DiversityNursing Blog

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Creating a healthy work environment for Nurses should be a top priority for employers in the healthcare industry. Nurses play a vital role in patient care, and their well-being directly impacts the quality of care they provide. By addressing some of the biggest issues in Nursing today, such as recruitment, retention, burnout, and bullying, employers can create a positive and supportive work environment that ultimately benefits both Nurses and patients.

Recruitment and retention are ongoing challenges in the industry. Many healthcare facilities struggle to attract and retain qualified Nurses, leading to staffing shortages and increased workload for the existing staff. By focusing on creating healthy work environments, employers can make their organizations more appealing to prospective Nurses and enhance employee satisfaction and loyalty. A positive work environment with adequate resources, support, and opportunities for professional growth can attract and retain talented Nurses, ensuring a stable workforce and improving patient outcomes.

Burnout is a pervasive issue among Nurses, resulting from the demanding nature of their work and high levels of stress. A negative work environment can exacerbate burnout and its associated physical, emotional, and mental exhaustion. 

A McKinsey Health Institute (MHI) report found a direct correlation between a workplace's toxicity and the levels of stress and burnout reported by its employees. According to this research, employees are almost 8 times more likely to report symptoms of burnout when faced with high levels of toxic workplace behavior.

Employers need to prioritize the well-being of their Nursing staff by implementing strategies that promote work-life balance, provide access to support services, and encourage self-care. By fostering a culture of wellness and offering resources to manage stress, employers can mitigate burnout and create an environment where Nurses feel valued and supported.

Bullying is another significant issue that affects Nurses' well-being and job satisfaction. Workplace bullying can lead to increased stress, anxiety, and decreased morale among Nurses, ultimately impacting patient care. 

According to an article from the National Library of Medicine, "A significant percentage of Nurses leave their first job due to the negative behaviors of their coworkers, and bullying is likely to exacerbate the growing Nurse shortage. A bullying culture contributes to a poor Nurse work environment, increased risk to patients, lower Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores, and greater Nurse turnover."

Health systems must take proactive measures to prevent and address bullying in the workplace. This includes implementing clear policies against bullying, providing training on respectful communication and conflict resolution, and fostering a culture of respect and collaboration. By creating a safe and respectful work environment, employers can empower Nurses to excel in their roles and provide the best possible care to patients.

Negative workplaces not only harm the well-being of Nurses but also contribute to disengagement and decreased job satisfaction. When Nurses feel unsupported, unappreciated, or overwhelmed by their work environment, they are more likely to become disengaged, which can ultimately lead to decreased productivity and compromised patient care. Employers must recognize the impact of the work environment on Nurse engagement and take steps to create a positive and empowering atmosphere. This can be achieved through open communication, involving Nurses in decision-making processes, and providing opportunities for professional development and growth.

In conclusion, creating a healthy work environment for Nurses should be a top priority for employers. By addressing issues such as recruitment, retention, burnout, and bullying, employers can create a positive and supportive workplace that enhances Nurses' well-being and improves patient care. Investing in the well-being of Nurses not only benefits the individuals but also contributes to the overall success of healthcare organizations. Employers must recognize the crucial role Nurses play in healthcare and take proactive steps to ensure their work environment fosters their growth, satisfaction, and ultimately, the provision of high-quality patient care.

Hiring Nurses who reflect Diversity, Equity, and Inclusion (DEI) is an important step towards creating a healthcare system that is accessible and welcoming to all patients, regardless of their race, ethnicity, gender identity, sexual orientation, or any other characteristic.

Here are some strategies that healthcare organizations can use to improve DEI in their Nursing workforce:

Develop A Diverse Recruitment Plan

Health Systems should develop recruitment strategies that target a Diverse pool of candidates. This may involve partnering with community organizations, attending job fairs and career events that attract a Diverse group of people, and actively recruiting from underrepresented communities.

