“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.”
“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.” (Kiel)

Kiel, J. M. (2020). An analysis of restructuring orientation to enhance nurse retention. The health care manager, 39(4), 162-167.
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
Ayanwale, A. M. (2019). Strategies Nurse Managers Use to Reduce Voluntary Turnover of New Registered Nurses (Doctoral dissertation, Walden University).
Cortes, K. R. (2018). Comparing a general and transitional registered nurse orientation to facilitate quality improvement.
Wadewitz, D. R. (2020). Development of an effective new employee orientation program (Doctoral dissertation, University of Wisconsin-Stout).