Nursing

Quality (philosophy)

Quantum mechanics

Scale (ratio)

Mathematics education

Philosophy

Work performance

Business administration

Work environment

Social psychology

Nursing practice

Economics

Turnover

Business

Physics

Job satisfaction

Staffing

Psychology

Turnover intention

Management

Unit (ring theory)

Epistemology

Medicine

JONA The Journal of Nursing Administration

The aim of this study is to examine characteristics of the nursing practice environment associated with lower RN turnover.Identifying characteristics of the practice environment that contribute to lower RN turnover is important for meeting the national quality strategy priority of reducing healthcare costs.Data from 1002 adult care units in 162 National Database of Nursing Quality Indicators participating hospitals were analyzed using multivariate linear regression. The Practice Environment Scale of the Nursing Work Index was used to measure practice environment characteristics. RN turnover was measured at the unit level.Nursing units with higher overall ratings of the nursing practice environment had lower rates of RN turnover. Units with higher RN perceived staffing and resource adequacy experienced significantly lower RN turnover.Unit managers and hospital administrators should consider RN perception of staffing and resource adequacy and the overall practice environment when developing targeted strategies for decreasing RN turnover.

Characteristics of the Nursing Practice Environment Associated With Lower Unit-Level RN Turnover