Dynamic Boundaries for Nurses
Burnout Index
Annual losses the typical hospital absorbs to RN turnover : $4.2M–$6.2M¹
Average cost to a hospital when one bedside RN leaves : $60,090¹
Average time it now takes to fill one open RN position : 78 days¹
Nurses who report feeling burned out most days : 58%²
Odds that a nurse with burnout leaves necessary care undone, compared with a nurse without burnout : 5x³
Prevalence of nurses reporting at least one missed required care item, across a 42-study systematic review : 55%–98%⁴
Turnover rate among early-career nurses within their first two years : 20–40%⁵
Public librarians, annual turnover : 7.1%⁶
Government employees, annual voluntary turnover, 2025 : 0.8%⁷
How much longer nurses stay at hospitals with bundled burnout-reduction programs combining several strategies : 20%⁸
Reduction in nursing faculty's average burnout score from boundary management alone, a single 6-week intervention : 12%⁹
Peer-reviewed studies measuring the effect of a boundary-management intervention on nurse or nursing-educator burnout, as of 2025 : 1⁹
Sources: 1. NSI Nursing Solutions, 2026 National Health Care Retention & RN Staffing Report. 2. AMN Healthcare, 2025 RN Survey (12,000+ respondents). 3. White, Aiken & McHugh, 2019, Journal of the American Geriatrics Society. 4. AHRQ PSNet, systematic review of 42 studies. 5. Scheepers, Coetzee & Fourie, 2025, BMC Nursing. 6. Torabi, 2011, Evidence Based Library and Information Practice, 6(2), 64–68. 7. U.S. Bureau of Labor Statistics, JOLTS, Table 22 (Annual average quits rates by industry, not seasonally adjusted, 2025). 8. Muir, 2022, Journal of Patient Safety, 18(4), 351–357. 9. Waugh, J., Offner, B., & Haney, V. (2025). Using boundary management to decrease burnout in nursing faculty. Teaching and Learning in Nursing, 20, e329–e335.