An estimated 17.5 percent of newly licensed RNs leave their first nursing job within the first year and 33.5 percent leave within two years, research funded by the Robert Wood Johnson Foundation found. The retention rate was a little better in hospitals. The authors of a report on the research published in Policy, Politics & Nursing Practice say that the results likely are more useful than existing RN turnover data, because it came from multiple organizations and geographic areas. But standardization is needed, they say. “Developing a standard definition of turnover would go a long way in helping to identify the reasons for RN turnover,” says Carol Brewer, R.N. and a professor in the School of Nursing at the University at Buffalo. “A high rate of turnover at a hospital, if it’s voluntary, could be problematic, but if it’s involuntary ... , that tells a very different story.”
About 48 percent of recent nursing school graduates are concerned about being a victim of workplace bullying or working in a hostile environment, according to a survey of more than 2,000 test preparation customers at Kaplan Test Prep. The results also indicate that 39 percent personally knew nurses who had been bullied or worked in a hostile environment, according to Kaplan. “Workplace bullying is a disturbing dynamic in the nursing profession,” says Susan Sanders, R.N., vice president of nursing for Kaplan Test Prep.
Nursing education fix sought
The American Hospital Association voiced support for legislation that would prevent a possible loss of Medicare funding for hospital-affiliated nursing schools. Currently, 160 such programs receive $270 million in Centers for Medicare & Medicaid Services funding that is linked to their hospital affiliation, according to an AHA letter to the legislation’s sponsor Rep. Aaron Schock (R-Ill.). But revised accreditation standards from the Higher Learning Commission require that schools become separately incorporated. The legislation would authorize CMS to update its regulations to accommodate the accreditation change.