Impact of High turn-over rates among the nurses on old age care facilities: A case study on leading Age Services Australia (LASA) organization

Project Title: Impact of High turn-over rates among the nurses on aged care facility: A case study on leading Age Services Australia (LASA) organization TABLE OF CONTENTS 1.0 OBJECTIVE 3 2.0 PROBLEM STATEMENT 3 3.0 AIM AND OBJECTIVE/ RESEARCH QUESTIONS 4 4.0 JUSTIFICATION AND POTENTIAL OUTPUT OF THE RESEARCH 4 5.0 CONCEPTUAL FRAMEWORK 5 5.1 Industry overview of old age care in Australia 5 5.2 Role of nurses on old age care 6 5.3 Factors affecting high rate of turnover

Project Title:
Impact of High turn-over rates among the nurses on aged care facility: A case
study on leading Age Services Australia (LASA) organization

TABLE OF CONTENTS
1.0 INTRODUCTION.....................................................................................................................3
2.0 PROBLEM STATEMENT........................................................................................................3
3.0 AIM AND OBJECTIVE/ RESEARCH QUESTIONS.............................................................4
4.0 JUSTIFICATION AND POTENTIAL OUTPUT OF THE RESEARCH................................4
5.0 CONCEPTUAL FRAMEWORK..............................................................................................5
5.1 Industry overview of old age care in Australia......................................................................5
5.2 Role of nurses on old age care...............................................................................................6
5.3 Factors affecting high rate of turnover.................................................................................7
5.3 Hypothesis development........................................................................................................8
6.0 METHODOLOGY....................................................................................................................9
6.1 Research approach.................................................................................................................9
6.2 Data collection.......................................................................................................................9
6.3 Sampling..............................................................................................................................10
6.4 Data analysis........................................................................................................................10
6.5 Research limitation..............................................................................................................10
6.6 Budget and Gantt chart........................................................................................................11
7. REFERENCES..........................................................................................................................14

1.0 INTRODUCTION
Australian economy is growing significantly in the global market. Development in
education, medical, hospitality, tourism etc has helped the country in creating wide impact on
overall economic development (Nahar, Islam & Ullah, 2017). The old age care industry provides
wide range of services to older Australians through proper level of care when and where they
require (Esplen & et.al., 2018). It provides both comfort of support as well as dignity to
Australian senior citizens.
This service segment is demands a team of skilled and trained nurses to efficiently
understand the needs of the patients and deliver required treatment to them (Han, Han & Choi,
2015). These care homes manage, train and develop workforce to manage diverse roles from
management to administration and care workers to nurses (Holmberg, Sobis & Carlström, 2016).
The topic of this project is to analyze the impact the high turn-over rates among the nurses on
aged care facility. To have a better understanding of the topic an old Aged organization namely,
Leading Aged Services Australia (LASA) is taken into consideration. The report will focus on
analyzing the factors which leads to high turnover within nurses and its impact on age care
facility due to high turn over of nurses. The research will start from the problem Statement and
will lead to identifying aims and objectives. Further, Justification and potential output of the
research will be taken and conceptual framework and hypothesis of the research will be done
(ABOUT LASA., 2018). At last, research methodology will be applied for better understanding of
the topic.
2.0 PROBLEM STATEMENT
Turnover of the regulated nursing staff has been the major issue in old age care
organization. Nurses in the old aged care plays a vital role in this sector. They are directly
associated with the quality of care. However, care homes can not work appropriately until and
unless they have a quality workforce particularly nurses whose main work is to look after the old
people so that they can get a happy life (Holmberg, Sobis & Carlström, 2016). In current
situation, where Australian economy is facing a transition, turnover rates can also be a major
issue. However, it is not an easy way to train the new employees to work in an organization

