healthcare system worldwide

healthcare system worldwide

Nursing Discussion

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The problem and the research purpose

The issue of nurse turnover is a major concern in the healthcare system worldwide. It affects the quality of healthcare services that are being delivered to the patients. Therefore, this is an issue that needs to be addressed. Understanding the interventions is important in the reduction of the turnover rates to the hospitals.And the management of the hospitals. Therefore, the focus of the article is to develop a PICOT statement. In the form of a question that will guide on the intervention to be implemented to address the issue of nurse turnover (Halter et al., 2017).

PICOT Question: in-hospital nurses. How do staff retention methods being implemented by the educators. Or the management compared to no intervention affect the retention of the recruits?

The characteristics of the population

The population, in this case, are the nurses. And their working places have been increasingly affected by the staff turnover. And the issues of retention. This is basically due to the increase in the level of stress, poor workplace environment. And the reduction in the level of satisfaction by these professionals (Kurnat-Thoma et al., 2017). The transitioning to work as a registered nurse for the new graduates is challenging in the in-patient facilities.

Intervention or the exposure

The intervention, in this case, is staff retention in nursing and evidence shows that effective nurse managers are playing important role in the nurse staff retention and attainment of quality nursing care. Staff retention in nursing leads to the satisfaction of nurses in the work environment. Some of the practices that can be adopted by the managers and healthcare organization include the reduction of the overtime and elimination of the mandatory overtime; development of a shared governance program to give nurses a voice in scheduling, workflows, and healthcare policies; and making sure that there are sufficient nurse staffing levels and supporting the acuity-based staffing tools.


The intervention of the nursing staff retention is compared to no intervention i.e. absence of retention. This practice is associated with overtime working, poor nurse-patient ratio, and lack of involvement of the nurses in the development of the policies.


The expected outcome after the successful implementation of the intervention is the reduction in nursing turnover. The satisfaction of the nurses in the workplace will improve as a result of the development of the shared governance program that gives them an opportunity of voicing in scheduling, workflow, and policies set by the hospitals (Kurnat-Thoma et al., 2017).



Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., … & Drennan, V. (2017). Interventions to reduce adult nursing turnover: a systematic review of systematic reviews. The open nursing journal, 11, 108.

Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—A 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712