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The management of open and honest communication - a factor influencing nurse turnover

Mariana Dimitrova


INTRODUCTION: Effective management of turnover depends both on leadership skills and the competence to manage it. An important prerequisite for efficient operation is open and honest communication between managers and staff. Management support includes important skills for adequate communication approaches - open and loyal relationships. The purpose of this paper is to examine the impact of the management options for available and open communication on the turnover of nurses.

MATERIALS AND METHODS: For the purpose of the study an anonymous survey was conducted from Febru­ary to April 2014. The study was on the opinion of nurses and experts from university hospitals and hospitals including 11 types of wards and clinics, characterized by intensive workflow. The data were processed statisti­cally by SRSS v. 20.0 for Windows.

RESULTS: Evidence suggests that an important and necessary condition for effective operation is open and honest communication between managers and subordinates. A significant proportion of nurses who would not choose the same hospital said that their leaders are „almost never` or „never` open and honest in their com­munication with them (60.70%). Among the influencers about the choice of hospital is the presence of a loyal and accessible relationship with the managers (53.60%) (p<0.001). Over 60% of respondents who intend to leave within a year, respond with „almost never` (30.40%) and „never` (30.40%) on whether they have seen openness and loyalty in managers.

CONCLUSION: The survey data show that for the effective management of turnover an important and neces­sary condition is open and honest communication between managers and subordinates.


turnover, management, attitudes, nurses

Full Text


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About The Author

Mariana Dimitrova
Medical University of Varna

Department of Health Care, Faculty of Public Health

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