to put resources into ability administration hones, which will have the best esteem for guaranteeing a relentless workforce of qualified and drew in medical caretakers. The successful utilization of these ability administration practices will be progressively fundamental to association survival as the nursing deficiency continues declining after some time.


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Purpose of the Project

Nursing turnover is a noteworthy issue affecting the execution and gainfulness of social insurance associations. Medicinal services organizations require a stable, exceptionally prepared and ultimately drew in nursing staff to provide the compelling level of patient care. The increasing lack of qualified medical caretakers has prompted a relentless increment in the turnover rate among attendants. This turnover rate is liable to result in a surprisingly more dreadful over the coming years as the development of the social insurance industry continues exceeding the accessible supply of medical caretakers. Predictions given indicate that there will be a deficiency of about 1 million attendants in the United States by 2020. This paper reviews research inspecting the outcomes and money related expenses of nursing turnover, the essential drivers of nursing turnover, and techniques to expand maintenance in these crucial human services occupations (Hayes et al., 2012). The paper concentrates on "willful" or "unfortunate" turnover that happens when a medical caretaker that the association might want to hold leaves their occupation. The vast majority of the examination provided in this paper focuses on enlisted nursing populaces although some the discoveries in this exploration relate to other medical services employments. It is observed that the issues connected with nursing turnover cannot be completely addressed through a solitary mediation because there are numerous reasons why medical caretakers quit their occupations. However, while the variables that cause nursing turnover can be genuinely intricate, there is a significant number of reasons for the decreasing turnover. These arrangements address parts of the whole nursing worker lifecycle from building candidate pools to adequately overseeing retirement of longer tenured representatives (Hayes et al., 2012).

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Research Question

The research is aimed to answer the question of the chronic effects of nurse turnover. To do this, it will look at the causes of the nurses leaving their work places. The paper will discuss the solutions to the problem. The main issue being considered is the possible solution to the constant increase in the nurse’s turnover and the costs of these actions.

Research question: What is the potential solution to the increasing number of nurses leaving their areas of work and its immediate effects? What is the proper solution to the reduction in the number of the nurses leaving their work places?


The research proves that excessive workload for remaining staff, delay in everyday routine methods, poor patient fulfillment and dissensions from patients are the premier effect of turnover of medical attendants in private medical facilities. The study has given suitable recommendations to control and forestall turnover of medical caretakers (Brewer et al., 2012).

Along with that, the effect of turnover on the quality of health care might be alleviated through the use of medications that cause damaging consequences for key hierarchical procedures. In this study, it is hypothesized that turnover might have a broad effect on basic authoritative processes, for example, workgroup union and correspondence. To look at the basic components between nursing turnover and human services results, the workgroup as the unit of investigation should be considered in light of the fact that the nursing unit is responsible for proximal setting for people and a limited intelligent connection made by their properties, cooperation, and reactions (Brewer et al., 2012).

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Hypothesis 1: Nursing units with moderate levels of turnover will encounter more prominent workgroup learning.

Hypothesis 2: Lower nursing unit union will be connected with lower levels of patient fulfillment.

Hypothesis 3: Lower levels of social coordination related to medical attendants and other human services suppliers will be connected with lower levels of patient fulfillment.


This research-based exploration is interpreting in nature. The sample employee for this study is the regulatory officer working in private healing center. 30 employees have been tested for this investigation by utilizing helpful and judgment examining strategy. The interviewees have been chosen from 30 driving private multi-claim medical facilities. The essential information has been gathered utilizing organized survey, which comprises of two segments. Segment A contains the profile of the respondents while segment B manages the effect of turnover of medical caretakers on the operation of the medical facility and comprises of 24 inquiries (Brewer et al., 2012). The answers to the poll questions have are arranged according to Likert Five Point Scale: Strongly Agree, Agree, No Opinion, Disagree and Strongly Disagree, and the focuses have been apportioned as 5, 4, 3, 2 and 1 for them individually. The analyst conducted interviews with the overseer of the healing facility, nursing director (in charge), specialist and medical attendants before developing the survey so as to acquire insights about the impact of turnover on medical facility operation. Auxiliary information has been gathered from diaries, books, and sites. Rate strategy has been utilized to examine the profile of the respondents. Mean and Standard Deviation have been employed to dissect the effect of turnover of medical attendants on association execution.

