Effective Leadership and Management in Nursing CHAPTER EIGHTH EDITION Managing Absenteeism, Reducing Turnover, Retaining Staff 20

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Learning Outcomes 1.Explain absenteeism. 2.Discuss ways to manage absenteeism. 3.Describe how nursing turnover affects the organization.

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Learning Outcomes 4.Explain voluntary turnover. 5.Discuss what organizations can do to improve retention of nurses. 6.Discuss what managers can do to help retain nurses.

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. SullivanAbsenteeism Two kinds: –Voluntary –Involuntary Measured in terms of: –Total time lost –Absence frequency

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. SullivanMotivation Employee motivation to attend is affected by: –The job itself –Organizational practices –Absence culture –Generational differences –Management –Personal characteristics

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Managing Absenteeism Child care center Transportation assistance Health promotion Programs for alcohol and drug abuse Coaching

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Managing Absenteeism Job enrichment Stress reduction Making excellent attendance the norm Advancement opportunities Improved coworker relations

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Managing Absenteeism Selecting employees who will be satisfied and committed Role modeling Discussing attendance during performance appraisal Rewarding good attendance Enforcing absenteeism policies

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Cost of Turnover Cost of hiring and/or temporarily replacing a nurse is sizable Effects on nurses who remain at job: –Morale –Overtime –Postponement of new ventures

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Cost of Turnover Positive aspects of turnover –Performance may improve –Administration may be challenged to improve work environment –Newly hired nurses may be more enthusiastic

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Turnover Factors Did the employee leave of her or his own accord, or was the person asked to leave? Was the employee who left performing at an exceptional or mediocre level?

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Turnover Factors Did the employee leave for career development or because of dissatisfaction with the organization? Will the employee be easy or difficult to replace?

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. SullivanTurnover Reducing turnover and retaining staff begins with recruitment and selection Length of stay at previous jobs is an indicator of how long an individual will stay at this job Perceptions of ease and desirability of movement influence turnover Job satisfaction influences turnover

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Ease of Movement Education Area of specialization Age Geographic mobility Contacts at other hospitals Transportation Job openings at other organizations

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Job Satisfaction Factors Relationships with nurse manager, staff, patients, and physicians Shift worked Fit between nurse values and institutional culture Expectations of practice setting Compensation level Equal/fair rewards and punishments

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Criteria for Healthy Work Environment Skilled communication True collaboration Effective decision making Appropriate staffing Meaningful recognition Authentic leadership

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Improving Salaries Salary compression –Results in salaries of long-term employees being at or below that of less-experienced nurses Pay scales must reflect achievement and accomplishment

Effective Leadership and Management in Nursing, Eighth Edition Eleanor J. Sullivan Strategies to Retain Staff Provide a realistic job preview to new hires Facilitate movement within the organization Improve work environment Coordinate with other managers to influence organizational policies Adapt to turnover rate