Missed Nursing Care: The Impact on Intention to Leave and Turnover

Dana Tschannen, Beatrice J. Kalisch, Kyung Hee Lee

Abstract


The purpose of the study was to examine the relationship between missed nursing care, nurse turnover, and intention to leave. A cross-sectional study using the MISSCARE Survey was conducted. The sample comprised 110 patient-care units in 10 acute-care hospitals. Staffing data, turnover rates, and unit-level Case Mix Index were collected from the participating hospitals. Higher percentages of females on the unit were associated with lower turnover rates (ß = -.235, p = .010). Units with higher rates of missed care (ß = .302, p < .0001) and absenteeism (ß = .247, p = .034) had more staff with intention to leave. Units with nursing staff who worked overtime (ß =-.283, p = .001) and who were over 35 years of age (ß = -.270, p = .050) were less likely to have staff with intention to leave. By minimizing missed nursing care, organizations may be able to improve satisfaction and reduce intention to leave (and subsequent turnover).

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