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Steps in Implementing the Project

To direct the exploration, the accompanying conditions were watched. Over a six month period January-June, nursing units in this study showed a turnover rate of 12.66 percent meaning that turnover rates contrasted from 0 to 105.15 percent over this six-month study period (January to June). At whatever point annualized, the standard harsh turnover rate was around 25 percent. Similarly to workgroup techniques, restorative guardians assessed workgroup Attachment at 4.38 (amidst "agree" and "agree to some degree"). Thus, additionally, the average score for social coordination with all other wellbeing suppliers was 3.64 (amidst "rarely" and "much of the time") and 3.70 (amidst "occasionally" and "routinely") for social coordination with specialists and medication experts (Brewer et al., 2012). In regard to therapeutic guardians, workgroup learning was assessed at 3.79 (between "no conclusion" and "agree"). Patients evaluated the nursing care they got as great to incredible. Tolerant age ran from 37 to 78, with a reasonable age of fifty-seven years. In general, patients evaluated their wellbeing status as reasonable to great. Among the patients who took an interest in this study, 53 % experienced hospitalizations in the previous year. The usual length of stay was 4.5 days (going from 2.2 to 8.7 days) for the three-month period April-June. Nursing units experienced 4.03 patient falls for every 1,000 patient days (going from 0 to 12.19 falls) over the same period. They reported 0.77 extreme drug mistakes for every 1,000 patient days running from 0 to 8 blunders. Basically, 62% of nursing consideration hours was conveyed by RNs (extending from 23 to 100%). The nursing units utilized 37% BSN-arranged RN staff (over a scope of 0 to 100 percent of BSN) (Brewer et al., 2012). The normal unit residency in this study was 74.39 months (over a range of 19 to 200 months), which is equivalent to 6.2 years (extending from 1.6 to 16.7 years). In terms of the medical facility characteristics, the average healing center size included 347 beds (going from 75 to 1,242 beds). Overall, the medical facilities had 0.13 medicinal and dental occupants per clinic. Similarly, nurses evaluated work many-sided quality at 3.84 by and large, which differ somewhat and concur marginally while nursing unit size arrived at the midpoint of 34 beds (going from 13 to 84 beds). The standard nursing unit turnover rate in the middle of January and February was associated with the standard length of patient stay (r = 0.13), work unpredictability (r = 0.18), medical attendant unit residency (r = - 0.13), showing status (r = 0.12), unit size (r = 0.21), and persistent wellbeing status (r = - 0.12). In addition, the RN turnover rate amid March and April was associated with more variables including workgroup union (r = - 21), coordination with other wellbeing suppliers (r = - 0.15), work multifaceted nature (r = 0.18), medical caretaker unit residency (r = - 0.13), innovative modernity (r = - 0.13), tolerant age (r = 0.14), and understanding wellbeing status (r = - 0.16) (Brewer et al., 2012).


Factors Driving Nursing Turnover

  • Feeling exhausted; not having the capacity to manage the workload
  • Lack of part clarity and low feeling of control over employment execution
  • Not feeling regarded and esteemed for commitments and abilities
  • Poor correspondence with administration in underlying issues influencing work
  • Not receiving acknowledgment or rewards for achievements
  • Lack of vocation opportunities and backing for professional improvement
  • Lack of trust and fruitful coordinated efforts with colleagues
  • Work plan does not coordinate employment needs or desires
  • Work is too physically requesting

Strategies for Reducing the Level and Cost of Nursing Turnover

Expanding the Number of Nursing Candidates

  • Instructive and group outreach projects to develop attention to nursing as a conceivable calling
  • Supporting nursing understudies through grants
  • Giving informative reimbursement to offer the workers some assistance with obtaining nursing degrees
  • Selecting medical caretakers applicants from remote nations
  • Campaigning the legislature to bolster formation of new nursing schools.

Making Jobs More Attractive To Nursing Candidates

  • Expanding pay and advantages
  • Supporting adaptable booking and employment sharing
  • Incorporating professional advancement exercises, with the outline of nursing employments
  • Enhancing the associations' work image

Screening out Nursing Candidates Based on "Occupation Fit"

  • Utilizing standardized appraisal instruments to assess competitor work hobbies and inspiration
  • Furnishing competitors with "practical occupation sneak peaks."

Enhancing Methods Used To Manage Nurses After They Are Hired

  • Unmistakably conveying work desires and execution against targets
  • Requesting information from medical attendants on fundamental work issues
  • Perceiving and remunerating excellent execution
  • Supporting vocation improvement
  • Building cooperation and colleague support
  • Offering nurses some assistance with coping with work stress
  • Improving techniques used to set work routines
  • Tending to underperformance issues that affect others in the nursing group
  • Minimizing managerial time spent on non-understanding consideration exercises.


The objectives of the study are to analyze the effects of turnover of medical caretakers on association execution and offer suitable proposals to control and keep the turnover of attendants. The goals of the study have been accomplished by gathering essential information from 30 executives of 30 driving private multi strength medical facilities in Tirunelveli city. The study has found that inordinate workload for the staff, delay in a day-by-day routine techniques, inadequate patient fulfillment and grievances from patients are the premier effects of turnover of medical attendants in private medical facilities. Maintenance of qualified and experienced medical attendants is essential to provide quality care to the patients and in this manner enhance persistent fulfillment and notoriety of the medical facilities. Subsequently, medical facility administration ought to find a way to address insufficiencies in the healing center and satisfy the necessities of medical attendants, which will upgrade their fulfillment and inspiration and in this manner enhance maintenance of the attendants to offer quality care to the patients.



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