Hello Alina

You may have seen some of these papers - and some may not be as relevant as others, but here is my list of suggestions:

This paper is available from Deane Waldman’s publication pages on ResearchGate:

Waldman, J. D., Kelly, F., Arora, S., & Smith, H. L. (2004). The shocking cost of turnover in health care. Health Care Management Review, (35), 206-11.

https://www.researchgate.net/publication/44676758_The_shocking_cost_of_turnover_in_health_care

This is also available from ResearchGate:

Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., ... & Stone, P. W. (2006). Nurse turnover: a literature review. International Journal of Nursing Studies, 43(2), 237-263.

https://www.researchgate.net/publication/7861759_Nurse_turnover_a_literature_review

Kash, B. A., Castle, N. G., Naufal, G. S., & Hawes, C. (2006). Effect of staff turnover on staffing: A closer look at registered nurses, licensed vocational nurses, and certified nursing assistants. The Gerontologist, 46(5), 609-619.

http://gerontologist.oxfordjournals.org/content/46/5/609.long

This is available from Prof. Timothy Ives ResearchGate publication page and has some relevance:

Sloane, P. D., Zimmerman, S., Brown, L. C., Ives, T. J., & Walsh, J. F. (2002). Inappropriate medication prescribing in residential care/assisted living facilities. Journal of the American Geriatrics Society, 50(6), 1001-1011.

https://www.researchgate.net/publication/227503832_Inappropriate_Medication_Prescribing_in_Residential_CareAssisted_Living_Facilities

Cho, S. H., Ketefian, S., Barkauskas, V. H., & Smith, D. G. (2003). The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nursing Research, 52(2), 71-79.

ftp://72.167.42.190/siemenssolution_forcom/NewSafePracticeArticles/Effects_of_nurse_staffing_on_AEs_morbidity_mortality_and_medical_costs_The_Nursing_Research_03-03.pdf

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., ... & Shamian, J. (2001). Nurses’ reports on hospital care in five countries. Health affairs, 20(3), 43-53.

http://content.healthaffairs.org/content/20/3/43.full.html

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Jama, 288(16), 1987-1993.

http://jama.jamanetwork.com/article.aspx?articleid=195438

Larrabee, J. H., Janney, M. A., Ostrow, C. L., Withrow, M. L., Hobbs, G. R., & Burant, C. (2003). Predicting registered nurse job satisfaction and intent to leave. Journal of Nursing Administration, 33(5), 271-283.

http://www.ncbi.nlm.nih.gov/pubmed/12792282

Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2010). Nurse burnout and quality of care: Cross‐national investigation in six countries. Research in Nursing & Health, 33(4), 288-298.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908908/#R26

Castle, N. G., & Engberg, J. (2005). Staff Turnover and Quality of Care in Nursing Homes. Medical Care, 43(6), 616-626.

http://www.ncbi.nlm.nih.gov/pubmed/15908857

The following papers may be relevant but are quite old now:

Peter J. Gergen’s publication page on ResearchGate, although it is now quite old (1998):

Kovner, C., & Gergen, P. J. (1998). Nurse staffing levels and adverse events following surgery in US hospitals. Image: The Journal of Nursing Scholarship, 30(4), 315-321.

https://www.researchgate.net/publication/227612957_Nurse_Staffing_Levels_and_Adverse_Events_Following_Surgery_in_U.S._Hospitals

Davidson, H., Folcarelli, P. H., Crawford, S., Duprat, L. J., & Clifford, J. C. (1997). The effects of health care reforms on job satisfaction and voluntary turnover among hospital-based nurses. Medical Care, 35(6), 634-645.

http://www.ncbi.nlm.nih.gov/pubmed/9191707

Lake, E. T. (1998). Advances in understanding and predicting nurse turnover. Research in the Sociology of Health Care, 147-172.

I hope there is something here of help to you

Best wishes

Mary

Article The Shocking Cost of Turnover in Health Care

Article Nurse turnover: A literature review

Article Inappropriate Medication Prescribing in Residential Care/Ass...

Article Nurse Staffing Levels and Adverse Events Following Surgery i...

Hello Alina

You may have seen some of these papers - and some may not be as relevant as others, but here is my list of suggestions:

This paper is available from Deane Waldman’s publication pages on ResearchGate:

Waldman, J. D., Kelly, F., Arora, S., & Smith, H. L. (2004). The shocking cost of turnover in health care. Health Care Management Review, (35), 206-11.

https://www.researchgate.net/publication/44676758_The_shocking_cost_of_turnover_in_health_care

This is also available from ResearchGate:

Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F., ... & Stone, P. W. (2006). Nurse turnover: a literature review. International Journal of Nursing Studies, 43(2), 237-263.

https://www.researchgate.net/publication/7861759_Nurse_turnover_a_literature_review

