Tag: "Nurse Staff"

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Nurse leaders are making due and getting better for it

A recent benchmarking survey discussed at The Leaders’ Lounge looked at impact that the economy’s downturn had on nursing units, with some not all too surprising results, but some that do have a direct impact on healthcare staffing, including nurse managers:

  • Cutting back on educational travel
  • Delaying filling open positions
  • Renegotiating supply costs and contracts
  • Cutting back on overtime

They even had to do things like:

  • Implement mandatory paid time off a couple days through the year
  • Decrease employee’s pension contributions
  • Eliminate  bonuses for management
  • Stop matching retirement fund (401k) contributions

Actions like this had the not surprising effect apparently of reducing the nursing staff’s morale, which led the nurse managers surveyed to rely on actions like:

  • Making verbal recognition from leadership a priority
  • Writing thank-you notes to staff
  • Creating formal employee of the month or similar recognition programs
  • On the upside though the survey showed that nurse managers are expecting to see spending in hiring and travel increase in the next year, with 74% saying their facility is hiring right now, and 65% planning to travel to a couple of conferences in 2010.

    Based on these findings it looks like that despite the negative effects of the economy over the last year, there were also improvements in employee engagement, efficiency and retention efforts. Which coupled with smart hiring practices and smart use of temporary staff as the recession ends should help improve patient care and reduce nurse burnout over the next year.

    What are your thoughts and experiences over this last year?

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    Gel (Good Experience Live) Conference Promotes the Patient Experience

    I posted about this over at TravelNursingBlogs.com too, but thought it would also be worth mentioning here too.  

    The Gel (Good Experience Live) Conference is on Thursday, October 22, 2009 (and optional 2nd day: Fri, Oct 23) in New York City. It brings experts on the patient experience together to put on a series of talks on the patient experience, focusing especially on:

    • Who’s improving it?
    • How are they improving it?
    • What approaches are being taken in various healthcare disciplines?

    This is the conference’s seventh year. It looks like a great list of speakers will be there, so if you’re in the New York City area you should check it out.

    Here is a video made available from last years conference.

    Bridget Duffy at Gel 2008 from Gel Conference on Vimeo.

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    Nursing management and the economy

    I just wanted to quickly point you to a good post at The Leaders’ Lounge about strategies to help your maximize your staff during this tough economy. But really this is good advice all the time. 

    The author Bonnie Clair, MSN, RN  lays out some simple steps like how to assess your talent, improve employee engagement, listen to your staff’s ideas and suggestions, build closer relationships with your customers, improve your department’s culture, build trust among your staff and retain your superstars. Give it a read.

    What have you been doing to help your nursing staff perform better during this tough time? Anything else you would add?

    share save 171 16 Nursing management and the economy
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    Refreshing nursing skills?

    A post and comment thread on a great blog over at the HCA West Florida Recruitment Blog  brought up the point about nurses returning to the profession due to the economic recession after time away and their need to take part in “Back to Nursing” type programs to refresh their skills. 

    Here are some other nursing articles and resources  I found on this topic:

    Career Focus: Refresher Programs Help Nurses Return to Work
    RN Refresher Courses at Nurse.com | Nationwide Refresher Course
    Nurse Refresher.com
    NurseWeek: You Can Go Home Again

    One thing to keep in mind as you look to bring more permanent nurses on that are reentering the workforce, is that if it takes longer than you would like to get them going, but know that they will be worth the time investment, you may want to still look at travel or temporary nursing staff as an interim. Especially considering the quicker orientation time of a travel nurse typically. In fact a travel nurse with their wide range of backgrounds could be very useful in bringing a re-entry nurse up to speed pretty quickly.

    Is this something you are seeing at your hospital as well? If so how long is it taking to get them up to speed? What are your thoughts?

