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1Running head: LITERATURE REVIEWLiterature ReviewTimothy CarlsonNUR-490-0500Grand Canyon University
2LITERATURE REVIEWIntroductionThe issue of turnover affecting adequate staffing is one that has impacted nursing from the beginning. Turnover is a topic that impacts everyone from nurses and physicians to patients and their families. The importance of adequate staffing and its impact on quality of care and outcomes for patients are real and a glaring issue for healthcare systems; however many systems are concerned changes to staffing methods may affect the bottom line. The lack of employee engagement and poor working culktures lead to nursing burnout and increased rates of turnover; this in turn leads to nurses seeking nonclinical positions, thus leading to a loss off bedside skill and knowledge and contributes to the nursing shortage (CITE). The objective of this project is toanswer the following PICOT question through review of peer reviewed literature and studies. How does turnover and shortages of nurses in the emergency department setting affect the care given to patients and families? What can be done to improve nursing turnover rates in emergency departments?Comparison of Research QuestionThe research questions for the eight articles encompass and address the effects of nursing turnover on patients and staff. Articles1-3 and 5-7deal with the impact to staff and pysichians; while articles 4 and 8 addressed specific impacts to patients related to turnover and staffing issues, as well as the impact to nursing. The research question for the first study addressed the correlation between moral distress and turnover of nurses and physicians. The second study examines the correlation of nurse physician collaboration and job satisfaction leading to turnover. The third study’s research