PURPOSE In this study the levels of staff turnover reported in the nursing home literature (1990-2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined in nursing homes. DESIGN AND METHODS Data came...

BACKGROUND High levels of stress and the challenges of meeting the complex needs of critically ill children and their families can threaten job satisfaction and cause turnover in nurses. OBJECTIVE To explore the influences of nurses' attributes, unit characteristics, and elements of the work environment on the job satisfaction of nurses in pediatric critical care units and to determine stress...

High nursing turnover and a shortage of nurses in acute hospital settings in Sweden challenge health care systems to deliver and ensure safe care. Advanced nursing roles implemented in other countries have offered nurses new career opportunities and had positive effects on patient safety, effectiveness of care, and patient satisfaction. The advanced nursing position of Nurse Practitioner has ex...

NC Med J March/April 2010, Volume 71, Number 2 Nationally, over 3 million certified nursing assistants and licensed nurses work in long-term care (LTC). Of these 3 million providers, about 2.5 million are certified nursing assistants (CNAs) and the remaining 500,000 licensed nurses are evenly divided between licensed practical nurses (LPNs) and registered nurses (RNs).1 With the aging of our po...

The national shortage of nurses, which grew to crisis proportions in many communities in the late 1970s, has subsided. Recent evidence suggests that hospital nurse vacancy and turnover rates have declined significantly since 1979. The recent swift reversal in the availability of nurses, from shortage to waiting lists in some hospitals, has taken many by surprise. It also raises the possibility ...

BACKGROUND The management of emergency departments (EDs) principally involves maintaining effective patient flow and care. Different triage models are used today to achieve these two goals. The aim of this study was to compare the performance of different triage models used in three Swedish EDs. Using efficiency and quality indicators, we compared the following triage models: physician-led team...

This paper investigates employee turnover, using data from a recent study of 352 NHS nurse leavers. We explore individual decisions to quit in a context characterised by change, and suggest a mechanism whereby organisational and contextual change can prompt individual leaving decisions. We develop and test hypotheses designed to shed light on the links between organisational change and individu...