Effective Approaches In Leadership And Management: Addressing Nurse Turnover Essay Sample For College

Employee turnover remains one of the biggest challenges to many organizations’ success, and it is more calamitous in the healthcare sector. The quality of care and patient safety are affected, both directly and indirectly, by nurses entering and quitting their jobs at a high rate. Nurse leaders and managers have a major role to play in addressing this issue. Many factors have been associated with high nurse turnover. Some of them include staffing ratio, career advancement, working terms and conditions, and personal reasons (Dewanto & Wardhani, 2018). Nursing leadership and management need to develop effective retention strategies to help encourage nurses, both experienced and the newly hired, not to quit.

Nurse turnover impacts the quality of care and patient safety in many ways. According to Dewanto and Wardhani (2018), this issue adversely affects the delivery and effectiveness of care, and, consequently, patient safety and outcomes. Also, turnover in healthcare leads to a high patient-to-nurse ratio, leaving some patients unattended and reducing their dissatisfaction and unsafety (Antwi & Bowblis, 2018). The reason is reduced nurse morale due to increased workloads and responsibilities for the few remaining in the facility. According to Antwi and Bowblis (2018), nurse turnover negatively influences hospitals’ quality of care. For example, newly hired nurses may not have the requisite experience to handle such medical equipment as catheters. The low-quality care provided exposes patients to various hazards of improper use of these items, which affects their safety. They are also not conversant with a facility’s programs and schedules, thereby barring them from attaining the required care standards. For instance, a failure to use a proper protocol to prevent falls is likely to expose patients to hospital-acquired infections and injuries, thereby undermining their safety. Therefore, nurse turnover significantly impacts patient safety and the quality of care.

Professional standards of practice are vital as they help promote and guide nursing practice. They should be demonstrated in this situation to help rectify the issue. One way to do this is by aligning organizational performance goals with the vision and mission. This approach will ensure that nurses’ actual performance is measured against the desired performance standards (Davis, 2015). In doing so, nurses can get used to providing a safe and clinically competent level of care. Besides, these standards can be demonstrated in this situation by comparing nurses’ performance with a predetermined proficiency checklist. If a nurse can exceed the expectation of this evaluation, they can be rewarded to encourage them. This way, they can be motivated and can stay in the facility for a long time, thereby reducing turnover.

Another way to do this is by adopting nurse retention strategies to encourage them to stay longer. The administration can use these practice standards to develop safe staffing practices to ensure quality care and patient safety. For example, a nurse manager can ensure adequate documentation, delegate tasks appropriately, and create other policies aimed at retaining nurses. Healthcare organizations can make it an organizational practice standard for all nurses to air their complaints through their chosen channels. Antwi and Bowblis (2018) emphasize the need for a facility to ensure a strong support system to address nurse staffing and working issues as they arise. This standard of practice can help arrest a turnover crisis beforehand. This strategy will help identify the challenges nurses meet in their daily practice and initiate the formulation of solutions to address them because they are the root causes of turnover.

Moreover, the health sector can establish mentorship and counseling programs to empower nurses to adequately embrace their profession. For example, a module can be included in the nursing education curriculum to ensure they are well-prepared to face practice challenges. If a nurse can handle a stressful situation in a clinical simulation in college, then they are better positioned to translate that attitude to their practice. This can help reduce nurse turnover and improve the quality of care and patient safety.

Through their different roles, nurse leaders and managers have a significant role to play in alleviating nurse turnover. Nurse managers are responsible for ensuring staff and patient satisfaction (Ellis, 2018). They are better positioned to detect early signs of the possibility of a nurse quitting. This will help them approach those nurses and listen to their grievances, then decide how best to improve their welfare, thereby encouraging them to stay. This is also possible because nurse managers are also in charge of maintaining a safe environment for staff, as Ellis (2018) notes. Thus, nurse managers can help address the issue of nurse turnover.

