Reducing Annual Hospital and Registered Nurse Staff Turnover—A 10-Element Onboarding Program Intervention:

SAGE Open Nursing

EmmaKurnat-Thoma¹ 

关键词: hospital turnover;    nurse turnover;    turnover analysis;    hospital employee retention;    exit surveys;    onboarding;    turnover reduction initiative;   

DOI  :  10.1177/2377960817697712

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Employee turnover is a key metric and performance indicator when evaluating the fiscal and operational effectiveness of any health-care facility. This article outlines a turnover analysis and onboarding program performance improvement initiative used by a 187-bed community hospital in the Washington DC metropolitan area to reduce staff turnover. Using an evidence-based approach, we evaluated facility staffing statistics, exit survey data, research literature, and industry exemplars. We identified presence of severe turnover for hospital and nursing staff employed less than one year (new hires), with 2009–2012 annual new-hire losses ranging from 28.8% to 49.6%. Exit survey data identified only 50% to 62% of new employees who felt that: hospital orientation provided necessary information for successful employment; they had people to go to with concerns; and they had a realistic understanding of their job. Therefore, a 10-element program intervention was designed to strengthen and standardize the new employe...

【 授权许可】

CC BY