Get Involved In Your Community

If you aren’t already involved in your community, it’s time to get started. Sponsor community information sessions such as signs to look for regarding specific illnesses including diabetes, weight control, high blood pressure, etc. See if there’s a local chapter of the NBNA (National Black Nurses Association), NAHN (National Association of Hispanic Nurses), AMN (American Men in Nursing) and become a member. Sponsor a local chapter recruiting event or attend their national conferences. Reach out to the schools in your area to get high school and college kids aware of the career opportunities available in healthcare. Your community is full of potential patients and employees so get your Diversity, Equity and Inclusion message out there in your community.

Consistent Communication

It is important that both your internal and external communications consistently promote your inclusive environment. Be honest and welcoming. Don’t be shy. It’s that simple!

Use Inclusive Language In Job Postings

Those responsible for hiring should use inclusive language in their job postings to attract a more Diverse pool of candidates. This includes using gender-neutral language, avoiding language that may be exclusive or discriminatory, and highlighting the organization's commitment to DEI.

Provide Cultural Competence Training

Healthcare organizations should provide cultural competence training to all employees, including management. These trainings can help staff understand the unique needs and perspectives of patients from all different backgrounds, and provide them with the skills and knowledge they need to provide culturally responsive care.

Foster An Inclusive Workplace Culture

It is important to foster an inclusive workplace culture where all employees feel valued and appreciated. This may involve implementing policies and practices that promote Equity and Inclusion, providing opportunities for professional development and advancement, and creating a safe and supportive work environment.

Measure And Track DEI Progress

Management should be measuring and tracking their progress towards Diversity, Equity, and Inclusion goals. This may involve collecting and analyzing data on the Diversity of the Nursing workforce, as well as conducting regular employee surveys to gauge their experiences and perceptions of the workplace culture.

Across the entire patient experience, Nurses have a hand in almost every aspect of the patient's healthcare journey. Nurses are compassionate, and dedicated, and work tirelessly to meet the needs of their patients. Because Nurses are at the forefront of every patient interaction, there are many things that we wish our patients knew and understood about how we work and handle our everyday tasks.  

Every Patient is a Priority, but You May Have to Wait 

Nursing is a busy and fast-paced profession. Our days are jam-packed with patient care tasks, documentation, and care coordination. More often than not, it can be challenging to find time to eat, drink water, or even use the bathroom during our shifts. We hate having to make our patients wait for things they may want or need, but sometimes we wish our patients understood that we take great consideration in prioritizing our patient's needs. So, if you are asked to wait or have been waiting for something longer than you think you should have, please understand that your Nurse may have a more pressing matter to attend to, and every patient deserves our complete attention. 

Nurses are People Too 

Nurses often sacrifice their personal needs to care for their patients. As mentioned earlier, we often forgo meals and bathroom breaks to ensure we can complete all our tasks and care for your needs. Nursing can often be a thankless job. Nurses understand that you want the best quality care, and we strive to provide that to every one of our patients. Patience, understanding, and respect are all that we ask for in return. 

We Care More Than You Think We Do 

Nurses are multitaskers. At any given time, we can be juggling more tasks than you may even realize. Sometimes Nurses may come off as flustered or in a hurry, but that does not mean we do not value your wants or needs. Nurses stay late and come in on their days off to ensure their patients receive excellent care. We even think about you long after we've met because you have touched our lives. Patients are what make the Nursing profession so rewarding. We do what we do for you. 

We May Not Know Everything

We encourage our patients to ask questions, but that does not mean we have all the answers. Sometimes we may need to find the answer for you by speaking to a Doctor or collaborating with other Nurses. This does not mean we do not know what we are doing. It simply means that every patient has a different healthcare journey, and often situations arise that we may not have experience with. Our top priority is that you receive the best quality care, so if you ask a question and we do not know the answer, please rest assured that we will do everything within our power to get you the information you are looking for. 

