Date of Graduation

Fall 12-14-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Carlee Yetive Stewart Balzaretti


As non-profits, community health clinics face a unique set of challenges. Primary amongst these is a shortage of financial resources. Staff turnover, including Registered Nurses (RNs) and Medical Assistants (MAs), can result in avoidable increased wage costs related to training of newly-hired RNs/MAs (clinical staff). Retention of experienced RNs/MAs can be directly correlated with job satisfaction, the obverse of which is job frustration. The intent of this RN/MA training and orientation project is to ameliorate frustration related to a lack of informational resources and clear competency expectations. Upon completion and implementation, project efficacy will be assessed via four longitudinal measures: Likert Scale job satisfaction surveys, clinical skill competency assessment, tracking of RN/MA turnover rates, and fiscal analysis. It is anticipated that the clinic will see results including a decrease in job frustration with subsequent decreased RN/MA turnover, improved quality of care and a decrease of avoidable costs. Retaining experienced RNs equates to responsible stewardship of resources and most importantly maintains quality standards of care.