Nurse turnover: a literature review.
Ongoing instability in the nursing workforce is raising questions globally about the issue of nurse turnover. A comprehensive literature review was undertaken to examine the current state of knowledge about the scope of the nurse turnover problem, definitions of turnover, factors considered to be determinants of nurse turnover, turnover costs and the impact of turnover on patient, and nurse and system outcomes. Much of the research to date has focused on turnover determinants, and recent studies have provided cost estimations at the organizational level. Further research is needed to examine the impact of turnover on health system cost, and how nurse turnover influences patient and nurse outcomes.
Hayes
Laureen J
LJ
Faculty of Nursing, University of Toronto, Toronto, Ont., Canada. laureen.hayes@utoronto.ca
O'Brien-Pallas
Linda
L
Duffield
Christine
C
Shamian
Judith
J
Buchan
James
J
Hughes
Frances
F
Spence Laschinger
Heather K
HK
North
Nicola
N
Stone
Patricia W
PW
D003365:Costs and Cost Analysis; D006801:Humans; D007588:Job Satisfaction; D009740:Nursing Staff / Q000600:supply & distribution*; D010559:Personnel Management; D010563:Personnel Turnover / Q000191:economics; D011787:Quality of Health Care