Effects of Staff Turnover on Continuity of Care in Pediatric Chronic Disease Management

Authors

  • Debattri Das
  • Tarpan Chakrabarty
  • Arjama Halder

DOI:

https://doi.org/10.52783/jns.v14.4043

Keywords:

Staff Turnover, Pediatric Chronic Diseases, Caregiver Satisfaction, Patient Outcomes, Healthcare Workforce

Abstract

Continuity of care is a critical factor in the effective management of chronic diseases among pediatric patients. This study investigates the impact of staff turnover—particularly among physicians, nurses, and allied health professionals—on the quality and consistency of care provided to children with long-term medical conditions such as asthma, diabetes, and cystic fibrosis. Conducted as a mixed-methods study in three tertiary care pediatric hospitals, the research analyzes quantitative data on turnover rates and treatment adherence over a two-year period, supplemented by qualitative interviews with healthcare providers and caregivers.

Findings reveal a significant correlation between high staff turnover and disruptions in care plans, reduced caregiver satisfaction, increased medical errors, and lower treatment adherence among pediatric patients. Interviews further underscore the emotional and psychological burden placed on families due to frequent changes in care teams, which undermine trust and hinder communication. The study concludes that implementing targeted retention strategies—such as structured mentorship, workload management, and team-based care models—can enhance staff stability and, by extension, improve health outcomes in pediatric chronic disease management.

These findings offer valuable insights for hospital administrators and policymakers aiming to strengthen pediatric care delivery through workforce stabilization.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

iken, L. H., Clarke, S. P., & Sloane, D. M. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288(16), 1987-1993. https://doi.org/10.1001/jama.288.16.1987

Bodenheimer, T. (2008). Coordinating care—a perilous journey through the health care system. The New England Journal of Medicine, 358(10), 1064-1071. https://doi.org/10.1056/NEJMhpr0706165

Homer, C. J., Klatka, M. A., & Dower, C. (2008). The patient-centered medical home: A model for children with chronic conditions. Pediatrics, 122(5), 1063-1071. https://doi.org/10.1542/peds.2008-0602

Kovner, C. T., & Jones, C. B. (2007). The impact of staffing patterns on patient outcomes in hospitals. Journal of Nursing Administration, 37(7), 307-312. https://doi.org/10.1097/01.NNA.0000271336.49668.9f

Saultz, J. W., & Lochner, J. (2005). Interpersonal continuity of care and care outcomes: A critical review. The Annals of Family Medicine, 3(2), 159-166. https://doi.org/10.1370/afm.299

Shader, K., Broome, M. E., Broome, C. D., West, M. E., & Nash, M. (2001). Factors influencing nurses' job satisfaction and retention: A national study. Journal of Nursing Administration, 31(7-8), 395-400.https://doi.org/10.1097/00005110-200107000-00009

Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. The Milbank Quarterly, 83(3), 457-502. https://doi.org/10.1111/j.1468-0009.2005.00409.x

Downloads

Published

2025-04-18

How to Cite

1.
Das D, Chakrabarty T, Halder A. Effects of Staff Turnover on Continuity of Care in Pediatric Chronic Disease Management. J Neonatal Surg [Internet]. 2025Apr.18 [cited 2025May13];14(15S):1850-2. Available from: https://jneonatalsurg.com/index.php/jns/article/view/4043