Date of Graduation
Summer 8-6-2025
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
Kaiser cohort MSN capstone
First Advisor
Dr. Catherine Coleman
Second Advisor
Dr. Sarah Horton-Deutsch
Abstract
Abstract
Problem Nursing is facing a crisis in workforce well-being, and trends indicate signs and symptoms of burnout. Increasing turnover rates, emotional exhaustion, staff depersonalization, and team disengagement have resulted in a perceived toxic environment in a hospital-based microsystem.
Context A 4-month project was initiated to improve morale and communication. Several assessment tools were utilized to foster a high-performing team and reinforce principles of Watson’s theory of caring.
Interventions Optimization of required daily leader rounds to encourage patient participation, and monthly 1:1 “direct report” rounds (n=65) were conducted to assess well-being, workplace stressors, and promote job satisfaction.
Measures To improve quarterly turnover rates from 10 percent in 2021 to 8 percent through May 2025. Clinical Nurse Leader (CNL) logs documented qualitative assessment of nurse leader and direct report rounds. A burnout survey (n=62) was conducted and 14 questions were evaluated from the biannual workforce satisfaction survey.
Results A 94 percent response rate to the burnout survey was achieved. Qualitative data from daily and monthly rounds reinforced the importance of authentic listening, and compassionate care resulting in a positive culture change. Quarterly turnover rates improved from 8.3 percent in February 2025 to 7.1 percent in May 2025.
Conclusions Optimizing leadership rounds, monitoring and responding to signs and symptoms of burnout led to decreased turnover and a healthy work environment. This project necessitates a shift from directive management to inclusive leadership styles, which foster staff empowerment. A systems approach is required to address turnover rates at the organizational and unit levels.
Recommended Citation
Yale, Bernice Marie, "Best Practices to Prevent Nurse Burnout and Reduce Turnover in the Hospital" (2025). Master's Projects and Capstones. 1936.
https://repository.usfca.edu/capstone/1936
