The Making TRACS to Improve Nurse Retention project sought to answer the question of whether the retention rate of registered nursing staff in one hospital can be improved through the collaborative development and use of an evidence-based nurse retention model, to be known as TRACS (Transition, Resilience, Authentic Leadership, Commitment, Support).
The resulting findings have produced a variety of positive and impactful outputs within the context of nurse retention, details of which can be read on our findings and outputs page. More information about the project鈥檚 background聽鈥� along with news and milestones throughout its timeline聽鈥� can be found below.
Project collaborators
This was a collaborative project between 裸聊直播鈥檚 Faculty of Health and Social Sciences (FHSS) and the 聽(RBCH), and funded by the . 聽was acting as an external consultant to the project.
See the latest news from this project
Addressing a recognised issue
Registered nurse retention is a clearly identified problem in healthcare in the UK and more widely, compromising healthcare systems, individuals鈥� wellbeing and patient care quality. Some factors associated with intention to leave are understood, but ways of improving retention and maintaining that improvement have not been researched. This聽project addressed聽that gap, using a collaborative 鈥榖ottom-up鈥� approach to engender staff empowerment in the process. It was innovative and pragmatic, building on existing research and facilitating active involvement from those working on the 鈥榮hop-floor鈥�.
Project aims
The聽aim of this project was to find out whether the retention of registered nursing staff can be improved through the use of the TRACS聽nurse retention model.聽Developed from an extensive literature review, the TRACS model focuses on key factors known to impact on intention to stay: supporting聽Transition聽at key career junctures, building聽Resilience, facilitating聽Authentic聽nurse leadership throughout the organisation, securing聽Commitment聽to support changing work practices and providing on-going聽Support聽for staff.聽The TRACS model was implemented and tested for impact using a robust pre- and post-intervention approach.
Methods
- Drawing upon existing evidence to measure key factors associated with intent to leave, both prior to, and after implementation of聽the TRACS model,
- Working collaboratively with 鈥榮hop-floor鈥� nursing staff to develop a Trust-wide plan to address factors linked with intent to leave,
- Implementing an evidence-based staff retention toolkit in Medicine for the Elderly wards,
- Evaluating its impact.
Research approach
- Mixed-method primary research to investigate the impact on nurse retention of a collaboratively developed retention strategy based on the聽TRACS model within one NHS Trust
- Transferability of findings to other settings is envisaged
- Secondary research activities that聽include a systematic review of the literature around nurse retention and analysis of publicly available recruitment, retention and job satisfaction NHS Trust data.
Project timelines
The project commenced in June 2017聽and concluded in September 2019.
Listen to our podcast to find out more about the project: