Tuesday, June 26, 2007

Thoughts on strategies and best practices for retention

In the report, “Wisdom at Work: The Importance of the Older and Experienced Nurse in the Workplace” Hatcher et al.,(2006) stated that “ the case for immediate implementation of strategies to increase the retention of the older nurse applies to employers as well as to national policy-makers.” As we search for strategic initiatives and “best practices” that offer promise in retaining and recruiting nurses to the nursing profession, thought should be given to:
  • Improving the work environment, specifically ergonomics and workplace design
  • Technology improvements that reduce documentation time and medical errors
  • Compensation improvements, including premium differentials for off- shifts and week-ends
  • Improving the culture of staff and patient safety
  • Adopting a zero tolerance policy for abusive behavior in the heathcare workplace
  • Improvements to staff development and education, including tuition reimbursement and on-site higher education
  • Minimize paperwork burden
  • Improvements to staffing effectiveness models
  • Nurse leader training in retention management
  • More attention to ancillary staff to perform non-nursing duties
  • Limitations on mandatory overtime
  • Flexibility in schedules and shifts

3 comments:

Mary Lou said...

Excellent suggestions that reflect current theories that have been expressed by current nurses repeatively. Hopefully, the executives will give creedence to these suggestions

Anonymous said...

One thing I don't see mentioned which certainly could help retention is a renewed effort to hire, welcome, and encourage the participation of nurses of color. Especially as the US population shifts from a majority Anglo-American to a majority of so-called "minority" cultures, it's absolutely crucial that our nurses, too, are representative of many cultures. I hope to see more initiatives around this.

Chris said...

We currently have "many colors" of nurses who work at our instituion. Those of us who are not of color have also learned a few new words, although I am not sure they are all words which should be repeated to our patients, but I do feel we offer a diverse experience. :)