The retention of the older nursing workforce: A literature review exploring factors which influence the retention and turnover of older nurses
Amanda Moseley
Research Assistant, Flinders Centre for Clinical Change & Health Care Research, Flinders University and Repatriation General Hospital, Daws Park SA.
Lesley Jeffers
Nursing Support Services, Repatriation General Hospital, Daws Park SA.
Jan Paterson
Flinders Centre for Clinical Change & Health Care Research, Repatriation General Hospital, Daws Park SA
PP: 46 - 56
Abstract
In an era of nursing shortages and increased health care demands, it is important to explore factors which contribute to the retention of nursing staff, especially older nurses who contribute a wealth of knowledge and experience to their employing organization. This literature review explored the factors that influence older nurses to leave an organization or to retire early and identified a number of key issues which can influence this decision.
These included the need to respect and recognise the achievements of older staff, specific managerial characteristics which influence staff retention, the importance of empowerment and autonomy, the valuing of expertise, the provision of challenges, creating a sense of community within an organization, the importance of education and peer development, the impact of work demands and environment, the influence of flexible working and shift options and the issue of adequate financial reimbursement.
From this review, a variety of recommendations have been generated which it is hoped will help to inform the creation of policies and practices that specifically address the issue of retention of older nursing staff.
Keywords
older nurses, workforce, retention, turnover, job satisfaction
References
Aitken LH, Sochalski J and Andersen G (1996) Downsize the hospital workforce. Health Affairs 15(4): 88-92.
Andrews J, Manthorpe J and Watson R (2005) Employment transitions for older nurses: A qualitative study. Journal of Advanced Nursing 51(3): 298-306.
Anthony M, Standing T, Glick J, Duffy M, Paschall F, Sauer MR, Sweeney DK, Modic MB and Dumpe ML (2005) Leadership and nurse retention. Journal of Nursing Administration 35: 146-155.
Armstrong-Stassen M (2005) Human resource management strategies and the retention of older RNs. Nursing Leadership 18(1): 50-66.
Bally JM (2007) The role of nursing leadership in creating a mentoring culture in acute care environments. Nursing Economics 25(3): 143-148.
Bass SA and Caro FG (1996) Theoretical perspectives on production aging, in Crown WH (Ed) Handbook on Employment in the Elderly, pp.262-75, Westport CN, Greenwood Press.
Bethune G, Sherrod D and Youngblood L (2005) Tips to retain a happy, healthy staff: Nurse managers share easy-to-implement ways to improve retention in the unit. Nurse Management 369(4): 24-30.
Buchan J (2002) Nursing shortages and evidence-based interventions: A case study from Scotland. International Nursing Review 49: 209-218.
Buerhaus PI, Staiger DO and Auerbach DI (2000) Implications of an aging registered nurses workforce. Journal of the American Medical Association 283: 2948-2954.
Burke RL (2005) When bad things happen to good organizations: A focused approach to recovery using the essentials of magnetism. Nursing Administration Quarterly 29(3): 228-241.
Camerino D, Conway PM, Van der Heijden BIJM, Estryn-Behar M, Consonni D, Gould D and Masselhorn HM (2006) Low-perceived work ability, ageing and intention to leave nursing: A comparison among 10 European countries. Journal of Advanced Nursing 56(5): 542-552.
Cangelosi JD (Jr), Markham FS and Bounds WT (1998) Factors related to nurse retention and turnover: An updated study. Health Market Quarterly 15(3): 25-43.
Cline D, Reilly C and Moore JF (2004) What's behind RN turnover? Holistic Nursing Practice 18(1): 45-48.
Cohen D (2006) The aging nursing workforce: How to retain experienced nurses. Journal of Healthcare Management 51(4): 233-245.
Cooper EE (2003) Pieces of the shortage puzzle: Aging and shift work. Nursing Economics 21(2): 75-79.
Cronin SN and Becherer D (1999) Recognition of staff nurses job performance and achievements: Staff and manger perceptions. Journal of Nursing Administration 29: 26-31.
Duffield C and O'Brien-Pallas L (2003) The causes and consequences of nursing shortages: A helicopter view of the research. Australian Health Review 26(1): 192-199.
