hi could you please help me get answers to this case study on employee turn over
DISCUSSION CASE 5
COUNTY GENERAL HOSPITAL
County General Hospital is a 200-bed facility located approximately 150 miles outside
Chicago. It is a regional hospital that draws patients from surrounding farm communities.
Like most hospitals, County General faces the difficult task of providing quality care at a
One of the most difficult obstacles encountered by the hospital is finding and retaining
qualified nurses. The annual turnover rate among nurses is nearly 100 percent. A few of the
nurses are long-term employees who are either committed to County General or attached to
the community. Employment patterns suggest that many of the nurses who are hired stay for
only about 6 months. In fact, County General often appears to be quick stop between
graduation from college and a better job.
Many who leave acknowledge that they were contacted by another hospital that offered them
more money. Exit interviews with nurses who are leaving similarly suggest that low pay is a
concern. Another concern is the lack of social atmosphere for young nurses. Nurses just
finishing college, who are usually not married, complain that the community does not
provide them enough opportunity to meet and socialize with others their age.
Hospital administrators are afraid that paying higher wages will cause financial disaster. Big
insurance companies and Medicaid make it difficult for them to increase the amount they
charge patients. However, the lack of stability in the nursing staff has caused some noticeable
problems. Nurses sometimes appear to be ignorant of important hospital procedures. Doctors
also complain that they spend a great deal of time training nurses to perform procedures, only
to see those nurses take their new skills someplace else.
1. Turnover is high at almost every facility where nurses are employed. What aspects of
nursing make turnover for nurses higher than for many other jobs?
2. What programmes do you suggest County General might implement to decrease
nurse turnover? Be specific.
3. How might County General work with other hospitals to reduce nurse turnover?