every now and then. Turnover in healthcare services reduces the productivity and quality of the
services. LASA age care has also been facing the similar problem of nursing staff turnover.
Therefore, this project aims at finding the impact of turnover in the life old aged people. For this,
focus on one of the wide Old age home of Melbourne, Australia is being done so that the effects
can be analyzed and problem can be identified (Don’t just blame older Australians for increased
hospital demand., 2016).
3.0 AIM AND OBJECTIVE/ RESEARCH QUESTIONS
The main aim of the research is to investigate the impact of high turn-over rates of the
nurses on aged care facility. The focus will be on the old aged care service providers, specifically
LASA Organization to analyze and answer the below listed research objectives:
 To understand the role of nurses in old age care facilities
 To examine the factors affecting high turnover among nurses in the old age care.
 To analyze the impact on Old Age care due to high turn over among Nurses.
4.0 JUSTIFICATION AND POTENTIAL OUTPUT OF THE RESEARCH
By analyzing the current working situation at LASA it can be said that high turn over
among nurses has affected the quality of care among the organization. People at old aged
requires more love, care and affection but frequent turnovers has hindered the productivity of the
service providers (Hengel, et,al., 2015). Various articles, has been stated regarding the turn
overof the employees among various service sectors. However, research projects on turn over
rate among nurses has been remained untouched. In the coming years, utility of the old aged
cares will be more diversified and their need will be higher (Faisy,et.al., 2016).
Australian economy is already facing the crisis of transition in health care industry due to
rising gap between demand and supply and significant need of improvement in the scope of this
service sector is required. Analysis of issues and factors influencing high turnover in the industry
is critical to understand as it may help in enhancing the performance and growth of the sector
(Dever Fitzgerald & et.al., 2016). Further, these studies will be more beneficial for the future as
these old aged care are being growing on the larger scales and their utility will be rising more in
future. Since it is important to know the turnover among nurses because this is effecting the care

homes and the people residing in it. Therefore, this report focuses on the turnover of nurses at
LASA organization.
5.0 CONCEPTUAL FRAMEWORK
5.1 Industry overview of old age care in Australia
Australian health care sector is developing at a significant rate. The industry is adopting
effective technologies and services to minimize the health inequalities within population (de
Souto Barreto & et.al., 2016). Australian medical Association claimed that effective health care
facilities and services have resulted in effective population aging. Old age care facility in the
service segment specially designed and developed for higher age people who are above 60 years
of age. These care services focuses on specific medical needs and demands of elderly population.
Higher demand for old age care is a major pressure on the healthcare sector. The reviews and
analysis revealed that the demand for old age care is continuously rising within the economy
which has created a significant demand for effective services and professionals in the sector.
Figure 1 Demand for age group care demand 2015-16
(Source: National commission of Audit., 2016)

The above statistics reveals that elderly care demand is very high in the Australian market. The
care demand for people ageing above 60 is significantly high. Ineffective care services in for this
segment of population may affect the health care industry vitally (Harrowing & et.al., 2018).
Government thus has developed effective training and development programs for enhancing
nursing and medical staff to meet the rising demands of the stated sector (Norton & et.al., 2016).
The major care services offered in Old age care facilities include residential care, home care and
support, Community care. The service spectrum for the sector demands a team of well trained
and qualified professionals (Davidoff, 2015).
The major issue faced in the industry in the present time is, lack of professional nurses
and medical staff to meet the rising demand. High rate of turnover is one major factor which has
created a major imbalance in the industry (Mastracci & Hsieh, 2016).
5.2 Role of nurses on old age care
Health care services are highly advanced and specific. Need of professional training and
understating is critical to enhance the industry within the economy. Rising demand for old age
care facilities is one major challenge in the Australian economy. In order to meet the rising age
care demand, need of trained and qualified professionals is critical (Wendsche, Hacker &
Wegge, 2017). Different training and certification programs have been developed by the
government to enhance the professional support for the stated segment.
Nurses play a major role in balancing the health care service sector as they are
professionally trained to understand the specific needs and demands of the patients. Moreover
effective understating about medical terminologies, technologies and issues provide them
efficiency to enhance the care services and deal with individual patient issues. Brady & et.al.,
(2015) stated that qualified nursing staff plays a major role in delivering quality care to the
patients. They help in developing the service model by understating individual needs and
delivering service to enhance quick recovery. In addition to this according to Johnson-Coyle &
et.al., (2016) stability in old age care effectiveness is vitally dependent on efficient nursing staff
as they are major service providers of the industry. Lack of effective staff may result in
enhancing the cost of care service while creating a significant imbalance in the industry. Hence
the evaluation clearly reveals that nurses play a critical role in providing old age care services in
the economy. They are the leading factor which affects the growth aspects of the industry.

