Nurse turnover in New Zealand: costs and relationships with staffing practises and patient outcomes
Journal of Nursing ManagementPublished 4 May 2012
Nicola North, William Leung, Toni Ashton, Erling Rasmussen, Frances Hughes, Mary Finlayson
Citations87
SJR quartileQ1
SJR score1.71
SNIP1.74
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A culture of turnover was found that is inconsistent with nursing as a knowledge workforce and information on turnover and costs is needed to develop strategies that retain nurses as knowledge-based workers.
Abstract
Nurse managers did not challenge flexible staffing practices and high turnover rates. Information on turnover and costs is needed to develop strategies that retain nurses as knowledge-based workers.
Keywords
Health ProfessionsNursing
International Journal of Nursing StudiesNurse turnover: A literature review
861 Citations2005Laureen Hayes, Linda O’Brien‐Pallas +7 more
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.
Health Care Management ReviewThe Shocking Cost of Turnover in Health Care
443 Citations2004J. Deane Waldman, Frank Kelly +2 more
Review of turnover costs at a major medical center helps health care managers gain insights about the magnitude and determinants of this managerial challenge and assess the implications for organizational effectiveness.
Journal of Nursing ManagementImpact and determinants of nurse turnover: a pan-Canadian study
336 Citations2010Linda O’Brien‐Pallas, Gail Tomblin Murphy +3 more
Managing turnover within nursing units is critical to high-quality patient care and a supportive practice setting in which role responsibilities are understood by all members of the caregiver team would promote nurse retention.
JONA The Journal of Nursing AdministrationRevisiting Nurse Turnover Costs
288 Citations2007Cheryl B. Jones
A method to inflation adjust baseline nurse turnover costs using the Consumer Price Index is presented to gain current knowledge of organizational nurse turnover Costs when primary data collection is not practical and to determine costs and potential savings if nurse retention investments are made.
International Journal of Contemporary Hospitality ManagementHow much does labour turnover cost?
246 Citations2010Michael Davidson, Nils Timo +1 more
JONA The Journal of Nursing AdministrationThe Costs of Nurse Turnover, Part 2
215 Citations2005Cheryl B. Jones
This is the second article in a 2-part series focusing on nurse turnover and its costs, and the updated Nursing Turnover Cost Calculation Methodology is presented.
Policy Politics & Nursing PracticeThe Impact of Nurse Turnover on Patient, Nurse, and System Outcomes: A Pilot Study and Focus for a Multicenter International Study
191 Citations2006Linda O’Brien‐Pallas, Pat Griffin +7 more
A study that was designed to refine a methodology to examine the costs associated with nurse turnover provided significant evidence to justify increased emphasis on nurse retention strategies and the creation of healthy work environments for nurses.
JONA The Journal of Nursing AdministrationThe Costs of Nurse Turnover
178 Citations2004Cheryl B. Jones
This series conceptualizes nurse turnover via human capital theory and presents an update of a previously developed method for determining the costs of nurse turnover, the Nursing Turnover Cost Calculation Method.
JONA The Journal of Nursing AdministrationSupplemental Nurse Staffing in Hospitals and Quality of Care
97 Citations2007Linda H. Aiken, Ying Xue +2 more
Negative perceptions of temporary nurses may be unfounded, and deficiencies in patient care environments in hospitals employing more temporary nurses explain the association between poorer quality and temporary nurses.
Health Care Management ReviewUse of temporary nurses and nurse and patient safety outcomes in acute care hospital units
83 Citations2010Sung‐Heui Bae, Barbara A. Mark +1 more
This study found that nurses working on nursing units with moderate levels of external temporary RN hours reported fewer medication errors than those without using any external temporaryRNs.
Health PolicyThe costs of nursing turnover: evidence from the British National Health Service
67 Citations1996Alastair Gray, Victoria Phillips +1 more
No relationship is found between turnover rates and crude measures of patient service or staff morale measures, and the cost-effectiveness of a policy which uses across-the-board pay increases to reduce turnover is compared with one which targets pay rises to certain groups only.
JONA The Journal of Nursing AdministrationStaff Nurse Turnover Costs
65 Citations1990Cheryl B. Jones
The findings of this study demonstrate that the costs of nursing turnover can be high, and that the potential for adverse impact on the nursing department, the hospital environment, and the healthcare environment exists, and provide nurse researchers direction for future research into the costs and benefits of nursing retention activities.
JONA The Journal of Nursing AdministrationStaff Nurse Turnover Costs
62 Citations1990Cheryl B. Jones
This study provides nurse administrators with information necessary to more fully understand the impact of turnover and assists them in developing and defending retention strategies.
Journal of Advanced NursingTemporary nursing staff - cost and quality issues
60 Citations2010Keith Hurst, Adam Hewitt‐Smith
Ward managers need to monitor temporary staffing and the effect they have on nursing activity and quality in general and specialist wards.
PubMedImplications of staff 'churn' for nurse managers, staff, and patients.
55 Citations2009Christine Duffield, Michael Roche +2 more
Changes to skill mix and the proportions of full-time, agency, and temporary staff present challenges in providing clinical leadership, scheduling staff, performance management, and supervision.
OECD health working papersHealth Workforce and International Migration
48 Citations2008Pascal Zurn, Jean‐Christophe Dumont
New Zealand journal of employment relationsTurnover amongst Nurses in New Zealand's District Health Boards: A National Survey of Nursing Turnover and Turnover Costs
26 Citations2005Nicola North, Erling Rasmussen +5 more
The study of turnover and turnover costs is part of a wider international study to determine the direct and indirect costs of nursing turnover, which includes the systemic costs, estimated by determining the impacts of turnover on patient and nurse outcomes.
Journal of Clinical NursingCan New Zealand achieve self‐sufficiency in its nursing workforce?
19 Citations2010Nicola North
Analysis of nursing workforce data highlighted threats to self-sufficiency, including age structure, high rates of emigration of New Zealand nurses with reliance on overseas nurses and an annual output of nurses that is insufficient to replace both expected retiring nurses and emigrating nurses.
International Nursing ReviewEvaluating the impact of a new pay agreement on New Zealand nursing
15 Citations2009Jim Buchan, Nicola North
Asia Pacific Journal of Health ManagementMethodological Challenges to Researching Nursing Turnover in New Zealand: A Progress Report of a National Study
9 Citations2006Nicola North, Frances Hughes
More robust data than are currently available in New Zealand public hospitals to inform practices and policies related to nursing turnover are needed before managers can make workforce decisions that are evidence-based.
JONA The Journal of Nursing AdministrationGraduate Nurse Overhires
8 Citations1996Sharon Cardona, Maxine Bernreuter
The authors discuss the strategy of overhiring graduate nurses and compare these costs to more traditional temporary methods of replacing nurses who have resigned.
Labour Employment and Work in New ZealandUse of Temporary Nurse Mechanisms by New Zealand's District Health Board
4 Citations2006Nicola North, Frances Hughes +5 more
It was concluded that management of nursing resource was driven by cost, no strategic, considerations, and Published research on use of temporary cover and the effect of such practices on turnover of nurses provided a perspective to critique the funding.
