This paper examines optimal recruitment and retention strategies for Nightingale Home Care, Inc., a San Diego-based home health agency experiencing a nurse retention rate as low as 53%. The paper presents a retention strategy matrix outlining four key approaches: referral fees, sign-on bonuses, advertisement and marketing, and employee benefits packages. For each strategy, the paper discusses the benefits of implementation, the challenges organizations may face, and supporting evidence-based references. The goal is to provide a structured framework that the agency can use to improve RN Case Manager retention and reduce turnover.
Nightingale Home Care, Inc., located in San Diego, CA, has been experiencing difficulty with staff retention — specifically among RN Case Managers who work in the home health agency and serve patients in the community. Since operations began in 2003, the organization has experienced an increased turnover rate among nurses, and the retention rate has decreased to an all-time low of 53%. In response, the organization recognizes the need to create a retention strategy matrix to guide efforts to improve that rate. The strategies outlined below address four key recruitment and retention approaches: referral fees, sign-on bonuses, advertising and marketing, and employee benefits.
Benefits: Referral fees have been shown to be effective in recruiting new staff in healthcare settings (Meyers, 2011).
Challenges: New hires should be required to remain with the organization for a minimum length of time in order for the referring employee to receive the full bonus. Organizational behavioral theorists recommend that employees be paid an initial fee — for example, $100 of a $500 total fee — with the remainder paid after one full year of employment.
Reference: Meyers, M. (2011, July). Meeting the challenge of marketing intangibles. Academy of Marketing Studies Journal, 15(2), 145–149.
Benefits: Although sign-on bonuses have historically been used for difficult-to-fill positions, growing numbers of organizations across all sectors are now using them for positions of all types.
Challenges: Similar to the constraints associated with referral fees, sign-on bonuses are frequently paid in two installments to encourage new hires to remain with the organization for a minimum period of time, typically one year.
Reference: Maranto, R. & Shuls, J. V. (2012, Fall). How do we get them on the farm? Efforts to improve rural teacher recruitment and retention in Arkansas. Rural Educator, 34(1), 32–35.
Benefits: Advertising and marketing efforts are an integral strategy for recruiting new hires in virtually any occupational category (Pace, 2010).
"Media platforms and marketing challenges for recruitment"
"Benefits packages as retention and attraction tools"
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