Registered nurses and falls are closely connected in long term care, and understanding that link matters. As the largest segment of the US health care workforce, registered nurses play a critical role in reducing patient falls. However, while nurse-driven fall prevention interventions can lower fall rates, staffing shortages and turnover continue to affect outcomes across senior living communities.
In 2023, the national staff nurse turnover rate reached 18.4%. Moreover, that rate is expected to continue rising. In 2024, a National Council of State Boards of Nursing survey found that more than one-quarter of nurses plan to leave the profession by 2027. In addition, prior research has linked nurse turnover to demographic factors, job satisfaction, organizational challenges, and burnout.
More importantly, higher nurse turnover is also associated with increased patient falls. As a result, nurse retention plays a direct role in resident care outcomes. For example, a turnover increase of 10% was linked to approximately 36 additional falls per year. McKnight’s coverage of the study further explains how nurse turnover affects fall rates and why staffing stability remains a challenge for senior living communities.
At the same time, this information is not surprising to most of us. Staff turnover continues to challenge even strong communities. So the question becomes what steps you are taking to retain quality staff. Ultimately, retention depends on supporting nurses who come to work engaged and motivated. With that in mind, consider these strategies:
• First, offer competitive pay that reflects skills and experience
• Next, provide flexible schedules to support work life balance
• Additionally, invest in career development, including CNA ladder programs
• Likewise, support wellness programs that address physical and mental health
• Finally, create a positive work environment with recognition, feedback, and communication
In the end, nurses who feel valued are more committed to your residents and your community. When we consider the link between registered nurses and falls, retention clearly becomes a resident care priority. Therefore, do not wait for the next fall or exit interview. Instead, start today.
Stay well and stay informed!
