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Retention of staff

Robert Jackson, Philip Cheng, Sarah Moreman, Nicola Davey, Lisa Owen
Constipation is a common and often overlooked problem, but it can cause serious complications for patients including pain, nausea, urinary retention, and prolonged hospital admission. There are no recognised criteria for the diagnosis of constipation in the acute hospital setting, and it is often the role of the ward doctor to identify and manage this problem. Completion and monitoring of "stool charts" by nursing and medical staff is key to proper recognition and management of constipation. A baseline study found that while charts were completed well, they were only monitored by doctors 17...
2016: BMJ Quality Improvement Reports
(no author information available yet)
TWO YEARS of hard work have paid off for managers and staff at Rochdale NHS Trust, the first UK hospital to be awarded 'magnet' status. The American Nurses Credentialing Center has approved the accreditation in recognition of the trust's good record on a number of performance indicators, including staff retention and patient mortality rates.
March 20, 2002: Nursing Standard
(no author information available yet)
The opening next month of a private A&E centre that charges patients for immediate care has prompted concern over NHS staff recruitment and retention.
September 2003: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Moira Davies
The implementation of Agenda for Change (AfC) pay and grading has raised concerns about the future of nurses working in higher education (HE) in relation to recruitment and retention of staff. Nurse education affects all qualified nurses and nursing students.
October 12, 2005: Nursing Standard
(no author information available yet)
The International Council of Nursing (ICN) has launched a 'positive practice' toolkit to help improve nurses' working lives and increase staff retention.
June 1, 2007: Nursing Management (Harrow)
(no author information available yet)
The impact of the two-year pay freeze on recruitment, retention, morale, motivation and patient care must be monitored, the RCN says in its evidence to the independent NHS pay review body (RB).
November 17, 2010: Nursing Standard
John Wakerman, John Humphreys, Lisa Bourke, Terry Dunbar, Michael Jones, Timothy A Carey, Steven Guthridge, Deborah Russell, David Lyle, Yuejen Zhao, Lorna Murakami-Gold
BACKGROUND: Remote Australia is a complex environment characterized by workforce shortages, isolated practice, a large resident Indigenous population, high levels of health need, and limited access to services. In recent years, there has been an increasing trend of utilizing a short-term visiting (fly-in/fly-out) health workforce in many remote areas. However, there is a dearth of evidence relating to the impact of this transitory workforce on the existing resident workforce, consumer satisfaction, and the effectiveness of current services...
October 3, 2016: JMIR Research Protocols
Sayed Masoom Shah, Shehla Zaidi, Jamil Ahmed, Shafiq Ur Rehman
BACKGROUND: Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC) infrastructure, Pakistan's health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan...
April 9, 2016: International Journal of Health Policy and Management
Betty L Kaiser, Gay R Thomas, Barbara J Bowers
Lack of diversity among study participants in clinical research limits progress in eliminating health disparities. The engagement of lay stakeholders, such as patient or community advisory boards (CABs), has the potential to increase recruitment and retention of underrepresented groups by providing a structure for gathering feedback on research plans and materials from this target population. However, many CABs intentionally recruit prominent stakeholders who are connected to or comfortable with research and academia and thus may not accurately represent the perspectives of underrepresented groups who have been labeled hard-to-reach, including racial minorities and low-income or low-literacy populations...
September 30, 2016: Research in Nursing & Health
Susan Purchase, Jayne Cunningham, Monika Esser, Donald Skinner
The burden of paediatric HIV in South Africa is extremely high. Antiretrovirals (ARVs) are now widely accessible in the country and the clinical emphasis has shifted from initiation of treatment to retention in care. This study describes the cumulative virological failure rate amongst children on ARVs in a peri-urban clinic, and suggests ways in which clinics and partners could improve treatment outcomes. The study was conducted by the non-profit organisation HOPE Cape Town Association. A retrospective file audit determined the cumulative virological failure rate, that is, the sum of all children with a viral load >1000 copies/ml, children on monotherapy, children who had stopped treatment, children lost to follow-up (LTFU) and children who had died...
September 2016: African Journal of AIDS Research: AJAR
Amanda W Scarbrough, Marianne Moore, Steve R Shelton, Regina J Knox
To reduce health professional shortage areas, the National Health Service Corps has attempted to increase the number of primary care providers in underserved communities through scholarships and loan repayment. Program evaluations assessed Loan Repayment Program (LRP) propensity to work in underserved communities. The National Health Service Corps LRPs were asked about preferences for particular retention strategies and which strategies were utilized by their clinical sites. Loan Repayment Programs were asked to rank retention strategies...
