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BackgroundNurses leaving their jobs and the profession are an issue of international concern, with supply-demand gaps for nurses reported to be widening. There is a large body of existing literature, much of which is already in review form. In order to advance the usefulness of the literature for nurse and human resource managers, we undertook an overview (review of systematic reviews). The aim of the overview was to identify high quality evidence of the determinants and consequences of turnover in adult nursing.MethodsReviews were identified which were published between 1990 and January 2015 in English using electronic databases (the Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, Applied Social Sciences Index and Abstracts, CINAHL plus and SCOPUS) and forward searching. All stages of the review were conducted in parallel by two reviewers. Reviews were quality appraised using the Assessment of Multiple Systematic Reviews and their findings narratively synthesised.ResultsNine reviews were included. We found that the current evidence is incomplete and has a number of important limitations. However, a body of moderate quality review evidence does exist giving a picture of multiple determinants of turnover in adult nursing, with - at the individual level - nurse stress and dissatisfaction being important factors and -at the organisational level - managerial style and supervisory support factors holding most weight. The consequences of turnover are only described in economic terms, but are considered significant.ConclusionsIn making a quality assessment of the review as well as considering the quality of the included primary studies and specificity in the outcomes they measure, the overview found that the evidence is not as definitive as previously presented from individual reviews. Further research is required, of rigorous research design, whether quantitative or qualitative, particularly against the outcome of actual turnover as opposed to intention to leave.Trial registrationPROSPERO Registration 17 March 2015: CRD42015017613.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2707-0) contains supplementary material, which is available to authorized users.

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Field observations show that hydraulic fracture growth in naturally fractured formations like shale is complex. Preexisting discontinuities in shale, including natural fractures and bedding, act as planes of weakness that divert fracture propagation. To investigate the influence of weak planes on hydraulic fracture propagation, we performed Semicircular Bend tests on Marcellus Shale core samples containing calcite-filled natural fractures (veins). The approach angle of the induced fracture to the veins and the thickness of the veins have a strong influence on propagation. As the approach angle becomes more oblique to the induced fracture plane, and as the vein gets thicker, the induced fracture is more likely to divert into the vein. Microstructural analysis of tested samples shows that the induced fracture propagates in the middle of the vein but not at the interface between the vein and the rock matrix. Cleavage planes and fluid inclusion trails in the vein cements exert some control on the fracture path. Combining the experimental results with theoretical fracture mechanics arguments, the fracture toughness of the calcite veins was estimated to range from 0.24 MPa m 1/2 to 0.83 MPa m 1/2 , depending on the value used for the Young's modulus of the calcite vein material. Measured fracture toughness of unfractured Marcellus Shale was 0.47 MPa m 1/2 .

An earthquake sequence that culminated in a Mw4.8 strike‐slip event near Timpson, east Texas, the largest reported earthquake to date in that region, had previously been attributed to wastewater injection starting 17 months before the onset of recorded seismic activity. To test if this earthquake sequence can be attributed to wastewater injection, we conducted coupled poroelastic finite element simulations to assess the spatial and temporal evolution of pore pressure and stress field in the vicinity of the injection wells and to calculate the Coulomb failure stress on the seismogenic fault as a function of the permeability of the injection layer, fault orientation, fault permeability, and orientation and magnitude of the in situ stress. We find that injection‐induced fault slip is plausible within the range of selected model input parameters, with slip favored by low reservoir permeability, low fault permeability, and a favorable orientation of the fault relative to the in situ stress state. Other combinations of equally plausible input parameters predict no slip within 96 months of simulated injection. Under most favorable boundary conditions for fault slip, fault slip occurs 7 months after the start of injection. Our results highlight the importance of detailed geomechanical site characterization for robust fault stability assessment prior to wastewater injection.

Shale gas reservoirs are commonly produced using hydraulic fracture treatments. Microseismic monitoring of hydraulically induced fracture growth shows that hydraulic fractures sometimes propagate away from the present-day maximum horizontal stress direction. One likely cause is that natural opening-mode fractures, which are present in most mudrocks, act as weak planes that reactivate during hydraulic fracturing. Knowledge of the geometry and intensity of the natural fracture system and the likelihood of reactivation is therefore necessary for effective hydraulic fracture treatment design. Changing effective stress and concomitant diagenetic evolution of the host-rock controls fracture initiation and key fracture attributes such as intensity, spatial distribution, openness and strength. Thus, a linked structural-diagenesis approach is needed to predict the fracture types likely to be present, their key attributes and an assessment of whether they will impact hydraulic fracture treatments significantly. Steep (.758), narrow (,0.05 mm), calcite-sealed fractures are described in the Barnett Shale, north-central Texas, the Woodford Formation, west Texas and the New Albany Shale in the Illinois Basin. These fractures are weak because calcite cement grows mostly over non-carbonate grains and there is no crystal bond between cement and wall rock. In bending tests, samples containing natural fractures have half the tensile strength of those without and always break along the fracture plane. By contrast, samples with quartz-sealed fractures do not break along the fracture plane. The subcritical crack index of Barnett Shale is .100, indicating that the fractures are clustered. These fractures, especially where present in clusters, are likely to divert hydraulic fracture strands. Early, sealed, compacted fractures, fractures associated with deformation around concretions and sealed, bedding-parallel fractures also occur in many mudrocks but are unlikely to impact hydraulic fracture treatments significantly because they are not widely developed. There is no evidence of natural open microfractures in the samples studied.

Background:Nurse turnover is an issue of concern in health care systems internationally. Understanding which interventions are effective to reduce turnover rates is important to managers and health care organisations. Despite a plethora of reviews of such interventions, strength of evidence is hard to determine.Objective:We aimed to review literature on interventions to reduce turnover in nurses working in the adult health care services in developed economies.Method:We conducted an overview (systematic review of systematic reviews) using the Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, Applied Social Sciences Index and Abstracts, CINAHL plus and SCOPUS and forward searching. We included reviews published between 1990 and January 2015 in English. We carried out parallel blinded selection, extraction of data and assessment of bias, using the Assessment of Multiple Systematic Reviews. We carried out a narrative synthesis.Results:Despite the large body of published reviews, only seven reviews met the inclusion criteria. These provide moderate quality review evidence, albeit from poorly controlled primary studies. They provide evidence of effect of a small number of interventions which decrease turnover or increase retention of nurses, these being preceptorship of new graduates and leadership for group cohesion.Conclusion:We highlight that a large body of reviews does not equate with a large body of high quality evidence. Agreement as to the measures and terminology to be used together with well-designed, funded primary research to provide robust evidence for nurse and human resource managers to base their nurse retention strategies on is urgently required.