Description of The Clinical Problem Essay Assignment

EBP Paper
The selected problem is nurse retention. Accordingly, nurse turnover remains a significant issue that affects the entire healthcare sector. In the study by Lockhart, L. (2020), the lowest nurse turnover rate leads to financial and quality loss, while the highest rate causes major consequences for an organization. Hospitals are struggling in trying to retain experienced and novice nurses. According to Lockhart (2020), 18% of new nurses will likely change their jobs or professions the first year after graduation. After two years, a third will leave as well (Lockhart, 2020). Nursing turnover averages 19.1% nationwide and is expected to increase, with a vacancy rate of 8% (Lockhart, 2020). Nurse turnover causes a situation of nurse shortage in a health facility. Subsequently, this creates a situation characterized by increased strain on the remaining nurses, which leads to stress and burnout that eventually impacts the overall quality of care given to the patients. Most of the problems in most hospitals could be resolved if the problem of nurse turnover is addressed.
Similarly, the study by Hu et al. (2022) stipulated that 35-60% of nurse graduates were likely to change employment within the first year.  Description of The Clinical Problem Essay Assignment Consequently, this could cause a shortage of clinical nurses and lower overall quality of care in a health facility. Other consequences include increasing costs of recruiting employees. A low turnover rate is largely linked to safe and positive patient outcomes. Most causes of turnover among nurse graduates who have acquired employment as nurses are lack of clarity of nursing roles by an organization, poor communication with management on critical issues, lack of recognition for nurse performance, and stress and burnout (Dewanto & Wardhani, 2018). All these factors can be addressed within an organization to ensure that the environment is conducive to retaining nurses who have graduated and are qualified to hold different positions in a health facility.

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References
Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC Nursing, 17(S2). https://doi.org/10.1186/s12912-018-0317-8
Hu, H., Wang, C., Lan, Y., & Wu, X. (2022). Nurses’ turnover intention, hope and career identity: The mediating role of job satisfaction. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-00821-5
Lockhart, L. (2020). Strategies to reduce nursing turnover. Nursing Made Incredibly Easy!, 18(2), 56-56. https://doi.org/10.1097/01.nme.0000653196.16629.2e Description of The Clinical Problem Essay Assignment

Using required readings, discussion content, and assignments completed in Unit 1, 2, and 3, each group will write a paper proposing a solution to your selected PICOT question and practice issue. The required content for this paper includes:

PICOT Question

In new nurse graduates, does a nurse residency program in the hospital setting improve retention rates over one year?

1. Description of the clinical problem/question within the context of a population and clinical setting; prevalence of the problem; importance/significance of the problem; consequences of the problem. Description of The Clinical Problem Essay Assignment

Grading Rubic: