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Swiss longitudinal retrospective cohort study of nurses’ career paths and retention

English title Swiss longitudinal retrospective cohort study of nurses’ career paths and retention
Applicant Addor Veronique
Number 147159
Funding scheme Project funding (Div. I-III)
Research institution Haute Ecole de Santé de Genève (HEdS) HES-SO
Institution of higher education University of Applied Sciences and Arts Western Switzerland - HES-SO
Main discipline Health
Start/End 01.10.2013 - 31.12.2015
Approved amount 500'000.00
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All Disciplines (2)

Discipline
Health
Public Health and Health Services

Keywords (8)

Nursing; Retention; Shortage; Health systems; Human resources for health; Cohort; Career; Public Health

Lay Summary (French)

Lead
Le projet de recherche n@w fournira aux directeurs/trices de soins, aux décideurs de politique sanitaire et aux scientifiques, des informations objectives sur les parcours professionnels, la durée en emploi et la fidélisation dans les soins, des infirmières ayant obtenu leur diplôme en Suisse au cours des 30 dernières années.
Lay summary

Les ressources humaines en santé représentent un élément central des systèmes de santé, et les infirmières en sont une composante cruciale pour atteindre les objectifs sanitaires. La recherche montre qu’une dotation insuffisante en infirmières augmente la morbidité et la mortalité des patients hospitalisés. La pénurie globale d’infirmières touche également la Suisse, et est appelée à se péjorer en raison de l’augmentation de la demande en soins infirmiers (vieillissement de la population, pathologies multiples, baisse du bénévolat) et de la diminution du nombre d’infirmières formées en Suisse disponibles et/ou acceptant les conditions de travail actuelles. 

Le FNS a déjà financé l’étude-pilote de n@w (voir https://nurse-at-work.hesge.ch).

Les infirmières et infirmiers ayant reçu leur diplôme de base dans une école de soins infirmiers suisse depuis 1983 seront invité-e-s à remplir un questionnaire sur internet (dans les trois langues nationales) concernant leurs emplois successifs, qu’ils soient dans le domaine des soins ou dans d’autres secteurs économiques. Celles et ceux qui ne travaillent plus nous intéressent particulièrement, et sont difficiles à retrouver. C’est l’une des raisons pour lesquelles une campagne de presse auprès du grand public est prévue, afin d’assurer le taux de participation le plus élevé possible et une large palette de parcours professionnels. Les motivations personnelles et institutionnelles liées à chaque changement de travail seront investiguées auprès de plusieurs générations d’infirmières encore potentiellement actives, afin de proposer des stratégies de fidélisation des infirmières basées sur des avis et des faits provenant d’une population représentative des infirmières. 

Direct link to Lay Summary Last update: 30.04.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
How to identify and recruit nurses to a survey 14 and 24 years after graduation in a context of scarce data: lessons learnt from the 2012 nurses at work pilot study on nurses’ career paths.
Addor V Jeannin A Morin D Lehmann Ph Roulet Jeanneret F Schwendimann R (2015), How to identify and recruit nurses to a survey 14 and 24 years after graduation in a context of scarce data: lessons learnt from the 2012 nurses at work pilot study on nurses’ career paths., in BMC Health Services Research , 15(120), 1-10.

Collaboration

Group / person Country
Types of collaboration
OFSP (Federal Office of Public Health) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Industry/business/other use-inspired collaboration
Institut universitaire de formation et de recherche en soins (IURFS) of the University of Lausanne Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Conférence suisse des directrices et directeurs cantonaux de la santé (CDS) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Swiss Red Cross Switzerland (Europe)
- Research Infrastructure
HESAV Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Hochschule für Wirtschaft, Fachhochschule Nordwestschweiz Olten (CARE project) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Groupement des services de santé publique des cantons romands (GRSP) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
World Health Organization, Geneva Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
ASI (Swiss Nursing Association) Switzerland (Europe)
- Research Infrastructure
some 3000 national and cantonal health associations and nursing DIR of university hospitals etc Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
Services de santé publique des 26 cantons Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
FORS (Swiss Centre of Expertise in the Social Sciences) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
IUMSP (CHUV-Unil) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
Obsan (Swiss Health Observatory) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results

Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Tagung CaRe 2014 12.06.2014 Olten, Switzerland Jäckel Dalit;


Self-organised

Title Date Place
Planète Santé 13.11.2014 Lausanne, Switzerland
IFAS 21.10.2014 Zürich, Switzerland
ZüSpa-GsundZüri 26.09.2014 Zürich, Switzerland
Comptoir Suisse 19.09.2014 Lausanne, Switzerland
ASI/SBK congress 06.06.2014 Basel, Switzerland

Communication with the public

Communication Title Media Place Year
Media relations: radio, television Actu LaTélé Western Switzerland 2014
Media relations: radio, television Journal de 12h30 RSR la Première, Couleur3 Western Switzerland 2014
Media relations: radio, television Radiogiornale 18:30 RSI Italian-speaking Switzerland 2014
Media relations: print media, online media several articles and other radio/TV various International Rhaeto-Romanic Switzerland German-speaking Switzerland Italian-speaking Switzerland Western Switzerland 2014

Associated projects

Number Title Start Funding scheme
136705 Longitudinal retrospective cohort study of nurses’ career paths and retention 01.11.2011 DORE project funding

Abstract

Background - Human resources for health (HRH) are a major component of health systems. Research has shown that insufficient nursing staffing levels negatively impact patients’ morbidity and mortality. The global shortage of nurses is also affecting Switzerland, and is bound to worsen due to increased services demand and falling numbers of (Swiss) nurses available and/or willing to work under the present conditions. Studies abroad indicate that increasing the duration of nurses’ employment is the most efficient single measure to reduce the nursing shortage. Although reasons to stay or quit the profession have been described, they are highly culturally-dependent. Intention to quit is the main outcome measure in the literature, but actual career paths have rarely been studied beyond a one-year follow-up and outside acute care hospitals. Data on the nursing sector are affected by various biases and classification problems internationally, and even a common definition of a ‘nurse’ is lacking. Data are especially scarce in Switzerland where there is no active registry of nurses.Objectives - The n@w project aims at informing policymakers, nursing managers and the scientific community, by quantitatively measuring the relative importance of the reasons for nurses to stay or quit (a) a given facility, (b) a particular sector of care, and (c) nursing altogether, over the last 30 years in Switzerland. Actual career paths and duration of employment will be analyzed, and respondents will be prompted for potentially efficient policies and retention measures. The relative impact of retention determinants will be assessed, such as external and internal factors in the work environment, as well as personal factors, attrition/return factors, and cohort effect.Design - An observational study using a mixed-method (QUANTITATIVE - qualitative) approach. The quantitative arm will be a retrospective cohort study representing the main part of the research; 30-50 qualitative semi-structured interviews will provide additional detailed information on specific career paths selected on the basis of pre-defined criteria.Population - All nurses in Switzerland will be invited to participate. However analytic focus will be on six cohorts of nursing graduates from Swiss nursing schools across the three linguistic regions from graduation years 1983, 1988, 1993, 1998, 2003 and 2008, whatever their current occupational status (employed in or outside nursing, or outside of the workforce). Methods - Nurses will be invited to participate by a media campaign explicitly mentioning that nurses outside nursing are also invited, through their employers, and by direct invitation sent by the Swiss Nursing Association, to its members (n=26'000). All nurses will be asked to provide contact addresses of their graduate mates so they may also be invited, thereby initiating a snowball recruitment process. A web-based questionnaire will be used to inquire about career paths, job satisfaction and reasons for changes. Cohort-specific participation rates will be computed using information from the Swiss Red Cross files of nursing graduates (full coverage) for denominators. Quantitative analyses will include Optimal Matching Analysis of trajectories and standard techniques for the analysis of cohort data and change. Qualitative interviews will be conducted by phone and analysis will be centered on understanding key career changes. Expected benefits - By the end of the 26-month study, field partners, nursing managers and policymakers will have a clearer view of priorities and possible evidence-based solutions to the retention aspects of the nursing shortage, with new data to feed forecasting models currently based on assumptions.
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