Study finds that work environment dissatisfaction causes nurse turnover

A study published in the July issue of Nursing Outlook suggests that dissatisfaction regarding work environment is a key driver of turnover among newly licensed R.N.s (NLRNs), Modern Healthcare reports. The study, which was funded by the Robert Wood Johnson Foundation, was based on survey responses gathered from 612 R.N.s practicing in 34 states and Washington, D.C., who had first passed the National Council Licensing Exam between six months and 18 months prior to completing the survey.

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INQRI Grantees Patti Hamilton and Gretchen Gemeinhardt are concerned about the impact of working environment on the quality of patient care and the effect on nurses. In their study, "The Effect of Off-peak Hospital Environments on Nurses' Work," the team is using an Institutional Ethnography (IE) to situate nursing in the center of an interdisciplinary approach to learn how and why off-peak work environments are different, and how they affect nurses' work and patient care. This project will provide researchers with insight into how to account for temporal variations in nurses' work environment when specifying causal models linking nursing care to patient outcomes. The project also will provide stakeholders with materials that help them identify, evaluate, and anticipate effects of initiatives to improve efficiency, effectiveness, quality and cost on nursing care provided during off-peak periods.

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