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Supporting Changes in Ambulatory Nursing Through the Use of Exit and Stay Interviews

Kai, Kia Joelle (2021) Supporting Changes in Ambulatory Nursing Through the Use of Exit and Stay Interviews. Master Essay, University of Pittsburgh.

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The nation’s nursing shortage is a widely acknowledged issue within healthcare delivery, but as healthcare in the U. S. shifts from inpatient care into the outpatient care setting, shortages may increase disproportionately. Demand for inpatient nursing will still increase, but as organizations expand outpatient services and facilities to meet demand, there will be greater need for nurses in the ambulatory setting. The newly created nursing positions will compete with existing positions to be filled in both inpatient and outpatient care (Haddad et al., 2020). This essay will focus specifically on the changing landscape of ambulatory healthcare delivery, the unique challenges it faces, and the root causes of dissatisfaction for nursing staff in the ambulatory setting that lead to difficulties with nursing turnover. Through a review of the literature, this essay will demonstrate the critical role that exit and stay interviews can have on engagement, retention, and recruitment strategies by helping to identify areas for improvement. Putting data to use through targeted strategies may be more effective than broad-based strategies, especially in larger healthcare systems that have varied levels of autonomy amongst their different ambulatory care facilities. Nurses are the backbone to healthcare delivery and patient care. While the health and well-being of our nursing workforce is important, nursing engagement and retention is also important because of its direct ties to quality of care, patient outcomes, patient safety and financial costs. By reviewing current literature focused on research related to the ambulatory care setting, nursing turnover, and exit and stay interviews, targeted interventions can be developed that meet the unique needs of ambulatory care facilities to improve nursing workforce engagement and retention, and, ultimately, healthcare delivery.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Kai, Kia Joellekjk108@pitt.edukjk108
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairGriffin, Lauragrifflinl@pitt.edugrifflinlUNSPECIFIED
Committee MemberLebel, Davidrdlebel@katz.pitt.edurdlebelUNSPECIFIED
Committee MemberMartsolf, Grantgrm32@pitt.edugrm32UNSPECIFIED
Date: 14 May 2021
Date Type: Completion
Submission Date: 30 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 39
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: N/A
Date Deposited: 14 May 2021 19:38
Last Modified: 14 May 2021 19:38


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