Job and Industry Turnover for Registered and Licensed Vocational Nurses

Spetz, Joanne; Rickles, Jordan; Chapman, Susan; Ong, Paul M.

doi:10.1097/01.nna.0000323957.44791.b9

Cited by 11 publications

(16 citation statements)

References 10 publications

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“…Nursing turnover rates range from 15% to 36% and the average separation rate for all healthcare employees is 29.6%. (Spetz, Rickles, Chapman, & Ong, 2008) Additionally temporary staff account for about 5% of all nursing care hours. (Jones, 2008) Temporary staff may not be knowledgeable of the devices used in each facility.…”

Section: Resultsmentioning

confidence: 99%

Needleless Connectors: Improving Practice, Reducing Risks

Hadaway¹

2011

Journal of the Association for Vascular Access

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Purpose: To assess the knowledge gap of healthcare workers about practice with needleless connectors. Background: Catheter-related bloodstream infection (CR-BSI) and lumen occlusion can be directly related to practices of cleaning needleless connectors, IV administration set management, and flushing and clamping methods. Review of Relevant Literature: Five publications report outbreaks of CR-BSI from hospitals in the US and Australia. A significant increase in CR-BSI rates after an organizational change of products was observed. No randomized controlled trials are available from the USA comparing types or designs of needleless connectors. Device instructions state some devices can be locked with normal saline. Two randomized clinical trials assessed outcomes with catheter lock solution. Both reported higher rates of occlusion with the use of normal saline only and one documented a higher rate of CR-BSI. Methods: An invitation to participate in a survey with 22 questions was sent electronically to approximately 4000 healthcare workers with a response from 554 in clinical practice. Results: The specific type of needleless connector being used was unknown by 25% and correct clamping sequence was chosen by 52.8% of respondents. The majority, 94.3% reported that they always clean these devices before each use, however there are differences in technique. Conclusions: There is a significant gap of knowledge about the specific needleless connectors being used, the most appropriate cleaning, flushing, and clamping sequence for the specific device. Implications for Practice: Staff education should focus on the connections between needleless connectors, CR-BSI and lumen occlusion. Frequent product training on needleless connectors, the specific type in use and correct techniques are necessary.

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Section: Resultsmentioning

confidence: 99%

Needleless Connectors: Improving Practice, Reducing Risks

Hadaway¹

2011

Journal of the Association for Vascular Access

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“…One telling study (Spetz, Rickles, Chapman, & Ong, 2008) suggested that nurses may not burnout to nursing but rather to particular nursing settings, supervisors, or jobs. The study found that 76% of the nurses who were tracked remained in the healthcare/nursing industry, although they left their healthcare employers.…”

Section: Statement Of the Problemmentioning

confidence: 97%

Professional Nursing Burnout and Irrational Thinking

Balevre

Cassells²,

Buzaianu³

2012

Journal for Nurses in Staff Development

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This expanded (n = 648) replication study examines job-related burnout in practicing nurses in relation to five maladaptive thinking patterns at eight northeast Florida hospitals. Data supported the hypothesis that maladaptive thinking patterns may be related to nurses' burnout thoughts and behaviors. The focus of this research spotlights the individual nurse's thoughts, emotions, and actions and suggests that these burnout tendencies can be mitigated if not changed.

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“…Antecedents to voluntary turnover intentions include burnout, work stress, lack of collaboration among health care professionals, ineffective management, job dissatisfaction, and demographic factors such as younger age, higher education, and having children in the household (Coomber & Barriball, 2007; Hayes et al; Spetz, Rickles, Chapman, & Ong, 2008). …”

Section: Literature Reviewmentioning

confidence: 99%