title: [Cost of nursing turnover in a Teaching Hospital].
abstract: OBJECTIVE
  To map the sub processes related to turnover of nursing staff and to investigate and measure the nursing turnover cost.
  
  
  METHODS
  This is a descriptive-exploratory study, classified as case study, conducted in a teaching hospital in the southeastern, Brazil, in the period from May to November 2013. The population was composed by the nursing staff, using Nursing Turnover Cost Calculation Methodology.
  
  
  RESULTS
  The total cost of turnover was R$314.605,62, and ranged from R$2.221,42 to R$3.073,23 per employee. The costs of pre-hire totaled R$101.004,60 (32,1%), and the hiring process consumed R$92.743,60 (91.8%) The costs of post-hire totaled R$213.601,02 (67,9%), for the sub process decreased productivity, R$199.982,40 (93.6%).
  
  
  CONCLUSIONS
  The study identified the importance of managing the cost of staff turnover and the financial impact of the cost of the employee termination, which represented three times the average salary of the nursing staff.
authors.affiliation: Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
authors.forename: Paula Buck de Oliveira
authors.initials: PB
authors.lastname: Ruiz
authors.affiliation: Departamento de Enfermagem Especializada, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
authors.forename: Marcia Galan
authors.initials: MG
authors.lastname: Perroca
authors.affiliation: Departamento de Enfermagem Especializada, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil.
authors.forename: Marli de Carvalho
authors.initials: Mde C
authors.lastname: Jericó
mesh_terms: D003365:Costs and Cost Analysis; D006784:Hospitals, Teaching; D009741:Nursing Staff, Hospital / Q000191:economics*; D010563:Personnel Turnover / Q000191:economics*