On the other hand, nurse leaders can also help reduce nurse turnover in many ways. One of them is appropriately planning day-offs and work shifts since they are responsible for scheduling. Some of the most common reasons for nurse turnover are increased workload and poor working conditions (Dewanto & Wardhani, 2018). A nurse leader can ensure every staff member is comfortable with the workload by ensuring appropriate day-offs and shift hours. This will prevent nurses from burnout, which lowers their morale and performance. The other role of nurse leaders that Ellis (2018) identifies is to recruit and mentor newly hired nursing staff. They are responsible for ensuring that mentees are comfortable and get the necessary support to encourage and maintain professional competence. Therefore, a nurse leader can also help reduce or alleviate nurse turnover.

Moreover, managers and leaders can model professionalism to encourage other nurses to emulate them. One way to do this is by using a transformational leadership approach. This strategy will make nurses feel more engaged and valued in pursuing organizational goals. With this leadership style, the staff will develop a sense of belonging (Lin et al., 2015). This will encourage them to stay longer, thereby decreasing turnover. They can also initiate and maintain support and welfare programs aimed at ensuring the working conditions are favorable for nurses (Lin et al., 2015). A conducive working environment will be achieved with a proper channel for receiving and responding to staff complaints and demands. Thus, nursing leaders and managers can promote nurse retention and reduce their turnover.

The most appropriate leadership style to address nurse turnover in the healthcare setting is the transformational approach, for many reasons. First, it gives all nurses a chance to participate in the decision-making process (Lin et al., 2015). This will make them feel like a valuable piece of the organization. Second, this style allows the leader to understand and address their subordinates’ needs and demands, which ultimately leads to job satisfaction, a significant predictor of nurses’ work lives (Lin et al., 2015). If nurses are satisfied with their job, they are likely not to quit, which reduces turnover. Lastly, transformational leadership promotes open organizational communication, making it easier for nurses to raise their concerns. As Lin et al. (2015) argue, these leaders are excellent communicators, and they can cultivate the same trait in their subordinates. This open communication increases staff morale, thereby reducing the likelihood of turnover. Therefore, a healthcare organization can adopt the transformational leadership approach to reduce nurse turnover.


Antwi, Y. A., & Bowblis, J. R. (2018). The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the Great Recession. American Journal of Health Economics, 4(2), 131-163.

Davis, C. (2015). The importance of professional standards. Nursing Made Incredibly Easy, 12(5), 4-5. Web.

Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nursing, 17(Suppl 2), 52. Web.

Ellis, P. (2018). Leadership, management and team working in nursing. Learning Matters.

Lin, P. Y., MacLennan, S., Hunt, N., & Cox, T. (2015). The influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan: A cross-sectional quantitative study. BMC Nursing, 14, 33. Web.

Online Learning And Students’ Mental Health

The accelerated development of technologies made online learning possible, allowing many students who would not have had a possibility to study otherwise, in a face-to-face setting, to continue their education. Access to a number of courses and educational opportunities also has been granted by this phenomenon. Online learning can be viewed as a relatively new issue, adverse effects of which are not identified fully. The advantages of this type of learning may overweight the disadvantages and be preferred by some students. Nonetheless, an array of health issues is linked to this developing learning setting, raising concern among scholars. Mental health is an aspect that attracts significant attention from researchers interested in investigating the connection between the lack of social interactions that online learning may entail and depressive disorders or anxiety, for instance.

Students’ social, emotional, and psychological well-being seems to be a factor that has not been taken into consideration sufficiently when online learning is in question. Research shows that the increase in mental health concerns linked to online learning may be caused by the lack of usual social interactions, that despite their perceived habitualness prove to be crucial for a number of students (Minutillo et al., 2020). According to Minutillo et al. (2020) “a qualitative study showed that students with a mental health disability experienced isolation and disconnectedness due to the lack of contact with staff and fellow students” (p. 3). The study indicates that those who are affected the most are students with pre-existing conditions, as their mental health declined the most substantially (Minutillo et al., 2020). The effect on individuals that did not have covered mental health conditions is not as clear. However, with the increase in the number of psychological illnesses that are reported, this particular effect of online learning is still applicable to a large number.

