Response Guidelines RB Read the post of the other learners and respond. In your response, explain why you decided to respond to this particular post. Provide feedback on the learner's PICO(T) question. Is there something they could do to make it better? Your response must be a minimum of 200 words in length. your post must be supported by citing two peer-reviewed an outside source, using APA formatting. Writing a Problem Question In home care (P), how does retention interviews (I), compared to a current model without retention interviews (C) affect job satisfaction with home care nurses. (O) “P” = Population- Will be home care nurses. The specific agency will be Northwell at home (formerly Northshore lij Home care) using the registered nurses of their Staten Island office. “I” = Intervention: The intervention will be to use retention interviews to increase current job satisfaction among the registered nurses “C” = Comparison: will be to compare current job satisfaction which does not have a use of a retention interview, with a evidence based practice of using retention interviews to help increase satisfaction “O” = Outcome(s): is the registered nurses will have increased job satisfaction with using retention interviews. “T” = Time: I would be using the minimum amount of time / capstone hours to implement the change and reevaluate job satisfaction. The gap is practice low job satisfaction with Homecare nurses. The question at hand would be to come up with a solution to increase overall job satisfaction. The determination of the need of increased job satisfaction came from current and ongoing complaints from staff and the most recent results of the employee engagement survey which alerted management that decreased satisfaction is a growing problem. Currently Northwell at home agency has a anonymous employee engagement survey, administered by Press Ganey. According to Dempsey and Reilly (2016) Press Ganey is a provider of patient experience measurement, performance analytics, and strategic advisory solutions for healthcare organizations. Press Ganey measures nurse engagement through a online survey designed to assess multiple facets of the nurse experience, including nurse engagement, nurse job satisfaction, and the nurse work environment. (Dempsey $ Reilly, 2016). This survey is the documented data available from Northwell at home’s home care organization. In addition, Northwell at home is having an increased amount of sicks calls and Human resources / management complaints regarding work load. Each complaint is handled on an individual basis as they are made. In a study by Maiko, Noriko, & Yukari (2016) a look at collegial support in regards to a higher retention rate is evaluated. It gives statistical data of how Homecare nurses have a higher turnover rate than the hospital. The objective of this study was to determine the reasons that the home care nurses had low retention and satisfaction rates related to perceptions of collegial support. Reasons of low satisfaction included lack of support of co-workers and as well as a hinderance of dialogue in the work place. Knowing that this is an issue in the profession of home care nurses, implementing retention interviews to both provide dialogue and to help uncover other areas that may be a concern to the home care staff is the reason for this capstone study. Another study that states a need for change is by Twigg,& McCullough (2014) where nurse retention is analyzed and a review of strategies to create and enhance positive practice environments in in nursing is revealed. This study looks at the administrative interventions that improve staff retention and satisfaction. One area of need for satisfaction was an increased governance structure that can flow information between staff nurses and those in leadership. These types of structures provide access to the nursing executive and give an opportunity for nurses to voice their concerns (Twigg,& McCullough, 2014). A structure that could result in closing the gap of issues noted in Twigg & McCullough’s study mention above would be a retention interview. This would provided communications as well as pass information, suggestions and complaints off to management to let the nurses have a voice and make them feel a platform is being provided for a positive practice environment. The previous mentioned issues are the reason for the formation of the PICTO question. Reference Dempsey, C., & Reilly, B. A. (2016). Nurse Engagement: What are the Contributing Factors for Success? Online Journal Of Issues In Nursing, 21(1), 8. doi:10.3912/OJIN.Vol21No01Man02 Maiko, N., Noriko, Y., & Yukari, T. (2016). How does collegial support increase retention of registered nurses in homecare nursing agencies? a qualitative study. BMC Nursing, 151-8. doi:10.1186/s12912-016-0157-3 Twigg, D., & McCullough, K. (2014). Nurse retention: A review of strategies to create and enhance positive practice environments in clinical settings. International Journal Of Nursing Studies, 51(1), 85-92. doi:10.1016/j.ijnurstu.2013.05.015 Response Guidelines DC Read the post of the other learners and respond. In your response, explain why you decided to respond to this particular post. Provide feedback on the learner's PICO(T) question. Is there something they could do to make it better? Your response must be a minimum of 200 words in length. your post must be supported by citing two peer-reviewed an outside source, using APA formatting. Writing a Problem Question In the millennial employee cohort (P), how do millennial work ethic, attitude, values, and expectations (I) compare to preceding generations’ workers (C) while endeavoring to reach an end result of increased retention rates (O) among the millennial employees within the Central Texas Veterans Health Administration? “P” population is represented by the millennial employee cohort. “I” intervention speaks to the millennial presence within the organization. “C” comparison between the millennial employee cohort and the generations that preceded it. “O” outcome is referencing the increased retention of millennial employees. “T” time is represented by 100 contact hours during the capstone practicum. The proposed PICOT question is based upon a clinical inquiry in the form of a meaning question. Meaning questions ask how an experience influences an outcome, the scope of a phenomenon, or perhaps the influence of culture on healthcare (Melnyk, Fineout-Overholt, 2014). The evidence-based research of this capstone project will indicate the investment required in making a commitment towards gaining a deeper understanding of the next generation of workers who will have a major influence on the culture and function of the healthcare work environment. Reference Melnyk, B., Fineout-Overholt, E. (2014). In evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins. pp 24-39.
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