Association between nurse turnover and missed nursing care in acute care hospitals in South Korea

ObjectivesHigh nurse turnover during nursing shortages can contribute to missed nursing care. This study investigated the prevalence of missed nursing care and how nurse turnover affects missed nursing care.MethodsA cross-sectional design was adopted to collect data from a convenience sample of nurs...

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Main Author: Sung-Heui Bae
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1448839/full
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author Sung-Heui Bae
author_facet Sung-Heui Bae
author_sort Sung-Heui Bae
collection DOAJ
description ObjectivesHigh nurse turnover during nursing shortages can contribute to missed nursing care. This study investigated the prevalence of missed nursing care and how nurse turnover affects missed nursing care.MethodsA cross-sectional design was adopted to collect data from a convenience sample of nurses working in general hospitals in South Korea. Six-month turnover rates (0%, 1–14%, 15–22%, and 23–50%) and 24 missed nursing care activities were measured. A multivariate regression analysis was performed to examine the relationship between nurse turnover and missed nursing care, after controlling for nurse and work-related characteristics.ResultsThe final sample was 264 nurses. The mean six-month turnover rate was 15.49%. Seven activities (turning patient every 2 h, attending interdisciplinary care conference, ambulation, patient bathing/skin care, emotional support, mouth care, full documentation) had a missed care prevalence of 30% or higher. Nurses in units with moderate turnover rates (15 and 22%) reported more missed nursing care than those in units with zero turnover.ConclusionNurse turnover increases missed nursing care, highlighting the adverse effects of nurse turnover on care processes. Consequently, hospitals and governments should implement policy changes and strategies to prevent nurse turnover.
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spelling doaj-art-822cf2f95cfd481b86ada6e3f6d5a6262025-01-07T06:45:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14488391448839Association between nurse turnover and missed nursing care in acute care hospitals in South KoreaSung-Heui BaeObjectivesHigh nurse turnover during nursing shortages can contribute to missed nursing care. This study investigated the prevalence of missed nursing care and how nurse turnover affects missed nursing care.MethodsA cross-sectional design was adopted to collect data from a convenience sample of nurses working in general hospitals in South Korea. Six-month turnover rates (0%, 1–14%, 15–22%, and 23–50%) and 24 missed nursing care activities were measured. A multivariate regression analysis was performed to examine the relationship between nurse turnover and missed nursing care, after controlling for nurse and work-related characteristics.ResultsThe final sample was 264 nurses. The mean six-month turnover rate was 15.49%. Seven activities (turning patient every 2 h, attending interdisciplinary care conference, ambulation, patient bathing/skin care, emotional support, mouth care, full documentation) had a missed care prevalence of 30% or higher. Nurses in units with moderate turnover rates (15 and 22%) reported more missed nursing care than those in units with zero turnover.ConclusionNurse turnover increases missed nursing care, highlighting the adverse effects of nurse turnover on care processes. Consequently, hospitals and governments should implement policy changes and strategies to prevent nurse turnover.https://www.frontiersin.org/articles/10.3389/fmed.2024.1448839/fullnurse turnovermissed nursing careadministrationacute hospitalsevaluationquantitative study
spellingShingle Sung-Heui Bae
Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
Frontiers in Medicine
nurse turnover
missed nursing care
administration
acute hospitals
evaluation
quantitative study
title Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
title_full Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
title_fullStr Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
title_full_unstemmed Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
title_short Association between nurse turnover and missed nursing care in acute care hospitals in South Korea
title_sort association between nurse turnover and missed nursing care in acute care hospitals in south korea
topic nurse turnover
missed nursing care
administration
acute hospitals
evaluation
quantitative study
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1448839/full
work_keys_str_mv AT sungheuibae associationbetweennurseturnoverandmissednursingcareinacutecarehospitalsinsouthkorea