September 26, 2016: Health Care Manager
Neil Headford, Gill Green
Nursing is undergoing radical and fundamental changes. The impact of Project 2000 and the recruitment and retention of professional staff have profound implications for the delivery of patient care. All this is taking place in a service under threat from the demographic 'black hole' - the dearth of young people who will work in the health service due to the low birth rate in the early 1970s. We believe the first level registered nurse (RN) has to assume a positive role if the profession is to play its full part in facing the challenges health care will bring in the future...
February 21, 1990: Nursing Standard
Fikadu Balcha Hailu, Chanyalew Worku Kassahun, Mirkuzie Woldie Kerie
BACKGROUND: Nurse-physician communication has been shown to have a significant impact on the job satisfaction and retention of staff. In areas where it has been studied, communication failure between nurses and physicians was found to be one of the leading causes of preventable patient injuries, complications, death and medical malpractice claims. OBJECTIVE: The objective of this study is to determine perception of nurses and physicians towards nurse-physician communication in patient care and associated factors in public hospitals of Jimma zone, southwest Ethiopia...
2016: PloS One
Jennifer Keller, Amy Heine, Anna Finestone LeViere, Jenna Donovan, Aimee Wilkin, Kristen Sullivan, Evelyn Byrd Quinlivan
Decreased visit attendance leads to poor health outcomes, decreased viral suppression, and higher mortality rates for persons living with HIV. Retention in care is an important factor in improving health status for people living with HIV but continues to be a challenge in clinical settings. This paper details the development and implementation of the NC-LINK Retention Protocol, a clinic-based protocol to locate and reengage out-of-care patients, as part of overall clinic retention efforts. The protocol was implemented as one of four interventions of the NC-LINK Systems and Linkages Project, a multi-site initiative funded by the HIV/AIDS Bureau and the Special Projects of National Significance...
September 2, 2016: AIDS Care
Hailay Abrha Gesesew, Bosena Tebeje, Fessahaye Alemseged, Waju Beyene
BACKGROUND: Skill mix of health professionals, staff acquisition and turnover rate are among the major challenges for the delivery of quality health care. This study assessed the health workforce acquisition, retention, turnover rate and their intention to leave. METHODS: A cross-sectional survey with quantitative and qualitative data collection methods was conducted in Jimma Zone health institutions. Five years records (September 2009-August 2014) were reviewed to determine the turnover rate...
July 2016: Ethiopian Journal of Health Sciences
Aurélia Tison, Luis Sagaon-Teyssier, Caroline Sansonetti, Jean-François Blatier, Alain Paraponaris
PURPOSE: The aim of this study was to investigate whether the labor market mobility of a population of cancer survivors 2 years after diagnosis differed compared to the French general population by focusing on the differences between self-employed workers and salaried staff. METHODS: Coarsened exact matching was implemented to reduce the sampling bias introduced by the comparison of individuals from two different surveys. Then, labor market mobility was analyzed by estimating transition probability matrices from 2010 to 2012 under the framework of a continuous-time Markov technique and by estimating a two-step model...
August 31, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Clara Berridge, Denise A Tyler, Susan C Miller
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44% greater likelihood of having higher CNA retention (odds ratio [OR] = 1...
August 25, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Kathleen M Baldwin, Denice L Black, Lorrie K Normand, Patricia Bonds, Melissa Townley
PURPOSE: The project goal of was to decrease new graduate nurse (NGN) attrition during the first year of employment by improving communication skills and providing additional mentoring for NGNs employed in a community hospital located in a rural area. DESCRIPTION OF PROJECT: All NGNs participate in the Versant Residency Program. Even with this standardized residency program, exit interviews of NGNs who resigned during their first year of employment revealed 2 major issues: communication problems with patients and staff and perceived lack of support/mentoring from unit staff...
September 2016: Clinical Nurse Specialist CNS
John Rodwell, John McWilliams, Andre Gulyas
AIMS: To investigate the influence of characteristics of nurses' relationship quality with their manager on engagement and trust, onto in-role or discretionary behaviors and intent to quit. BACKGROUND: Nurses having a good relationship with their manager is seen as important, yet the mechanisms of how such relationships are beneficial, or which aspects of the relationship are important, is less clear. Two possible mechanisms are through the nurse being more engaged in work, or through building their trust in their employer...
August 10, 2016: Journal of Advanced Nursing
Ching-Hsing Hsieh
Women who undergo vaginal birth apply uterine fundal pressure during the second stage of labor. Uterine fundal pressure is done manually with the practitioner's forearms, elbows, or palms pressed on the uterine fundus at a 30° to 45° angle to the maternal spine in the direction of the pelvis. The pressure is applied in the longitudinal direction. Gentle, firm, and steady pressure is recommended. The various side effects of applying uterine fundal pressure include: uterine rupture, postpartum urinary retention, severe perineal trauma and pain, rib fracture, postpartum dyspareunia, and potential neonatal distress or trauma...
August 2016: Hu Li za Zhi the Journal of Nursing
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