Determinants and impact of turnover rate among nursing staff: The exploratory retrospective follow-up study in Taiwan

Hui-Chuan Shih, Jau-Yuan Chen, Jian-Tao Lee, Mei-Yu Yeh, Tao-Hsin Tung

Research output: Contribution to journalJournal Article peer-review

Abstract

This retrospective hospital-based study was conducted to explore the turnover rate and correlated factors using the survival analysis approach. The study period was from 01 July 2000 to 31 December 2006 in a teaching hospital in Southern Taiwan. Based on the registration data bank, 515 (82.5%) out of 624 nurses were studied. The results, from the Kaplan-Meier method, show that the 3-, 6-, 9-month and 1-, 3-, 5-year turnover rates were 6.3, 11.2, 12.6, 16.5, 37 and 50%, respectively. To assess the independent contribution to the turnover rate of nursing staff, the variables were further examined using Cox regression model. The main reasons related to turnover rate included: (1) excessive clinical and paper work (RR=2.35, 95% CI: 1.33-4.01); (2) the rotation system resulting in the imbalance of work and rest (RR=3.12, 95%CI: 1.26-5.41); (3) medical disputes due to clinical work (RR=2.00, 95%CI: 1.19-3.42) and (4) the lack of life quality due to the inability to take holidays or vacations (RR=2.44, 95%CI: 1.76-4.71). In conclusion, multiple strategy for the encouragement of nursing staff are necessary to increase the quality of the nursing service in Taiwan.
Original languageAmerican English
Pages (from-to)175-185
JournalASIA LIFE SCIENCES
Volume23
Issue number1
StatePublished - 2014

Keywords

  • BURNOUT
  • CARE
  • JOB-SATISFACTION
  • NURSES
  • Taiwan
  • nursing staff
  • retrospective follow-up study
  • survival analysis
  • turnover rate

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