PATIENT AND NURSE OUTCOMES AND THE COST OF NURSES' TURNOVER IN AUSTRALIAN HOSPITALS Newsletter 1 July 2009 The ‘Nursing Turnover and The issues surrounding nurse Data collection for wave one of this Outcomes’ study is a three year retention are complex and project commenced in NSW in ARC funded study being conducted multifactorial. September 2008 and has by Professor Christine Duffield, subsequently been rolled out Overseas evidence has linked Michael Roche and Professor across WA and ACT. The Nurse nurse satisfaction to the working Caroline Homer from UTS, with an Turnover study has been environment, better patient international team of associates implemented within 11 hospitals outcomes and intention to leave including Professor Linda O’Brien- over the two States and the ACT, but Australian research in this area Pallas of the University of Toronto, incorporating 60 medical-surgical is minimal. Canada, Professor James Buchan wards and the distribution of over of Queen Margaret University The data collected for this study 1500 nurse survey forms (to date). College, UK and Dr Judith from 11 hospitals and 60 wards, Wave two of data collection will Shamian of the Victorian Order of will concentrate on the influence of commence in NSW in September Nurses, Canada. organisational and ward 2009, followed by WA and the ACT characteristics and costs in relation The goal of this study is to provide in 2010. to nurse turnover. Patient data will an evidence base to understand focus on Outcomes Sensitive to Data entry from wave one is the incidence of nurse turnover, its currently in progress and results Nursing (OPSN), which include predictors and costs. Specifically, will be reported to the participating falls, length of stay, wound and the study will determine how the hospitals in due course. urinary tract infections, emboli and rate and intensity of nursing decubitus ulcers. Nurse data will turnover impacts patient examine nurse satisfaction, satisfaction and safety, nurse leadership and nurses’ intention to satisfaction and turnover costs. An leave the ward, hospital or even understanding of the nursing. consequences of turnover will assist policy makers to design The study is being conducted strategies and policies to retain and across Western Australia (seven recruit nurses as the market hospitals), Northern Sydney competition increases. Central Coast Area Health Service in NSW (three hospitals) and the Contact This study is timely given the global Australia Capital Territory (one Project Director shortage of nurses. A focus on hospital) within Australia over a Professor Christine Duffield understanding reasons why nurses three year period. Data collection is might leave their employer and the Phone in two waves, conducted one year +61 2 9514 4831 impact of their decisions will apart, to enable comparisons provide an evidence base for Email between recruitment and retention planning retention strategies. Christine.Duffield@uts.edu.au variations at each site.