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WHDL - 00017803
Increased job-related stress levels in nursing have contributed to the low retention of nurses. The United States registered nurse turnover rate is the highest it has ever been, currently standing at 27.1%. The continued and increasing shortage of nurses at the bedside affects the healthcare facilities’ ability to meet patient’s complex needs. Job-related stress is a factor that contributes to turnover. This project aimed to identify and mitigate stress and evaluate the impact on perceived stress and turnover intention in nursing staff. The Perceived Stress Scale measured participants’ perceived stress levels, and the Turnover Intention Scale measured the intention to leave the organization. Perceived stress data were analyzed using a t-test. Due to the small sample size of participants and the categorical nature of the data, Fisher’s exact test was used to analyze the turnover intention data. Statistical significance was found between the two groups relating to perceived stress at the 0.05 level (t = 2.413, df = 34). Perceived stress decreased during this project by using the stress continuum model and integrating interventions such as mindfulness, gratitude, utilizing facility behavioral and spiritual services, aromatherapy, and reflective journaling. Turnover intention was not statistically significant other than in the item asking about the intention to leave the organization as soon as possible (two-tailed p = 0.041). Future studies should incorporate manager involvement in the promotion and design of the project, replicate the project with larger sample sizes, and assess the effectiveness of specific stress management interventions. Additional research should include an assessment of the mental health needs of nursing staff and ways to address turnover in the population.