Key Issue: Millennial Turnover in Nursing

Professional Group Scenario

Ferris State University Fall 2016
Nurs 511 Organizational & Systems Leadership
Abigail O’Brien, Nora Perry, Angela Purgiel & Maureen Tyrrell
 Objectives
-Introduce the key issue
-Define and understand “Millennial”
-Discuss turnover rates and retention in nursing
-Create a vision for change (Nora)
-Analyze strategies for information dissemination from a systems
perspective (Angela)
-Implement change at a global and local level
-Examine interdisciplinary concerns in accordance with the key issue
(Maureen)
-Conclusion-understand all levels of the change process
 Key Issue:
Millennial Nurse Turnover

-88 million Millennials vs Baby Boomers 77 million

-Most ethnically and racially diverse generation in US History
-Millennials are goal oriented and tend to invest loyalty in
their teams built within their units, rather than in leadership
staff
-Four job changes 10 years after college graduation is the
“norm”

Julien, N. (2016). Millennial Power. [Online Image]. Retrieved from https://www.theodysseyonline.com/millennial-power-in-todays-world

 Who are “Millennials”?

-Tech Savvy-
Unique communication
skills

Looking for
Born between 1980-2002 opportunity to
advance, learn
and grow quickly

View leaders as coaches, not bosses

Hello My Name Is. (n.d.) [Online Image]. Retrieved from Yolo. (n.d.) [Online Image]. Retrieved from Social Media. (n.d.) [Online Image]. Retrieved from: Selfie. ( 2016). [Online Image]. Retrieved from
Hashtag Millennials. (n.d.) [Online Image]. http://www.jeffbullas.com/wp- https://d19n1ren9crl9v.cloudfront.net/wp-content/uploads/2015/09/bigstock-Modern- https://www.google.com/search?q=selfie&source=
http://www.zerohedge.com/sites/default/files
Retrieved from: http://vcvoices.org/wp- content/uploads/2015/11/3-Reasons-Why-Content- Keyboard-With-Colored-S-68403502.jpg lnms&tbm=isch&sa=X&ved=0ahUKEwjbmt6Zx8_QAhWG44MKHVbnDq8Q
/images/user230519/imageroot/MillennialNameTag_0.jpg
content/uploads/2016/04/millennials-1.jpg Marketing-Was-Made-for-Millennials.jpg _AUICCgB&biw=1366&bih=662#imgdii=xX0shf97hGeT5M%3A%3BxX0shf97hGeT5M
 Turnover Statistics

“25 percent of last year's hospital

turnover: employees with less than one
year of tenure, many of whom are
millennials” (Seidel, 2016).

“41-60 % of all new graduate RN’s

plan to leave their current role within
two years” (Koven, 2016).

https://www.youtube.com/watch?v=g-nsU_BxD1Y

Turnover. (n.d.} [Online Image]. Overwhelmed Nurse. (n.d.) [Online Image]. Retrieved from
Retrieved from https://lisacourcyrnc.files.wordpress.com/2013/09/nurse-
http://www.emergingrnleader.com/wp-content/uploads/2016/08/Turnover.jpg overload.jpg?w=584
NORA PERRY
Vision for Change
To successfully address Millennial
Retention and Satisfaction
This will be addressed at the local and
global levels
• Series of three leadership Workshops will be planned
• Who will Be required to attend?
• Timeframe?

PLAN TO ADDRESS THE ISSUE

• Leadership Workshops
Three workshops will be planned
Keynote Speakers will present
Topics:
What is a Millennial?
How to retain a Millennial?
WORKSHOPS
Final Leadership workshop:
Will breakout into small groups to discuss
what leaders can be done to implement
change within their own units

FINAL LEADERSHIP
WORKSHOP
Addressing this issue :
Locally
Nationally
Globally

ADDRESSING THE ISSUE

Angela Purgiel

STRATEGIES FOR
INFORMATION SHARING
Detailed Records
1. Meeting Minutes
2. Outline Objectives
3. Program Session
Evaluations
4. Pre and post course
surveys
5. Engage Clinical Nurse
Researcher
Image from Microsoft PowerPoint Clip Art Library
1. Research Call for Abstracts
2017 Quality and Safety Education
for Nurses (QSEN) National Forum
(Sigma Theta Tau
International, 2016)

