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View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
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Learn MoreThis is the second in a two-part blog series about staffing issues in skilled nursing.
Not much attention has been paid to the effects of poor retention of skilled nursing staff. However, the literature supports the importance of retaining them. One study found that RNs that had been employed five years or longer at the same facility were associated with less dependence on restraints, less pain levels, lower levels of pressure ulcers, and fewer indwelling catheters [Castle and Engberg (2008) in Thomas et. al (2012)].
A study was conducted by Thomas et al. (2012) with 681 nursing homes in Florida between 2002-09. They used nursing home facility-level data and staffing reports and controlled for patient demographics and ownership characteristics of the facilities. They found that the licensed nurse retention rate was significantly related to the 30-day readmission rate. Furthermore, a 10% increase in licensed nurse retention was associated with a 0.2% lower readmission rate. This translated into two less hospitalizations per year per nursing home. Their research emphasized the importance of retention and the critical value of “stayers.”
Factors Associated with Staff Retention
Barbera (2014) identified a number of factors associated with retention. They were:
Advisor Recommendations for Reducing Turnover
Barbera (2014) summarized several suggestions to reduce turnover. These have been categorized in three areas. The first intervention category relates to the professional development of staff and includes things like providing opportunities for professional growth, training supervisors in coaching techniques, including employees in decision-making, recognizing employees for their accomplishments, and assisting employees with stress management.
The second category includes ideas to improve staff autonomy like involving more staff in care planning and creating options for self-scheduling. The third category applies to administrators. It includes things like clear communication of expectations, confronting under performance, team building, staff support, calling staff by names, increasing the number of staff per resident, and recruiting more appropriate employees (by assessing interests and motivation).
Lastly, Collier and Harrington (2008) recommended three staffing guidelines which should be tested and evaluated as to their effect on the quality of resident care (p. 167).
References:
Barbera, E. F. (2014). The keys to reducing turnover in long-term care. McKnight’s. Retrieved from http://www.mcknights.com/the-world-according-to-dr-el/the-keys-to-reducing-turnover-in-long-term-care/
Castle, N. G., & Engberg, J. (2008). Further examination of the influence of caregiver staffing levels on nursing home quality. The Gerontologist, 48, 464-476.
Collier, E., & Harrington, C. (2008). Staffing characteristics, turnover rates, and quality of resident care in nursing facilities. Research in Gerontological Nursing, 1, pp. 157-170.
Thomas, K. S., Mor, V., Tyler, D. A., & Hyer, K. (2012). The relationship among licensed nurse turnover, retention, and rehospitalization of nursing home residents. 53, 211-221.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
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View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
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View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
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View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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