Kash, B. A., Castle, N. G., Naufal, G. S., & Hawes, C. (2006). Effect of staff turnover on staffing: A closer look at registered nurses, licensed vocational nurses, and certified nursing assistants. The Gerontologist, 46(5), 609-619.

http://gerontologist.oxfordjournals.org/content/46/5/609.long

This is available from Prof. Timothy Ives ResearchGate publication page and has some relevance:

Sloane, P. D., Zimmerman, S., Brown, L. C., Ives, T. J., & Walsh, J. F. (2002). Inappropriate medication prescribing in residential care/assisted living facilities. Journal of the American Geriatrics Society, 50(6), 1001-1011.

https://www.researchgate.net/publication/227503832_Inappropriate_Medication_Prescribing_in_Residential_CareAssisted_Living_Facilities

Cho, S. H., Ketefian, S., Barkauskas, V. H., & Smith, D. G. (2003). The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nursing Research, 52(2), 71-79.

ftp://72.167.42.190/siemenssolution_forcom/NewSafePracticeArticles/Effects_of_nurse_staffing_on_AEs_morbidity_mortality_and_medical_costs_The_Nursing_Research_03-03.pdf

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H., ... & Shamian, J. (2001). Nurses’ reports on hospital care in five countries. Health affairs, 20(3), 43-53.

http://content.healthaffairs.org/content/20/3/43.full.html

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Jama, 288(16), 1987-1993.

http://jama.jamanetwork.com/article.aspx?articleid=195438

Larrabee, J. H., Janney, M. A., Ostrow, C. L., Withrow, M. L., Hobbs, G. R., & Burant, C. (2003). Predicting registered nurse job satisfaction and intent to leave. Journal of Nursing Administration, 33(5), 271-283.

http://www.ncbi.nlm.nih.gov/pubmed/12792282

Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2010). Nurse burnout and quality of care: Cross‐national investigation in six countries. Research in Nursing & Health, 33(4), 288-298.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908908/#R26

Castle, N. G., & Engberg, J. (2005). Staff Turnover and Quality of Care in Nursing Homes. Medical Care, 43(6), 616-626.

http://www.ncbi.nlm.nih.gov/pubmed/15908857

The following papers may be relevant but are quite old now:

Peter J. Gergen’s publication page on ResearchGate, although it is now quite old (1998):

Kovner, C., & Gergen, P. J. (1998). Nurse staffing levels and adverse events following surgery in US hospitals. Image: The Journal of Nursing Scholarship, 30(4), 315-321.

https://www.researchgate.net/publication/227612957_Nurse_Staffing_Levels_and_Adverse_Events_Following_Surgery_in_U.S._Hospitals

Davidson, H., Folcarelli, P. H., Crawford, S., Duprat, L. J., & Clifford, J. C. (1997). The effects of health care reforms on job satisfaction and voluntary turnover among hospital-based nurses. Medical Care, 35(6), 634-645.

http://www.ncbi.nlm.nih.gov/pubmed/9191707

Lake, E. T. (1998). Advances in understanding and predicting nurse turnover. Research in the Sociology of Health Care, 147-172.

I hope there is something here of help to you

Best wishes

Mary

Article The Shocking Cost of Turnover in Health Care

Article Nurse turnover: A literature review

Article Inappropriate Medication Prescribing in Residential Care/Ass...

Article Nurse Staffing Levels and Adverse Events Following Surgery i...

I think some of the critical variables here are

• .The lost efforts in training
• The lost experience will reduce the quality of care
• The need for orienting the new staff to the system, and environment
• The risk of losing the new staff again and again
• The negative effects on the new staff or the remaining staff of having dismissing environment (against magnet notion)

If you are looking for a systematic way to quantify the costs of turnover, with equations and a variety of contingencies, refer to Cascio and Boudreau's book Investing in People. Best resource in my opinion.

In terms of health care, nursing staff can be considered as front line managers. They are the one in direct touch with patients, the final end point consumer.

In terms of direct cost,

• Recruitment - selection cost
• Training and orientation cost
• additional documentation and clerical work

It also affects most important attribute, reputation of organization also.

Talking about staff relationship, obviously one would not prefer to work with ever changing staff comfortably. As per Elton Mayo, workplaces are social environments. social networking is having impact on productivity also. Hence, high turnover affects performance of other available staff also.

even patients consider past experience at the time of choosing health care options. (Unadkat, P. (2014). Empirical study on various factors influencing preferences of patients for availing medical consultancy in Rajkot city, Gujarat, India. PHILICA.COM Article number 419)

so if patient finds frequent change in the nurses, who are the actual care taker of patients, it will affect their outcomes and future preference also.

Journals covering a wide range of nursing turnover issues:

I have attached a very good material that has a general relevance to your issue. I hope this may be useful for you. Please refer to Table 1: Voluntary Turnover Costs and Benefits. Best Wishes!