Gifford BD, Zammuto RF, Goodman EA and Hill KS (2002) The relationship between hospital unit culture and nurses' quality of work life. Journal of Healthcare Management 47(1): 13-26.
Hayhurst A, Saylor C and Stuenkel D (2005) Work environmental factors and retention of nurses. Journal of Nurse Care Quality 20(3): 283-88.
Hsiao-Chen Tang J (2003) Evidence-Based Protocol: Nurse retention. Journal of Gerontological Nursing 29(3): 5-14.
Hu J, Herrick C and Hodgin KA (2004) Managing the multigenerational nursing team. The Health Care Manager 23(4): 334-340.
Janney MA, Horstmann PL and Bane D (2001) Promoting registered nurse retention through shared decision making. Journal of Nursing Administration 13(10): 483-488.
Kuhar PA, Miller D, Spear BT, Ulreich SM and Mion LC (2004) The meaningful retention strategy inventory. Journal of Nursing Administration 34(1): 10-18.
Kupperschmidt BR (2006) Addressing multigenerational conflict: mutual respect and carefronting as strategy. The Online Journal of in Nursing (OJIN) 11(2). Available at www.nursingworld.org/ojin/topic30/tpc30_3.htm.
Letvak S (2002) Retaining the older nurse. Journal of Nursing Administration 32(7/8): 387-392.
Letvack S (2003) The experience of being an older perioperative nurse. AORN Journal 78(4): 635-649.
Letvack S (2003) The experience of being an older staff nurse. Western Journal of Nursing Research 25(1): 45-56.
Lavoie-Trembley M, O'Brien-Pallas L, Viens C, Brabant L and Gelinas C (2006) Towards an integrated approach for the management of ageing nurses. Journal of Nursing Management 14: 207-212.
Manion J (2004) Nurture a culture of retention. Nursing Management 35(4): 29-39.
Manion J and Bartholomew K (2004) Community in the workplace. Journal of Nursing Administration 34(1): 46-53.
Milton Keynes Primary Trust (2000) Critical Appraisal Skills Programme (CASP)©.
McConnell CR (1997) Employee recognition: A little oil in the troubled waters of change. Health Care Manager 15(4): 83-90.
NHMRC (2006) How to use the evidence: Assessment and application of scientific evidence, pp.5-10.
Ormerod J (2005) Flexible working practice: Celebrating a ‘can do' approach. Practice Development in Health Care 4(2): 64-68.
Oulton JA (2006) The global nursing shortage: An overview of issues and actions. Policy, Politics, and Nursing Practice 7(3 Suppl): 34S-39S.
Patrick A and Spence-Laschinger HK (2006) The effect of structural empowerment and perceived organizational support on middle level nurse managers' role satisfaction. Journal of Nursing Management 14: 13-22.
Rondeau KV and Wager TH (2006) Nurse and resident satisfaction in magnet long-term care organizations: Do high involvement approaches matter? Journal of Nursing Management 14: 244-250.
Santos SR, Carroll CA, Cox KS, Teasley SL, Simon SD, Bainbridge L, Cunningham M and Ott L (2003) Baby boomer nurses bearing the burden of care: A four-site study of stress, strain and coping for inpatient registered nurses. Journal of Nursing Administration 33(4): 243-250.
Sherman RO (2006) Leading a multigenerational nursing workforce: Issues, challenges and strategies. The Online Journal of in Nursing (OJIN) 11(2) available at www.nursingworld.org/ojin/topic30/tpc30_2.htm.
Spetz J (2005) The aging of the nurse workforce: Recent trends and future challenges, in Miles T and Furino A (Eds) Aging Healthcare Workforce Issues, Annual Review of Gerontology & Geriatrics 25 (ch.4), Springer Publishing Company, New York.
Tourangeau AE and Cranley LA (2006) Nurses intention to remain employed: Understanding and strengthening determinants. Journal of Advanced Nursing 55(4): 497-509.
Unruh LY and Fottler MD (2005) Projections and trends in RN supply: What do they tell us about the nursing shortage? Policy, Politics, and Nursing Practice 6(3): 171-182.
Weston M (2001) Coaching generations in the workplace. Nursing Administration Quarterly 25(2): 11-21.

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