For many years, the healthcare field has struggled with staffing issues, including the Nursing shortage. The COVID-19 pandemic brought these issues front and center. Everyone including Patients, Nurses, and Health Systems benefit from higher staffing rates.

Improved staffing levels reduce:

• Mortality rates
• Length of stay
• Readmission rates
• Preventable health care associated injuries and illnesses such as falls, infections, and pressure injuries

According to research:

• Higher numbers of patients per Nurse was strongly associated with the administration of the wrong medication or dose, pressure ulcers, and patient falls with injury.
• Short-staffing increases patients’ risk of death by between 4% and 6%. This risk is higher within the first five days of admission.

Five organizations came together in 2018 to form the Partners for Nurse Staffing in a collaborative effort to explore new solutions for Nurse staffing issues. In early 2022, they launched the National Nurse Staffing Think Tank. 

The Partners for Nurse Staffing includes:

• American Association of Critical-Care Nurses (AACN)
• American Nurses Association (ANA)
• American Organization for Nursing Leadership (AONL)
• Healthcare Financial Management Association (HFMA)
• Institute for Healthcare Improvement (IHI)

The think tank made recommendations to address the Nurse staffing crisis within a 12-18 month implementation timeframe.

The recommendations include: 

Healthy Work Environment

• Elevate clinician psychological and physical safety to equal importance with patient safety through federal regulation.
• Specialty Nursing organizations should investigate evidence related to scope of practice and minimum safe staffing levels for patients in their specialty.

Diversity, Equity and Inclusion (DEI)

• Implement Inclusive Excellence, a change-focused iterative planning process whereby there is deliberate integration of DEI ideals into leadership practices, daily operations, strategic planning, decision-making, resource allocation and priorities.

Work Schedule Flexibility

• Build a flexible workforce with flexible scheduling, flexible shifts and flexible roles.

Stress Injury Continuum

• Address burnout, moral distress, and compassion fatigue as barriers to Nurse retention.
• Incorporate well-being of Nurses as an organizational value.

Innovative Care Delivery Models

• Implement tribrid care delivery models that offer a holistic approach with three components, including onsite care delivery, IT integration of patient monitoring equipment, and ambulatory access and virtual/remote care delivery. This approach will improve access, patient and staff experience, and resource management, with continuous measurement for improvement and adjustment for sustainability and support.

Total Compensation

• Develop an organization-wide formalized and customizable total compensation program for nurses that is stratified based on market intelligence, generational needs and an innovative and transparent pay philosophy that is inclusive of benefits such as paid time off for self-care and wellness and wealth planning for all generations.

The time for action is Now. Nurses, and their patients, must have proper staffing levels in order to provide the best care possible!