The loneliness

Loneliness that online learning implies for some is a significant factor that mayintoe integrated into the equation. Several colleges promote mental health among their students with free screening, initiatives, and programs – oftentimes, these activities require a student’s presence. Additionally, many higher-education institutions also used to provide on-campus psychological sessions, which may no longer be available in non-traditional educational settings. As a potential consequence, research (Minutillo et al., 2020) suggests that “the reporting of mental health issues has been steadily rising among university students requiring support for those with pre-existing conditions to be considered in the delivery of online education” (p.3). Higher-education institutions can represent a stressful environment, where the pressure to succeed may be difficult to endure even for students without pre-existing mental health conditions. It seems understandable that already vulnerable groups of students experience additional issues in the unfamiliar mode of learning, which is deprived of interactions crucial for their well-being and needed psychological support.

In conclusion, the link between online learning and mental health is to a degree concrete for students already affected by mental health issues or those with pre-existing conditions. Loneliness provoked by the deficiency of the established social contacts and the absence of psychological assistance that was previously available on-campus seem like two primary causes of the decline in mental health several of students presently experience. These issues lead to the aggravated mental health of college students. The full extent of the problem, seemingly, will be perceived, when the students return to the traditional face-to-face instructional setting, and if the number of the reported cases continues to grow.


Minutillo, S, Cleary, M., & Visentin, D. (2020). The mental health of online learners within the educational sector. Issues in Mental Health Nursing, 1–14.

Data Integrity And Standardized Nursing Languages

Information gathered by a healthcare team has a significant impact on a client’s care, and the integrity and accuracy of this data are obligatory. Software and hardware enable the workers to check, manage and store the electronic records. Standardized nursing languages prevent possible misinterpretations of data collected using different methods or theories.

As cited in Lofstrom & Joyce (2006) Bakken, Cimino, & Hripcsak (2004) noted that nursing informatics “Addresses the management and processing of data, information, and knowledge to support nursing practice and the delivery of care”. The contemporary level of computer science development provides an opportunity for enhancing the accuracy of storage and management of the patients’ data but requires the computer proficiency of the personnel. The computer-based programs for managing the clients’ information enable medical workers to extract pieces of meaningful information from extensive data of medical reports. On the condition that the integrity of the data is preserved, the software might simplify the process of gathering the clients; information and enhance the effectiveness of the nurses’ work. For example, traditionally nurses record the medical reports using the narration, while computer-based programs could provide specialized menus for choosing the necessary diseases and symptoms instead of wasting time putting down the words that are significant for further planning of the clients’ healthcare, but can be omitted using charters and tables. Choosing one or several variants from the list of all available symptoms, the nurse economizes time and can concentrate on communication with the patient. The negative impact of the human factor is minimized as no questions would be accidentally omitted filling in the electronic charts as well as the problem of illegible handwriting may be disregarded. All questions on the tables that may seem to be insignificant to the patient or nurses need to be answered carefully. For example, even a client’s allergy observed only at an early age without any further presentations need to be recorded carefully and have an impact on the progress of the illness. The patient and medical workers could ignore the fact, but if this information is entered into the computer-based program, it is stored, processed, and taken into consideration for planning healthcare.

Another important advantage of Electronic Health Records (EHR) is the availability of data from different ancillary services. In Mitre Corporation research (2006) it was noted that “Most commercial EHRs are designed to combine data from the large ancillary services, such as pharmacy, laboratory, and radiology, with various clinical care components (such as nursing plans, medication administration records, and physician orders)” (p. 6). The customized interface of the EHR programs allows accessing the data from the related spheres, quick and uncomplicated management of information. The administrative system components may be used in only one institution, including numerical or alphabetical identification of the clients, while the laboratory system components are universal and help to avoid misinterpretations. For example, testing blood the customer is numbered for the nurses’ convenience, and this number is significant for the workers of only one clinic. The laboratory system components are recorded using the standardized nursing languages and can be used for the following planning of the client’s healthcare by the workers of other institutions.

The integrity of the information gathered by the nursing team has a significant impact on the clients’ healthcare. To avoid misinterpretations and minimize the negative impact of the human factor, the contemporary computer-based methods of systematizing the data and standardizing the terminology are to be used.

Reference List

Lofstrom, J. & Joyce, S. (2006). Ambulatory Informatics Nurses – Translating the Language of Patient Care. Health Publications. Web.

Mitre Center For Enterprise Modernization. (2006). Electronic Health Records Overview. Web.

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