Hot Topics: Nurse Retention in Hospitals: A Multilevel Integrative Review of Organizational Determinants

“The shortage of nursing staff represents one of the most significant challenges for healthcare systems worldwide. According to estimates by the World Health Organization, the global nursing deficit decreased from 6.2 million in 2020 to 5.8 million in 2023, with a further reduction to 4.1 million projected by 2030. Despite this trend, the literature highlights how this shortage remains a structural issue, mainly associated with the aging of the workforce, the reduced attractiveness of the nursing profession, with a consequent decrease in enrollments in training programs, the increase in burnout among healthcare professionals following the COVID-19 pandemic, and the growing demand for healthcare linked to the prevalence of chronic diseases. Population aging and the increase in chronic diseases contribute to a higher demand for care, requiring an ever-growing number of nurses who are adequately trained to respond to emerging care needs. These structural factors have been further amplified by the COVID-19 pandemic, which has exacerbated pre-existing challenges and highlighted the urgent need to improve the working conditions of nursing staff in order to ensure sustainable and effective professional practice. Within this context, the capacity of healthcare organizations to retain qualified nursing staff has emerged as a key determinant of the sustainability and effectiveness of health systems globally.”

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JONA Highlights: Social Capital in the Workplace for New Graduate Nurses: Maximizing Recruitment and Retention

“The concept of social capital asserts that social relationships, memberships, connections, and interactions among people create valuable networks that serve as resources to their members. Social relationships in the workplace build human capital, which is an individual’s
knowledge, skills, and experiences. Benefits are both gained and transferred by social ties and social participation that build trust and foster engagement. In examining the employment experiences of NGNs, it is important to consider the significance of social capital. This entails identifying the various sources of social capital within the workplace that can help cultivate positive work environments.”

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How a good new hire experience can effect retention.

“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

Kiel, J. M. (2020). An analysis of restructuring orientation to enhance nurse retention. The health care manager, 39(4), 162-167.

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