Shifting Frames Consulting’s Post

Roles in healthcare are challenging. We navigate complex systems, high stress situations, and intersect with people during their most vulnerable moments.  The retention of healthcare professionals is a big concern with an impact on patient outcomes and the organization’s finances (e.g., the cost of turnover for one nurse is between $45,000 to $67,000). The impact of discrimination and bias is largely unacknowledged in plans to address workforce turnover. An excellent systematic review by Kyla Woodward and Mayumi Willgerodt PhD, MPH, RN, FAAN, FNASN found very few studies address equity in turnover and retention. And a scoping review by Olihe Okoro, Omolayo Umaru, and Meghana Ray outlined the distinct barriers faced by Women of Color (WoC) in health professions and provided strategies to improve. The review highlights how “it is not merely enough to recruit, but rather efforts should be directed at retaining and developing WoC to achieve higher-level positions.” Researchers, Charlotte Thomas-Hawkins, PhD, RN, FAAN, Linda Flynn, Peijia Zha, and Sakura R Ando MSN, RN found racial disparities in turnover and intent to leave, “Non-white nurses reported negative racial climates, multiple racial microaggression experiences, and high job dissatisfaction and emotional distress.” All of these findings call attention to the need for open conversation and interventions to interrupt workplace racism and bias in order to improve workplace culture and retention. As healthcare professionals and leaders, it is important we discuss the impact of health inequity and workplace discrimination on healthcare professionals and implement interventions to interrupt them. These daily occurrences impact healthcare professionals’ well-being and can lead to high turnover. Thank you to the authors for sharing the important articles. Health equity work is all connected. The experience of the patient/family/community is intertwined with the experience of the healthcare professional. We can improve the environment for everyone.  ❓ What have you noticed in your own workplace?  ❔ How is turnover and retention discussed?  💡 What interventions are currently being used to interrupt workplace bias? #ItsAllConnected #HealthEquity #ImplicitBiasInterruption Citations:  Thomas-Hawkins, C., Flynn, L., Zha, P., & Ando, S. (2022, July/August). The effects of race and workplace racism on nurses’ intent to leave the job: The mediating roles of job dissatisfaction and emotional distress. Nurs Outlook, 70(4), 590600. https://lnkd.in/e6YMyJqT. Woodward, K.F., Willgerodt, M., (2022, July/August). A systematic review of registered nurse turnover and retention in the United States. Nurs Outlook, 70(4), 664678. https://lnkd.in/esTkqbti. Okoro O, Umaru O, Ray M. Women of Color in the Health Professions: A Scoping Review of the Literature. Pharmacy. 2024; 12(1):29. https://lnkd.in/eyCmyHST

The effects of race and workplace racism on nurses’ intent to leave the job: The mediating roles of job dissatisfaction and emotional distress

The effects of race and workplace racism on nurses’ intent to leave the job: The mediating roles of job dissatisfaction and emotional distress

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