The RETAIN Framework: Calculating the Cost of Nurse Turnover

  • Presenter(s): Omid Razmpour
  • Session Length: 50 minutes
  • Date: Mar 31, 2026
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Nurse turnover is not just a pressing workforce issue but a multimillion-dollar financial drain. In one system, 360 separations in medical–surgical units cost $27.9 million, with each turnover exceeding $85,000. Application of the RETAIN Framework uncovered these costs and provided the evidence that guided a $150 million system-wide investment in nurse compensation and retention. This session will share how the framework was applied and the lessons learned from its implementation.
Learning Outcomes
  1. State the current per-nurse cost of turnover using the RETAIN Framework.
  2. Explain how to apply the RETAIN Framework to support workforce investment.

description

Nurse turnover is not just a pressing workforce issue but a multimillion-dollar financial drain. In one system, 360 separations in medical–surgical units cost $27.9 million, with each turnover exceeding $85,000. Application of the RETAIN Framework uncovered these costs and provided the evidence that guided a $150 million system-wide investment in nurse compensation and retention. This session will share how the framework was applied and the lessons learned from its implementation.
Learning Outcomes
  1. State the current per-nurse cost of turnover using the RETAIN Framework.
  2. Explain how to apply the RETAIN Framework to support workforce investment.

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