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    Overtime and hospital staff burnout

    In the current economy we are seeing many hospitals relying on their own perm staff to fill a lot more overtime hours than in the past. For some nurses and therapists this is a welcome boost to their paycheck, while for others it may be something they feel obligated as caregivers to do. No matter the circumstances it will eventually start to wear them out. There is plenty of research available showing the negative effects of too much overtime, everything from nurse burnout, to costs associated with nurse turnover, to putting patients at risk. So what can you do as a unit manager to help ease the effects of overtime on your staff?

    Your ability to help them through hiring more nurses or therapists may be limited unless you can convince the financial decision makers of the savings that come with being adequately staffed. But there are things you can have an impact on.

    Since you know that too much overtime is going to eventually lead to burnout, you will want to keep an eye on the signs of burnout among your staff. It is also important for you to avoid burnout yourself, so that you can be there for your staff when you sense that they are stressed and give them advice and tips for managing their stress. Below are some links that give you practical advice on how to spot and respond to you and your staff’s burnout.

    Battling Burnout: Maintaining Enthusiasm in a Challenging Environment
    StressedOutNurses.com
    Times flies, but you don’t have to
    Help staff handle stress by boosting resiliency
    Nurse retention through meditation
    Nursing Burnout Prevention
    Why Emotions Matter: Age, Agitation, and Burnout Among Registered Nurses

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    Nurse Burnout is it preventable?

    I’ve been reading a lot about nurse burnout lately. There is a ton of information on the web about it, from the signs associated with it, ways to cope with it, its impact on patients and its financial implications.

    For a nurse manager there are some practical measures you can take to help reduce nurse burnout in your hospital unit. Key to this is being able to understand where it is coming from, what causes it and recognizing the symptoms. Here are some links to some great resources to help you recognize and deal with nurse burnout in your staff:

    Addressing Nurse Burnout – Changing Culture Is The Cure

    Institute for Healthcare Leadership

    Stressed Out Nurses

    Just remember that left unaddressed nurse burnout can eventually lead to losing a valuable member of your staff and that can have a real impact on the patient care you are able to provide.

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    How to evaluate a traveler's resume

    When you are receiving 30-40 resumes for any open travel nursing or travel allied health position need that your hospital has it is imperative that you are able to quickly and accurately assess the talent and qualifications of the candidate. Hiring the wrong candidate or even wasting your valuable time talking to the wrong travel nurse or therapist can be a big drain on your hospitals resources. One of the best ways to do avoid this scenario is through a thorough but efficient look at the travel healthcare candidates resume. Here are some quick tips to help you do just that:

    Have a plan. First look at skills, then the unit worked in, then experience.
    Look for job relevance and make sure that the travel nursing or therapist candidate meets the minimum requirements for the job.
    Try to picture the applicant in the nursing or allied health position and interacting with your current hospital staff.
    Avoid making assumptions, if anything looks irregular on the traveler’s resume; make sure to follow up with the travel staffing company or the candidate during the interview.
    Look for gaps in work history any sort of vagueness, this will help you avoid a nurse or therapists who may be hiding something.
    Ignore disclosed information that may cause you to subconsciously discriminate against a candidate.

    Hopefully following these quick tips will help you bring the most qualified and talented healthcare providers to your hospital.

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    Nurses voice their concerns over the nursing shortage.

    As you face the day to day challenges of staffing your hospital facility, one area you may not always consider is the way it is affecting the mindset of your current nursing staff. A recent study by the American Nurses Association looked at this issue specifically and came to some disturbing, but probably not too surprising conclusions. You can read them all here, but the crux of the press release was:

    73% of nurses don’t think the staffing on their unit or shift is sufficient.
    59.8% of the nurses said they knew someone who left direct care nursing because of concerns about safe staffing
    Of the 51.9% of the nurses that are considering leaving their current position, 46% say it is because of inadequate staffing
    51.7% of nurses surveyed thought the quality of nursing care on their unit has declined over the last year
    48.2% of the responding nurses would not feel confident having someone they care about receiving care in their own facility

    These results illustrate how important it is to keep your nursing staff large enough to not only provide patient care, but also take the pressure off your current staff.

    share save 171 16 Nurses voice their concerns over the nursing shortage.