We Do Not Judge  

Nurses do not do their jobs to judge our patients. Please always be honest when answering questions or providing your health history. Withholding information because you may be embarrassed or may not think it relevant can significantly impact the care we can provide. We care about you and want to ensure that you are cared for in the best possible way. Nurses are also prepared to take care of all your personal needs. We do not mind doing ‘gross’ or ‘embarrassing’ tasks. You do not have to say sorry for natural bodily functions. We understand and are ok with it, I promise!

The Nursing profession is a delicate blend of knowledge, compassion, and critical thinking. We strive every day to make a positive impact on the lives of our patients. A strong Nurse-patient relationship improves your healthcare experience and helps us provide you with the best quality care.

Physician shortage concerns has influenced the use of more Nurse Practitioners to provide primary care and fill gaps in rural areas.

According to a new Health Affairs study, the number of Nurse Practitioners grew 109% from about 91,000 to 190,000 from 2010 to 2017.

Even though Nurse Practitioners have filled gaps in the delivery of healthcare, it is creating problems for hospitals. 

The Registered Nurse workforce has been reduced by up to 80,000 RNs nationwide. Also more than one million baby-boom RNs will be retiring soon.

The study says, the growth in NPs was caused by the expansion of education programs that have attracted Millennial Nurses. The number of programs to educate NPs grew from 356 in 2010 to 467 in 2017. These programs now graduate nearly as many new NPs as medical schools do Physicians each year.

Data from the Census Bureau’s American Community Survey for the period 2010–2017 was used in the study and researchers found the growth of NPs occurred in every region of the country, but was particularly rapid in the east south-central region of the country, which includes Alabama, Kentucky, Mississippi and Tennessee.

Also it is projected there will be two NPs for every five Physicians by 2030, compared to less than one NP per five Physicians in 2016. 

The number of Physician Assistants is also one of the fastest-growing in healthcare. According to a report from the National Commission on Certification of Physician Assistants, the number of certified PAs grew over 6% in 2018 and the average salary increased by more than 12% in a four-year span.

Authors of the Health Affairs study said, "As NPs continue to expand their profile in healthcare organizations and achieve greater prominence within the healthcare workforce, the potential loss of RNs to the NP workforce is likely to continue to cause employment ripples, particularly in acute care settings. Thus, even in an era of strong RN workforce growth fueled by Millennials in particular, hospitals must innovate and test creative solutions to contend with tight or fluctuating RN staffing — as they have during past disruptions in their RN labor supply."

There are many specialties available to Nurses and choosing the right one can be a difficult decision. If you can work under pressure in a fast-paced and often-stressful environment while staying calm and collected, Emergency Nursing might be for you. For some people, working in the ER can be intimidating but, for others rewarding.

According to former trauma and transport Nurse Pat Carroll, “The Nursing duties are the same wherever you work, except in the Emergency department, everything is compressed.” She shares that ER Nurses are often evaluating and treating patients almost simultaneously, and they work with a team of specialists, such as radiologists and orthopedic experts, to provide the highest-quality care.

A new study shows the demographics and other findings of the Emergency Nursing workforce.

• There are an estimated 167,375 providers of direct patient care in the Emergency/Trauma/Transport Nursing workforce.
   
• 43% of the workforce is under 40 years old.
   
• 78% of the workforce are women.
   
• Compared to the overall Nursing workforce, Transport Nurses are more likely to be male.
  
  
• 78% of the RNs surveyed hold a BSN or higher.
   
• 58% hold specialty board certification.
  
  
• 65% are satisfied or very satisfied with their jobs and the work they do.
  
  
• $77,500 is the median salary for Emergency/Trauma/Transport Nurses working full-time.

Working as an Emergency Nurse can be nerve-racking and emotionally draining. It also requires working long hours in a dangerous environment due to exposure to different types of pathogens and patients. However, if you’re looking for a fast-paced Nursing career where new challenges await you daily, and you can truly make a difference, Emergency Nursing may be the perfect specialty for you.

If you are an ER Nurse we would love to hear about your experiences, please comment below!