Nurse Practice Environment, Job Satisfaction, and Turnover and Patient Falls

What is the association of nurse job satisfaction, practice environment, and turnover with patient falls?In this cross-sectional study of 8584 hospital units in the National Database of Nursing Quality Indicators, higher nurse turnover was significantly associated with increased patient falls. Nurse job satisfaction and the practice environment were indirectly associated with fall rates through their influence on turnover.These findings suggest that improving nurse retention by enhancing job satisfaction and the practice environment may reduce patient falls and improve hospital safety outcomes.

Corresponding Author: Kaili Mauricio, PhD, William F. Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467 (kaili.mauricio@bc.edu).

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