Comparison of Reasons for Nurse Turnover in Magnet® and Non-Magnet Hospitals.
OBJECTIVE
The aim of this study is to compare rates and reasons for registered nurse (RN) turnover by Magnet® status.


BACKGROUND
Although lower RN turnover rates in Magnet hospitals have been documented well in the literature, little is known about specific separation reasons for RN turnover and whether the reasons differ between Magnet and non-Magnet hospitals.


METHODS
This descriptive, correlational study analyzed unit-level 2013 National Database of Nursing Quality Indicators® turnover data (2,958 units; 497 hospitals). Poisson regression and Wilcoxon-Mann-Whitney test were used.


RESULTS
Registered nurse turnover due to environment-related reasons was higher on units in non-Magnet hospitals than units in Magnet hospitals. Units in non-Magnet hospitals had 4.684 times higher turnover rates due to staffing/workload and 1.439 times higher rates due to work schedules than did units in Magnet hospitals.


CONCLUSIONS
Nursing administrators in both Magnet and non-Magnet hospitals need to continually strive to improve unit work environments, particularly staffing and workload conditions and work scheduling.
Author Affiliations: Assistant Professor (Dr Park), School of Nursing, University of Kansas Medical Center; Staff Nurse (Ms Gass), University of Kansas Hospital; Professor (Dr Boyle), Fay W. Whitney School of Nursing, University of Wyoming, Laramie.
Shin Hye
SH
Park
Stephanie
S
Gass
Diane K
DK
Boyle
D002322:Career Mobility; D016208:Databases, Factual; D005190:Family; D006761:Hospitals / Q000145:classification* / Q000592:standards; D006801:Humans; D055361:Multilevel Analysis; D009741:Nursing Staff, Hospital / Q000191:economics / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010561:Personnel Staffing and Scheduling; D010563:Personnel Turnover / Q000191:economics / Q000706:statistics & numerical data*; D016012:Poisson Distribution; D012179:Retirement; D012931:Social Environment; D000078329:Workforce; D016526:Workload