Another difficulty was the number of cases where the high turnover of professional staff impaired the build up of an adequate capability, particularly in the MSUs.
With reference to the above, a tool was developed to establish reasons for, and explore the consequences of, the turnover of professional nurses working at public hospitals and health centers in the context of HIV/AIDS in South Africa (31).
Study challenges relate to barriers to inter-professional collaboration across levels of care, leadership support, turnover of healthcare professionals, organisational restructuring and engaging healthcare professionals to report on the repeated measures of patient safety culture.
Job satisfaction is an important determinant of the performance and turnover of health professionals.
Fast turnover of health professionals from the health system and from academic institutions has recently received substantial attention from both academia and health sector managers.
High turnover of laboratory professionals is a drain on programme funds, as more time and resources need to be devoted to advertise, interview, hire, and train new laboratory professionals.
Additionally, in settings with high staff turnover, the quality of professional practice and professional culture can be undermined by recurrent change and/or the loss of pedagogical leadership (Whitebook and Ryan 2011; IofM and NRC 2012).
Problems related to workforce development including uneven distribution, rapid turnover and lack of professional development opportunities were also reported by two other studies from Iraq [ 13, 36].
In the health system, high turnover of skilled health professionals has both economic and non-economic consequences (2, 11, 13, 14).
Based on the study findings from Addis Ababa, Ethiopia [ 23], high turnover of experienced health professionals, absence of retirement, external transfer, death, and personal reasons were also important determinants for the presence of poor knowledge and experience sharing practice.
Thus, the aim of the LANE study is to monitor the health status as well as retention, turnover rates (for both employee and occupational turnover) and professional development of newly qualified nurses in their first years of working life.
