Costing Nurse Turnover in Nursing Homes

Caudill, Marian; Patrick, Maxine

doi:10.1097/00006247-199111000-00022

Cited by 25 publications

(25 citation statements)

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“…Replacing a NA can cost $2200 and a Registered Nurse (RN) $7000. 4 Staff remaining at the facility often have to increase their workload until replacement staff are found. This can lower their job satisfaction.…”

mentioning

confidence: 99%

Staff Turnover and Quality of Care in Nursing Homes

Castle

Engberg²

2005

Medical Care

343

278

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mentioning

confidence: 99%

Staff Turnover and Quality of Care in Nursing Homes

Castle

Engberg²

2005

Medical Care

343

278

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“…When care is labor intensive, high staff turnover can have far-reaching consequences, including increased facility operating costs and lower caregiver job satisfaction (Caudill & Patrick, 1991;Parsons, Simmons, Penn, & Furlough, 2003). The most serious consequence of caregiver turnover is the potential negative health outcomes for residents.…”

mentioning

confidence: 99%

Nursing Home Staff Turnover: Impact on Nursing Home Compare Quality Measures

Castle¹,

Engberg²,

Men³

2007

The Gerontologist

142

106

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Purpose: We used data from a large sample of nursing homes to examine the association between staff turnover and quality. Design and Methods: The staff turnover measures came from primary data collected from 2,840 nursing homes in 2004 (representing a 71% response rate). Data collection included measures for nurse aides, licensed practical nurses, and registered nurses. We examined 14 indicators of care quality that came from the Nursing Home Compare Web site. Results: We found that reducing turnover from high to medium levels was associated with increased quality, but the evidence was mixed regarding the quality improvements from further lowering turnover to low levels. Implications: Our investigation shows that the relationship between turnover and quality might not be linear. Nevertheless, in general, high turnover is associated with poor quality.

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“…To quantify the replacement cost of RNs in NHs, annual pre-and post-hiring costs were calculated based on published literature, then divided by 12 to give a monthly cost (Caudill & Patrick, 1991; Jones, 2008; Jones & Gates, 2007). Pre-hire costs consisted of advertising for recruitment, hiring, and vacancy costs (hiring temporary staff, overtime, productivity losses, etc.).…”

Section: Methodsmentioning

confidence: 99%

“…Using 1990 dollars, Caudill and Patrick (1991) reported over $7,000 annually to replace one RN. Inflated, this converts to $17,829 per RN in 2012 dollars.…”

Section: Methodsmentioning

confidence: 99%