Health System Methods to Improve Nursing Retention Amidst Ongoing COVID-19 Pandemic: a Mixed Method Study

Study Overview
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Brief Summary
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This study is a mixed-method exploratory study with the aim to determine an objective compensation or mechanism of support from a healthcare system standpoint to aid in retention of nursing staff amidst the ongoing COVID-19 pandemic. It will include semi-structured qualitative interviews of current and prior nursing staff from the Trauma/Surgical floor, Progressive Care Unit, and ICU, in addition to Trauma/Surgical unit and system administrators; the second portion of the study will include a quantitative survey distributed via email to current nurses on the Trauma/Surgical floor, Progressive Care Unit, and ICU to assess ranked priority of additional mechanisms of support to improve intention of retention.

Official Title
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Health System Methods to Improve Nursing Retention Amidst Ongoing COVID-19 Pandemic: a Mixed Method Study

Conditions
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Motivational Factors for Nurse Retention, Nurse Well-being

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Registered nurses on the Trauma/Surgical floor, Surgical Progressive Care Unit, or Surgical ICU who are currently working or who have worked bedside in the past 24 months Adult hospital administrative staff Exclusion Criteria: Non-Registered nurses (ie. CNAs, LPNs) RNs without clinical bedside experience in the past 24 months RNs working on other units beside the Trauma/Surgical floor, Surgical Progressive Care Unit, or Surgical ICU
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identify a common mechanism or implementation to improve intention of retention or nurses amongst the Trauma/Surgical units amidst COVID-19 | The goal is to identify a common theme amongst nurses on the Trauma/Surgical units regarding a means of compensation or action item from the healthcare system to improve intention of retention amidst ongoing COVID-19 pandemic. Obtaining this is two-fold, to include qualitative interviewing with nurses on the affected units first-hand with subsequent transcription and coding to identify common themes; and a widely distributed quantitative survey to assess ranked priorities to implement to improve intention of retention. | 24 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Commonly-identified challenges nurses are facing on a Trauma/Surgical unit during COVID-19 | The goal is to identify common challenges nurses on Trauma/Surgical units during COVID-19. This will primarily be obtained via qualitative interviewing of nurses on the affected unit first-hand to discuss the most challenging parts of their jobs, in particularly during COVID-19, subsequently followed by transcription and coding and analysis to identify common themes. | 24 months | 
| Commonly-identified support mechanisms implemented by the healthcare system that have aided in intention of retention of nurses on a Trauma/Surgical unit during COVID-19 | The goal is to identify common interventions the healthcare systems has provided that has helped with intention of retention of nursing staff during COVID-19. To obtain this, qualitative interviewing will be done speaking to affected nurses first-hand, following by subsequent transcription and coding and data analysis to identify these common themes. | 24 months |