5.3 Factors affecting high rate of turnover
The phenomenon of employee turnover is much studied in the research and analysis.
Number of factors has been identified to understand the causes of turnover among
employees.However, it is important to know that old age care service sectors are being
increasing rapidly (Takase, Yamamoto, Sato, Imai & Kawamoto, 2017). In the Australian
economy, there is a lot more chances of the service sectors to expand further in the coming years.
Thus, it is crucial for them to find out the way through which high turn over of staff can be
reduced effectively. The desires among the old people at the Old age care homes are
comparatively higher than their own homes. Studies have showed that senior citizens that have
been staying at Old age care are tend to be happier and satisfied as compared to other matured
people (Bloomfield & et.al., 2018). Thus, it is important to have proper research regarding the
reasons of high turn over of staff as it is affecting the emotional as well as economic aspect of
the country.
From past many years, the concept of high turn over rates among the nurses in Old Aged
care has not been so popular. Therefore, it is vital to understand and analyze the various root
problem that’s affects the turnover of nurses at the old age care (Robinson & et.al., 2014).
However, there are various number of factors that are consistently linked with the high turn over.
Various reviews have been revealed that factors such as, overall satisfaction, job content,
intentions to be on the job, commitment has greatly affected the turn over rates among the nurses
(Westermann & et.al., 2014). The basic job profile of the nurses is to take care of the old age
people and for that they need to be highly committed towards their job. However, there are also
few reasons leading to lack of interest among the nursing staff of the old aged care that can be,
lack of morale, non availability of medical devices, low pay rolls, improper Human resource
management.Additionally, less availability of facilities can also be a major a cause of high
turnover among nurses (Beattie & et.al., 2014). The job of care taker is very sensitive as they had
to deal with different individuals with different choices and demands. Thus, to satisfy the needs
and requirements of each and every individual is an important task (Nelson, 2016).
Therefore, it is important to have a deep study regarding the turn over rates of nurses at
the old age cared so that it can be helpful in the future for expanded studies. In this report, one
such organization namely, LASA is being taken into consideration so that detailed study and data

regarding the turnover can be taken. Old aged care is being increasing rapidly in the Australian
economy and therefore it is important to know the decrease in the nursing staff in the service
sector. For this, it is important to know the attitude and behavior of the nursing staff towards the
old aged care home.
5.3 Hypothesis development
On the basis of above analysis and evaluation the following hypothesis are developed to
ensure clear and effective analysis of the research issue:
RO1: To understand the role of nurses in old age care facilities
H1 Nursing plays a significant role in old age care facilities
H0 Nursing staff do not play a significant role in old age care facilities
To examine the factors affecting high turnover among nurses in the old age care
H1: There is a significant relationship between stress and nurses turnover rate
H0: There is a no relationship between stress and nurses turnover rate
To analyze the impact on Old Age care due to high turnover among Nurses
H1: High nurses’ turnover have adverse impact on old age care facilities
H0: High nurses’ turnover do not have adverse impact on old age care facilities
6.0 METHODOLOGY
6.1 Research approach
Research approach develops a significant ground for undertaking structured research. It
helps in understating the major research issue and developing effective and reliable outcome for
the study. The present study focuses on evaluating the impact of high turn-over rates of the
nurses on aged care facility. In order to achieve the research aim quantitative approach will be
adopted (Johnson-Coyle & et.lal., 2016). This will help in developing specific and accurate
outcome for the evaluation. The overall study will be structured and organized to attain reliable

results. Data collection will be a critical aspect of the evaluation. Primary and secondary data
collection methods will be collectively used to attain the research outcome.
6.2 Data collection
Data collection is one of the most vital aspects of research analysis. The present study
will adopt both primary and secondary data collection measures to attain reliable results for he
analysis. Secondary data is the past data review. The researcher will undertake a critical review
of the research to understand the scope of the research issue and attain significant insights for the
same. This will also help in attaining research gap which will influence the current study.
Secondary data will be collected from various sources such as books, Journals, Online articles,
past researches, Government report and magazines (Mastracci, & Hsieh, 2016). The researcher
will ensure that the data is reliable and taken from authentic sources.
Primary data for the study will be collected from the stated population. This data will be
current and fresh which will enhance the reliability of the study. The population for the present
study is the nursing staffs who provide services for age old care facilities. The analysis has
undertaken the case evaluation of LASA hence the nursing of the selected organization will be
surveyed to attain accurate and specific results. Survey based on the questionnaire will be
undertaken which will help in attaining specific and accurate results fo the study. Systematic
close ended questionnaire will be prepared for the same.
6.3 Sampling
Sampling is yet another crucial aspect of the analysis. A sample of 25 nursing staff will
be selected on the random basis for the survey. Random sampling will ensure authenticity and
unbiased results for the analysis. The lottery system will be adopted to select 35 employees from
the nursing staff. Questionnaire will be mailed to all the selected staff. First 25 completed
questionnaires will then be considered for evaluating the results.
6.4 Data analysis
Data analysis plays a major role in attaining significant research result for the study. The
present study will undertake quantitative method for attain the research results. the response of
the questionnaire will be quantified and SPSS will be used to attain and analyze the data. The
presentation of the results will be done in tabular and graphical method which will create an

