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PATIENT AND NURSE OUTCOMES AND THE COST OF NURSES' TURNOVER IN

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					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.

				
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