The study, "The Importance of Work Environment: Evidenced-Based Strategies for Enhancing Nurse Retention," is featured in the June issue of Home Healthcare Nurse (volume 23, issue 5).
"The increasing demand for home care services and a growing shortage of nurses are forcing home care administrators to re-evaluate nurse recruitment and retention strategies," said Flynn, assistant professor at the College of Nursing at Rutgers, The State University of New Jersey. "Emphasizing work environment, this study offers evidence-based recommendations for creating a culture of nurse retention in home health care agencies."
Almost two decades of research, based on the Nursing Work Index-Revised (NWI-R), indicates that organizational traits such as professional autonomy, collaborative relationships with physicians, and access to resources needed to provide quality care are associated with higher nurse retention and lower-inpatient mortality in hospitals. Little is known, however, regarding the impact of these same organizational traits on nurses and patients in other settings, such as home health care agencies.
According to the survey, the most important work environment attributes include working with nurses who are clinically competent; a good orientation program for newly employed nurses; a plan of care that is accessible and up-to-date for all patients; and having enough registered nurses (RNs) on staff to provide quality care.
"In this study, once I identified those 10 traits that are most important to these home care nurses," said Linda Flynn, a Center Valley, PA resident, "I wanted to explain to managers how they can bolster support for their nurses
Contact: Miguel Tersy
Rutgers, the State University of New Jersey