Staffing: Hot Topic as Usual for Nurses

Karen Roush, MS, RN, FNP-C, clinical managing editor

Our recent Facebook post on an article on nurse staffing at the NPR Shots blog (“Need a Nurse? You May Have to Wait”) got a lot of responses. Staffing is a hot topic for nurses—from both a personal  and a patient care perspective. And I say “hot” because it never fails to raise emotions.

Everyone agrees that adequate nurse staffing is essential for safe, high quality patient care and nursing job satisfaction. Research has shown that it significantly improves patient outcomes.

Yet we—nurses, as well as the larger health care community—continue to debate how to determine what “adequate staffing” is and how to best achieve it. Acuity-of-care measures? Unit-by-unit mandated staffing plans? State-mandated staffing ratios? What do you think?

We’ve published numerous articles and news pieces on this topic in recent years; here are a few examples:

News, reports, and analysis (open access articles)

“Nurse Staffing Matters—Again”

“California Mandated Nurse–Patient Ratios Deemed Successful”

“Nursing Shortage—or Not”

Feature. Requires subsciption or purchase; abstract only

“Nurse Staffing and Patient, Nurse, and Financial Outcomes”

And here are some blog posts that deal either directly or indirectly with issues related to nurse staffing.

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2016-11-21T13:10:00-05:00May 31st, 2012|nursing perspective|1 Comment

‘Today I Cried’: A Family’s Loyalty, A Veteran’s Lost K-9 Helper

Sue Hassmiller has been blogging from the tornado-damaged area in Alabama, where she’s volunteering for the Red Cross. This and all other posts in this series are being collected on a separate page for easy reference.—JM, senior editor/blog editor

Today I cried.

Although I’ve seen horrific things and heard the worst stories imaginable here in Alabama, it was not until today that I cried. It had to do with my soft spot for daughters and dogs. 

The daughter. My morning visit was to a 50-year-old woman, Kate (not her real name), in the most rural of rural Alabama. Our team went to see her because she had lost not one family member, but three: her mother, her sister, and her brother. Kate told us that her mother and sister wouldn’t leave her wheelchair-bound, 6’ 4” brother for shelter. They didn’t have the strength to move him, so they simply sat with him in the living room and prayed for the best. She later found them in the field, with her sister still holding her brother in her arms.  […]

An NP Prepares: Calling All Nurse Mentors

Well, I’m here to tell you, from the evidence gathered in my own laborious, and mostly fruitless, job search, that archaic ideas about the ease of finding a position as a nurse are dead wrong.... A seasoned professional or trusted peer is crucial in providing helpful advice, guidance, and inspiration.

2016-11-21T13:14:23-05:00January 7th, 2011|career, students|4 Comments

Nursing Is Hazardous to Our Health

By Shawn Kennedy, AJN interim editor-in-chief

We all know that our nursing jobs expose us to various hazards—back and joint problems, needlesticks and other means of exposure to infectious diseases, traumatic injuries from encounters with violent patients or their family members, just to name some common ones. And as if that’s not enough, the psychological toll taken can result in burnout and even PTSD, which wreak havoc on retention. Heart disease and depression should probably also be on the list.

You may have seen news reports about a study with Danish nurses, published in the May issue of Occupational and Environmental Medicine. The researchers found that nurses younger than 51 years at baseline who perceived their workplaces as highly stressful were significantly more likely to have ischemic heart disease during the 15-year follow-up. Now, as the Journal of Clinical Psychiatry reports, a Finnish study has found that nurses and physicians who work in overcrowded acute care units have “twice the risk of sickness absence due to depressive disorders” compared with colleagues working in less crowded areas. And Health Policy reports on a study revealing that, among Canadian nurses, “Depression is a significant determinant of absenteeism for both RNs and LPNs.”

Is anyone surprised? Not nurses, for sure, and probably no one who’s worked at or been a patient in a hospital recently. With few exceptions, hospitals are generally terrible places to work. Yes, the

What Lies Ahead? AACN Presidents Weigh In on Health Care Reform, Rapid Response Teams, and More

By Shawn Kennedy, AJN interim editor-in-chief

On my last day at the American Association of Critical-Care Nurses’ annual meeting last week in Washington, DC, I had a chance to speak with both Beth Hammer, whose term as president ended with the meeting, and Kristine Peterson, the new president. Our conversation ranged from how they felt about being president of such a large nursing organization to their views on health care reform and how rapid response teams are affecting the work environment of critical care nurses. You can hear the conversation free on AJN’s Web site: go to the Podcasts tab and click on Conversations. Or just click here (the download may take a minute or two).

And don’t miss my first post from the exhibit hall floor at the meeting (the National Teaching Institute & Critical Care Exposition, or “the NTI”)  and my second post on a conversation with a critical care nurse about a bad staffing practice, which seems to have hit a nerve!

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