effective and systematic understating about the analysis (Takase & et.al., 2017). The results will
be clear and highly effective for solving the research issue.
6.5 Research limitation
Undertaking a research is a challenging prospect. The current study aimed to investigate
the impact of high turn-over rates of the nurses on aged care facility. The research was
undertaken in a structure and systematic manner however the major limitation in the evaluation
were limited time and cost factor. As the time for the analysis was limited hence the researcher
refined the research area to one organization. Moreover the cost aspect of the study was also
challenging, In addition to the sample size of the research was 25 which is small. It may also
result in attaining a uniform perception about employee needs and demands as all employees
were selected from the same organization.
6.6 Budget and Gantt chart
The current study will be undertaken in a systematic and structured manner. The research
plan for the evaluation has been developed in order to effectively track the research progress and
success aspects. The time frame for the present study is three months. The resreach plan for the
overall evaluation is:
Task Name Duration Start Finish Predecessors
Research Plan 90 days Mon 21-05-18 Fri 21-09-18
Industry analysis for health
care industry 7 days Mon 21-05-18 Tue 29-05-18
Analysing major industry
issues for old age care facility 7 days Wed 30-05-18 Thu 07-06-18 2
Developing research aim 7 days Fri 08-06-18 Mon 18-06-18 3
Formation of research
objectives and questions 5 days Tue 19-06-18 Mon 25-06-18 4
Primary research analysis
for old age care and factors
affecting nurses turnover
7 days Tue 26-06-18 Wed 04-07-18 5
Secondary data analysis for
old age care and factors
affecting nurses turnover
7 days Thu 05-07-18 Fri 13-07-18 6
Contacting leading Age
Services Australia (LASA)
organization
5 days Mon 16-07-18 Fri 20-07-18 7
Undertaking literature 12 days Mon 23-07-18 Tue 07-08-18 8

review
Applying SPSS to attain
specific results 15 days Wed 08-08-18 Tue 28-08-18 9
Developing compiled draft
of report 5 days Wed 29-08-18 Tue 04-09-18 10
Submission of Draft 3 days Wed 05-09-18 Fri 07-09-18 11
Improving the solution 7 days Mon 10-09-18 Tue 18-09-18 12
Compiling and binding the
final report 2 days Wed 19-09-18 Thu 20-09-18 13
Submission of final report 1 day Fri 21-09-18 Fri 21-09-18 14
BUDGET
The budget for the overall evaluation will be 5000 $. The estimated distribution of the
budget has been efficiently discussed below:
ACTIVITIES EXPENSES
Secondary research analysis (Critical
literature review)
1500 Australian dollar
Primary data collection 2000 Australian dollar
SPSS application 500 Australian dollar
Data analysis 1000 Australian dollar
Total expense 5000 Australian dollar
Gantt chart

7. REFERENCES
ABOUT LASA., 2018. [Online]. Accessed through https://lasa.asn.au/about-lasa/>. [Accessed on
19th May 2018].
Beattie, E., O'reilly, M., Strange, E., Franklin, S., & Isenring, E. (2014). How much do
residential aged care staff members know about the nutritional needs of
residents?. International journal of older people nursing, 9(1), 54-64.
Bloomfield, J. G., Aggar, C., Thomas, T. H., & Gordon, C. J. (2018). Factors associated with
final year nursing students' desire to work in the primary health care setting: Findings
from a national cross-sectional survey. Nurse education today, 61, 9-14.
Brady, M. C., Stott, D., Weir, C. J., Chalmers, C., Sweeney, P., Donaldson, C., ... & Bowers, N.
(2015). Clinical and cost effectiveness of enhanced oral healthcare in stroke care
settings (SOCLE II): a pilot, stepped wedge, cluster randomized, controlled trial
protocol. International Journal of Stroke, 10(6), 979-984.
Davidoff, T. (2015). Can “high costs” justify weak demand for the Home Equity Conversion
Mortgage?. The Review of Financial Studies, 28(8), 2364-2398.
de Souto Barreto, P., Denormandie, P., Lepage, B., Armaingaud, D., Rapp, T., Chauvin, P., ... &
Rolland, Y. (2016). Effects of a long-term exercise programme on functional ability in
people with dementia living in nursing homes: Research protocol of the LEDEN study,
a cluster randomised controlled trial. Contemporary clinical trials, 47, 289-295.
Dever Fitzgerald, T., Hadjistavropoulos, T., Williams, J., Lix, L., Zahir, S., Alfano, D., &
Scudds, R. (2016). The impact of fall risk assessment on nurse fears, patient falls, and
functional ability in long-term care. Disability and rehabilitation, 38(11), 1041-1052.
Don’t just blame older Australians for increased hospital demand., 2016. [Online]. Accessed
through http://theconversation.com/dont-just-blame-older-australians-for-increased-
hospital-demand-62622 >. [Accessed on 19th May 2018].
Esplen, M. J., Wong, J., Green, E., Richards, J., & Li, J. (2018). Building A High Quality
Oncology Nursing Workforce Through Lifelong Learning: The De Souza
Model. International journal of nursing education scholarship, 15(1).
Faisy, C., Davagnar, C., Ladiray, D., Djadi-Prat, J., Esvan, M., Lenain, E., ... & Guillou, A.
(2016). Nurse workload and inexperienced medical staff members are associated with

