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Related Experiment Videos

Effects on nurse retention. An experiment with scheduling.

T Choi, H Jameson, M L Brekke

    Medical Care
    |November 1, 1986
    PubMed
    Summary

    Individual station-designed nursing schedules positively impacted nurse retention by addressing root causes of turnover. Other schedules unexpectedly boosted nurses

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    Area of Science:

    • Nursing
    • Healthcare Management
    • Organizational Psychology

    Background:

    • Nurse turnover is a significant issue in healthcare, impacting patient care and operational costs.
    • Existing nursing schedules may not adequately address the complex factors contributing to job dissatisfaction and turnover.
    • Understanding the impact of different scheduling models on nurse retention and job satisfaction is crucial for healthcare organizations.

    Purpose of the Study:

    • To evaluate the relative impact of three distinct experimental nursing schedules on nurse retention and turnover.
    • To identify which scheduling model best mitigates the root causes of nurse turnover.
    • To explore the effects of different schedules on nurses' sense of marketability and teamwork.

    Main Methods:

    • A before-after study design was employed with four randomly selected nursing groups.
    • Three experimental groups received different schedules: straight shifts, flexible schedule with unlimited changes, and individual station-designed schedules.
    • One control group was maintained, and pre-treatment scores were compared using 36 reliable scales to ensure baseline comparability.

    Main Results:

    • No significant effect on overall nurse retention was observed across the three experimental schedules due to external job market factors.
    • Individual station-designed schedules led to the most changes favoring nurse retention.
    • Straight shifts and flexible schedules unexpectedly increased nurses' perceived marketability while diminishing teamwork.

    Conclusions:

    • Individual station-designed schedules show promise in addressing specific drivers of nurse turnover and improving retention.
    • Alternative scheduling models may inadvertently foster individualism and reduce collaborative practice among nursing staff.
    • Further research is needed to optimize nursing schedules for both retention and a supportive team environment.

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