Maybe this article will help. It is about direct care RNs, but help in retaining staff should help nurse managers too.
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Linda H. Aiken, PhD, RN; Sean P. Clarke, PhD, RN; Douglas M. Sloane, PhD; Julie Sochalski, PhD, RN; Jeffrey H. Silber, MD,
Context The worsening hospital nurse shortage and recent California legislation mandating minimum hospital patient-to-nurse ratios
demand an understanding of how nurse staffing levels affect patient outcomes and nurse retention in hospital practice.
Objective To determine the association between the patient-to-nurse ratio and patient mortality, failure-to-rescue (deaths following
complications) among surgical patients, and factors related to nurse retention.
Design, Setting, and Participants Cross-sectional analyses of linked data from 10 184 staff nurses surveyed, 232 342 general,
orthopedic, and vascular surgery patients discharged from the hospital between April 1, 1998, and November 30, 1999, and
administrative data from 168 nonfederal adult general hospitals in Pennsylvania.
Main Outcome Measures Risk-adjusted patient mortality and failure-to-rescue within 30 days of admission, and nurse-reported job
dissatisfaction and job-related burnout.
Results After adjusting for patient and hospital characteristics (size, teaching status, and technology), each additional patient per
nurse was associated with a 7% (odds ratio [OR], 1.07; 95% confidence interval [CI], 1.03-1.12) increase in the likelihood of dying
within 30 days of admission and a 7% (OR, 1.07; 95% CI, 1.02-1.11) increase in the odds of failure-to-rescue. After adjusting for
nurse and hospital characteristics, each additional patient per nurse was associated with a 23% (OR, 1.23; 95% CI, 1.13-1.34)
increase in the odds of burnout and a 15% (OR, 1.15; 95% CI, 1.07-1.25) increase in the odds of job dissatisfaction.
Conclusions In hospitals with high patient-to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and
failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction.