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.

Dynamic Boundary-training for Nurses

A leap in the right direction.

  • “I appreciate Eva fleshing out the three skills of the Yes/No strategy as it provides a guide to verbalizing your authentic Yes and your authentic No.”

    Patricia M.

  • "Although I love speaking with patients, making my “yeses” be “yes,” and my “nos” be “no” is not my strong suit… Being able to offer a firm “no,” with a non-compromising “yes,” is a way to maintain my own sanity, while also providing the colleague, administrator, or patient with something out of the deal as well. It was a very enjoyable talk; she’s an engaging speaker, and I plan to purchase her book. I highly recommend working with her.”

    Thomas C.

  • "We navigate a journey riddled with so many opportunities to face boundaries and unmet expectations. This presentation helped me look at the principles of what adds value to a relationship and what creates a deficit.”

    Damaris A.

  • "This training showed me how better boundary-setting can improve my long-term work goals with respect to time management, client engagement, and overall feelings of productivity.

    BHR

Nursing. Rediscover Your Why.