Image from Microsoft PowerPoint Clip Art Library

Submit for Publication
1. Query Letter
2. Follow Author Guidelines
3. Do a Literature Search, and
Document your Article

Lippincott, 2016

Image from Microsoft PowerPoint Clip Art Library

Meet with local Nursing Schools
1.Make specific action plans
2. How to find the right fit for
nursing students?
3. RN extern/intern programs
Maureen Tyrrell

INTERDISCIPLINARY
CONCERNS
INTERDISCIPLINARY CONCERNS
Disciplines affected by poor millennial nurse retention:
-Senior Leadership/Administration
-Human Resources
-Finance/Accounting
-Information Technologists
-Marketing
-Medical Staff
-Ancillary Services
-Patients

Images from Microsoft PowerPoint Clip Art Library

SPECIFIC ISSUES & CONCERNS

Senior Leadership/Administration
• Understanding what motivates Millennials
• Community and organizational passion
• Focus on family
• Expectations of leaders
• Communication between generations
(Allen & Kennedy, 2013; Carver & Candela, 2008;
Price, Hall, Angus, & Peter, 2013)

Image from Microsoft PowerPoint Clip Art Library

SPECIFIC ISSUES & CONCERNS
Human Resources and Finance/Accounting
• Flexible schedules
• Not interested in monetary factors
• Staffing levels
• Frequent evaluations
• Financial implications
• Increased orientation period to leadership positions
(Edge, Cockerham, Correale, Dion, Figueroa-Altmann, & Geetter, 2011;
Knudson, 2013; Olson, 2009; Price et al., 2013)

Image from Microsoft PowerPoint Clip Art Library

SPECIFIC ISSUES & CONCERNS

Information Technology and Marketing

• A life of technology
• Social media
(Carver & Candela, 2008; Putre, 2013)

Images from Microsoft PowerPoint Clip Art Library

SPECIFIC ISSUES & CONCERNS
Medical Staff
• Physician-Nurse relationship
(Galletta, Portoghese, Carta, D’Aloja, & Campagna, 2016)

Ancillary Staff
• Millennial staff
• Team Work
(Price et al., 2013)

Patients
(Kvist, Votilainen, Mantynen, Vehvilainen-Julkunen, 2014)
Image from Microsoft PowerPoint Clip Art Library
Key Issue: Millennial Turnover in Nursing

SUMMARY
Thank you!
 References
Allan, W., & Kennedy, K. (2013). Leadership training to improve nurse retention. Journal of Nursing Management, 21(4), 624-632. doi:
10.1111/ j.1365-2834.2012.01443.x

Avolio, B., & Gardner, W. (2005). Authentic leadership development: Getting to the root of positive forms of leadership. The Leadership Quarterly, 315-338.
Retrieved from www.sciencedirect.com

Bonser, K. (2016). Millennial nurse retention: Bridging the generation gap - On-Demand. Retrieved
from http://store.healthleadersmedia.com/millennial-nurse-retention-bridging-the-generation-gap

Carver, L., & Candela, L. (2008). Attaining organizational commitment across different generations of nurses. Nursing Management, 16(8), 984-991. doi:
10.1111/j.1365-2834.2008.00911.x

Edge, R., Cockerham, J., Correale, C., Dion, B., Figueroa-Altmann, A., & Geetter, C. (2011). Is your facility struggling with millennial nurse retention?
Nursing Management, 42(6), 19-23. doi: 10.1097/01.NUMA.0000397921.88595.1d

Galletta, M., Portoghese, I., Carta, M. G., D’Aloja, E., & Campagna, M. (2016). The effect of nurse-physician collaboration on job satisfaction, team
commitment, and turnover intention in nurses. Research in Nursing & Health, 39(5), 375-385. doi: 10.1002/nur.21733

Halsey, C.S. (2016). How do you solve a problem like millennials? Reflections of Nursing Leadership. Retrieved
from http://www.reflectionsonnursingleadership.org/Pages/Vol42_1_Halsey_millennials.aspx
 References
Knudson, L. (2013). Nurse staffing levels linked to patient outcomes, nurse retention. AORN Journal, 97(1), C8-C9. doi:
http://dx.doi.org.ezproxy.ferris.edu/ 10.1016/S0001-2092(12)01300-2

Kovnen, C., Djukic, M., Fatehi, F., Fletcher, J., Jun, J., Brewer, C., & Chacko, T. (2016, August). Estimating and preventing hospital internal turnover of
newly licensed nurses: A panel survey. International Journal of Nursing Studies, 60, 251-262. Retrieved
from http://www.journalofnursingstudies.com/article/S0020-7489(16)30041-4/abstract

Kvist, T., Voutilainen, A., Mantynen, R., & Vehvilainen-Julkunen, K. (2014). The relationship between patients’ perceptions of care quality and three factors:
nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Services Research, 14(1), 1-10. Retrieved from http://
search.proquest.com.ezproxy.ferris.edu/docview/1615888631?OpenUrlRefId=info:xri/sid:primo&accountid=10825

Leavitt, S. (2015). The future of nursing is in their hands: managing millennial nurses. Reference Desk. Retrieved from
http://onlinenursing.wilkes.edu/managing-millennial-nurses/

Lippincot (2016) How to Write for Our Nursing Journals retrieved from http://www.nursingcenter.com/ncblog/january-2016/how-to-write-for-our-nursing-
journals

Long, H. (2016). The new normal: 4 job changes by the time you're 32. CNN Money. Retrieved from http://money.cnn.com/2016/04/12/news/economy/
millennials-change-jobs-frequently/

Mitchell, G. (2013). Selecting the best theory to implement planned change. Retrieved from http://home.nwciowa.edu/publicdownload/Nursing
%20Department%5CNUR310%5CSelecting%20the%20Best%20Theory%20to%20Implement%20Planned%20Change.pdf
 References
Olson, M. (2009). The “Millennials”: First year in practice. Nursing Outlook, 57(1), 10-17. doi: http://dx.doi.org.ezproxy.ferris.edu/10.1016/j.outlook.
2008.06.001

Price, S. L., Hall, L. M., Angus, J. E., & Peter, E. (2013). Choosing nursing as a career: A narrative analysis of millennial nurses’ career choice of virtue.
Nursing Inquiry, 20(4), 305-316. doi: 10.1111/nin.12027

Putre, L. (2013). The march of the Millennials: Your hospital staff in 2025: The same, only different. Hospitals & Health Networks, 87(9), 38-40, 42.
Retrieved from http://go.galegroup.com.ezproxy.ferris.edu/ps/retrieve.do?
tabID=T003&resultListType=RESULT_LIST&searchResultsType=SingleTab&searchType=AdvancedSearchForm&currentPosition=1&docId=GALE
%7CA347968556&docType=Article&sort=RELEVANCE&contentSegment=&prodId=AONE&contentSet=GALE
%7CA347968556&searchId=R1&userGroupName=lom_ferrissu&inPS=true

Randall, D. (2013, April/June). Expectations of millennial nurse graduates transitioning into practice. Nursing Administration Quarterly, 37, 152-159.
http://dx.doi.org/10.1097/NAQ.0b013e3182869d9f

Seidel, A. (2016). You’ve got to stop losing your millennial staff. Here’s how to do it. Retrieved from https://www.advisory.com/daily- briefing/2016/06/20/
millennial-turnover

Sigma Theta Tau International (2016) Call for Abstracts retrieved from http://www.nursingsociety.org/connect-engage/meetings-events/calls-for-abstracts

Marshall, E. S. (2011). Transformational Leadership in Nursing. New York, NY: Springer Publishing Company, LLC.
 References
Washington Post. (2015). Why bosses just don’t get millennials. [Video File]. Retrieved from: https://www.youtube.com/watch?v=g-nsU_BxD1Y

Wieck, L., Dois, J., Landrum, P. (2010). Retention priorities for the intergenerational nurse workforce. Nursing Forum, 45, 7-17. doi: 10.111/j. 1744-
6198.2009.00159.x