Nurse Staffing Standards Act Is First Step in Solving Nursing Shortage

Nurses planning to leave the profession.

The nursing shortage continues, with no end in sight. In my current position as faculty in a university DNP program, I hear from students about caring for overwhelming numbers of patients and fearing for their patients’ safety and health. Nurses are suffering burnout because they are caring for so many patients they know nursing care is being missed. A recent survey found that job satisfaction has been dropping for nurses, while the percentage who say they may leave the profession is as high as 30% overall, with younger nurses most likely to say they may leave.

Nurse educators do our best, but we know that we are sending new graduates into the fire. Retired nurses worry about our family members (and ourselves) when we need nursing care.

Congress recently reintroduced the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act. This bill would mandate direct care registered nurse-to-patient staffing ratio requirements in hospitals. It has been introduced in several prior congressional sessions with little progress. We cannot let this window of opportunity pass.

Nurse staffing and patient outcomes.

Linda Aiken’s two decades of research demonstrate the effects of nurse staffing on patient outcomes. Despite legislative efforts in Massachusetts and New […]

2023-06-13T06:57:19-04:00May 11th, 2023|health care policy, Nursing, Public health|5 Comments
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A Nurse’s Lessons from Hiking the Appalachian Trail

Burnt-out and realizing it’s time for a change.

I had always been able to juggle family, school, and work life well, including roles as class mom, scout leader, and community volunteer, completing my doctorate in nursing, and working two jobs. But at a certain point, and despite my supportive family’s efforts, I began to burn out. Working as a nurse leader for a behavioral health unit was a dream come true and a nightmare all in one. I found myself caring so much, investing so much of myself, that I lost myself in the process.

In the hope that it would help, I moved back to nursing education. It didn’t. There was a void. I was missing something. I was missing me.

Maybe this is what burnout on the way to compassion fatigue feels like. But whatever we call it, my response was to quit my job and hike the Appalachian Trail for five months from Maine to Georgia with my husband. We’d always lived simply, and once we’d made the decision to go, the pieces fell into place.

Along the way, I made many discoveries. It’s paradoxical that I’d gone hiking to forget about nursing, yet I was reminded about it with each step.

Here are some souvenirs from the trail […]

2022-11-15T12:02:55-05:00November 15th, 2022|Nursing, nursing stories, wellness|0 Comments
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A Time to Heal: Taking a Break from Nursing After a Cancer Diagnosis

Photo by Javardh on Unsplash

Most nurses I know enjoy Nurses Week as an acknowledgment of the very important work we do every day. Nurses’ Week can also be an opportunity to think about our own needs, or to practice “self-care,” a term I find problematic because I worry it has become one of those ideas that nurses get blamed for the absence of, as in, a nurse is stressed on the job because he hasn’t done his “self-care.” However, regardless of how management discusses “self-care,” it’s an important idea: that nurses need breaks, moments to relax, have fun, and nourish our own humanity so that we come to work ready to humanely care for patients.

The problem with doing a hard job, like nursing, is that recovery is hard, too, and when the job itself seems to expect employees to be superhuman, finding the will to really care for ourselves can be difficult. I discovered how truly challenging that can be after being diagnosed with stage 1 breast cancer in September 2017. At the time I was working as a per diem home hospice nurse and I knew instinctively that I could not care well for dying patients when I was worried about […]

2022-05-09T09:20:58-04:00May 9th, 2022|Nursing|0 Comments
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How to Support the Nurse in Your Life, May 2022

Photo by Dương Nhân from Pexels

A few years ago, I wrote a blog post directed towards friends and family members of nurses, entitled “How to Support the Nurse in Your Life.” While the ideas in that post still hold up today, so much in nursing has changed, the COVID pandemic being the obvious main factor. With nurses in more need of support than ever, I find it important to revisit this idea of helping friends and families supporting the nurses in their lives at this unique point in time.

1. Listen to what the nurse is actually distressed about in the moment, and stay with them there.

In normal, non-pandemic times, nurses already have many people, situations, and issues to tend to in addition to the actual patient. There are so many unique aspects of the nurse role that challenge us, all of them rolled into a tangled ball in the course of a 12-hour shift. If we are distressed about one particular aspect, please stay with us in your focus on the actual issue at hand so we have time and space to unpack it without all the other competing stressors vying for all our attention.

For example, we might be upset one day […]

2022-05-02T09:19:45-04:00May 2nd, 2022|Nursing|2 Comments
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Time to Stop Proving Burnout Exists and Start Researching Real Solutions

“Put simply, we know burnout exists and we know it’s getting worse. Let’s leave it at that and move forward. Let’s focus on what we know might mitigate burnout…”

That’s from this month’s Viewpoint, “Burnout Research at a Crossroads,” by Tim Cunningham and Sharon Pappas. Some readers may find it a relief to have this stated so baldly: let’s move on to solutions, say the authors. Let’s put research dollars, time, and energy behind the search for clearer information about what works and what doesn’t.

A two-pronged approach.

The authors see a crucial and legitimate place for investigation of what works and what doesn’t in wellness initiatives to support “personal resilience” through self-care (an increasingly nebulous term in itself).

But they caution against shifting the responsibility onto nurses’ shoulders and ignoring real systemic issues.

With this in mind, they call for research that first of all examines systemic factors:

“It’s only commonsensical that burnout and work experience are intimately tied. It’s time to look more closely at staffing, work hours, team nursing, equitable pay, and other work environment factors that may decrease burnout.”

[…]

2022-04-29T15:08:45-04:00April 28th, 2022|Nursing, nursing research, safe staffing|1 Comment
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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