seasonal peaks in severe adverse events in the adult medical intensive care unit: A
seven-year prospective study. International journal of nursing studies, 62, 60-70.
Han, S. S., Han, J. W., & Choi, E. H. (2015). Effects of Nurses' Job Stress and Work-Family
Conflict on Turnover Intention: Focused on the Mediating Effect of Coping
Strategies. Asian Women, 31(3).
Harrowing, J. N., Edwards, N., Richter, S., Minnie, K., & Rae, T. (2018). African and Caribbean
nurses’ decisions about HIV testing: a mixed methods study. AIDS and behavior, 22(2),
545-559.
Hengel, B., Maher, L., Garton, L., Ward, J., Rumbold, A., Taylor-Thomson, D., ... & Kaldor, J.
(2015). Reasons for delays in treatment of bacterial sexually transmissible infections in
remote Aboriginal communities in Australia: a qualitative study of healthcentre
staff. Sexual health, 12(4), 341-347.
Holmberg, C., Sobis, I., & Carlström, E. (2016). Job satisfaction among Swedish mental health
nursing staff: A cross-sectional survey. International Journal of Public
Administration, 39(6), 429-436.
Johnson-Coyle, L., Opgenorth, D., Bellows, M., Dhaliwal, J., Richardson-Carr, S., & Bagshaw,
S. M. (2016). Moral distress and burnout among cardiovascular surgery intensive care
unit healthcare professionals: A prospective cross-sectional survey. Canadian Journal
of Critical Care Nursing, 27(4).
Mastracci, S., & Hsieh, C. W. (2016). Emotional labor and job stress in caring professions:
Exploring universalism and particularism in construct and culture. International Journal
of Public Administration, 39(14), 1125-1133.
Nahar, R., Islam, R., & Ullah, K. T. (2017). Identifying the Factors for Reducing Employee
Turnover Rate in Aviation Business: Bangladesh Context. Australian Academy of
Business and Economics Review, 3(1), 39-46.
National commission of Audit., 2016. [Online]. Accessed
through http://www.ncoa.gov.au/report/appendix-vol-1/9-9-aged-care.html >. [Accessed
on 19th May 2018].
Nelson, S. (2016). The role of the nurse in assessing mobility decline in older people with
intellectual disabilities. Learning Disability Practice (2014+), 19(9), 19.

Norton, M., Dyches, T. T., Harper, J. M., Roper, S. O., & Caldarella, P. (2016). Respite care,
stress, uplifts, and marital quality in parents of children with Down syndrome. Journal
of autism and developmental disorders, 46(12), 3700-3711.
Robinson, A., Eccleston, C., Annear, M., Elliott, K. E., Andrews, S., Stirling, C., ... &
McInerney, F. (2014). Who knows, who cares? Dementia knowledge among nurses,
care workers, and family members of people living with dementia. Journal of Palliative
Care, 30(3), 158.
Takase, M., Yamamoto, M., Sato, Y., Imai, T., & Kawamoto, M. (2017). Effects of Nurses’
Perceptions of Actual and Demanded Competence on Turnover Intentions. Western
journal of nursing research, 39(10), 1330-1347.
Wendsche, J., Hacker, W., & Wegge, J. (2017). Understaffing and registered nurses’ turnover:
the moderating role of regular rest breaks. German Journal of Human Resource
Management, 31(3), 238-259.
Westermann, C., Kozak, A., Harling, M., & Nienhaus, A. (2014). Burnout intervention studies
for inpatient elderly care nursing staff: systematic literature review. International
journal of nursing studies, 51(1), 63-71.