Nurse Turnover - Effective Approach in
Leadership and Management
Grand Canyon University
NRS 451VN
January 15th , 2020
NRS451 Week 2 Assignment - Benchmark - Effective Approaches in
Leadership and Management
In this assignment, you will be writing a 1,000-1,250 word paper describing the
differing approaches of nursing leaders and managers to issues in practice. To
complete this assignment, do the following:
Select an issue from the following list: bullying, unit closers and
restructuring, floating, nurse turnover, nurse staffing ratios, use of contract
employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and
patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in
this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this
instance and discuss the different approaches they take to address the
selected issue and promote patient safety and quality care. Support your
rationale by using the theories, principles, skills, and roles of the leader
versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate
in order to ensure professionalism throughout diverse health care settings
while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain
why this style could be successful in this setting.
1
, Nurse Turnover - Effective Approach in Leadership and Management
Professional nurses’ roles and duties continue to grow and elaborate with the continual
change of the U.S. healthcare system. Many healthcare organizations now have to work hard to
retain their nurses and reduce turnover rates as it is costly, disrupts patient care, and has a
negative effect on healthcare outcomes. Causes are most often work-related stress, dissatisfaction
with their job, and physical and mental exhaustion and burnout and turnover rates are a
significant consequence and cost. Leadership and managers carry a strong role in creating an
environment, that promotes the health and well-being of their nurses This requires great listening
skills, advocacy and staying connected with their nurses’ needs.
Quality of Care and Patient Safety
The current turnover rate of 19.1% for nurses has been published by NSI, with an increase from
the 2017 statistic of 16.8%. The review of numerous studies present the high expense of a nurse
turnover, with an average of $40K-$60K for a bedside nurse, and the negative effect of the
quality of care for patients (NSI Nursing Solutions, Inc., 2019). Among hospital nurses, job
dissatisfaction is four times greater than an average U.S. worker. As one out of 5 nurses report,
their intend to leave their current job within the next year due to insufficient orientation,
scheduling concerns, heavy workloads, and the inability to work at their unit of choice. Issues
with management and lack of career progression are listed as other factors considered (Aiken,
Clarke, Sloane, Sochalski & Silber, 2002). As increased workload and stress accounts for the rise
in burnout and eventually to nurse turnovers, which leads to nursing staff shortage and adversely
influences mortality rates, patients’ outcome and satisfaction.
2
Leadership and Management
Grand Canyon University
NRS 451VN
January 15th , 2020
NRS451 Week 2 Assignment - Benchmark - Effective Approaches in
Leadership and Management
In this assignment, you will be writing a 1,000-1,250 word paper describing the
differing approaches of nursing leaders and managers to issues in practice. To
complete this assignment, do the following:
Select an issue from the following list: bullying, unit closers and
restructuring, floating, nurse turnover, nurse staffing ratios, use of contract
employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and
patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in
this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this
instance and discuss the different approaches they take to address the
selected issue and promote patient safety and quality care. Support your
rationale by using the theories, principles, skills, and roles of the leader
versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate
in order to ensure professionalism throughout diverse health care settings
while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain
why this style could be successful in this setting.
1
, Nurse Turnover - Effective Approach in Leadership and Management
Professional nurses’ roles and duties continue to grow and elaborate with the continual
change of the U.S. healthcare system. Many healthcare organizations now have to work hard to
retain their nurses and reduce turnover rates as it is costly, disrupts patient care, and has a
negative effect on healthcare outcomes. Causes are most often work-related stress, dissatisfaction
with their job, and physical and mental exhaustion and burnout and turnover rates are a
significant consequence and cost. Leadership and managers carry a strong role in creating an
environment, that promotes the health and well-being of their nurses This requires great listening
skills, advocacy and staying connected with their nurses’ needs.
Quality of Care and Patient Safety
The current turnover rate of 19.1% for nurses has been published by NSI, with an increase from
the 2017 statistic of 16.8%. The review of numerous studies present the high expense of a nurse
turnover, with an average of $40K-$60K for a bedside nurse, and the negative effect of the
quality of care for patients (NSI Nursing Solutions, Inc., 2019). Among hospital nurses, job
dissatisfaction is four times greater than an average U.S. worker. As one out of 5 nurses report,
their intend to leave their current job within the next year due to insufficient orientation,
scheduling concerns, heavy workloads, and the inability to work at their unit of choice. Issues
with management and lack of career progression are listed as other factors considered (Aiken,
Clarke, Sloane, Sochalski & Silber, 2002). As increased workload and stress accounts for the rise
in burnout and eventually to nurse turnovers, which leads to nursing staff shortage and adversely
influences mortality rates, patients’ outcome and satisfaction.
2
