Betty Jo Rocchio, Jill D Seys, Barbara J Vancil, Denise L Williams, Nida Al-Ramahi
{"title":"The Post-Pandemic Nursing Workforce (Part II): Driving Value in Hospital Operations Through a Flexible Workforce Model.","authors":"Betty Jo Rocchio, Jill D Seys, Barbara J Vancil, Denise L Williams, Nida Al-Ramahi","doi":"10.1097/NAQ.0000000000000675","DOIUrl":"10.1097/NAQ.0000000000000675","url":null,"abstract":"<p><p>In the post-pandemic era, nursing workforce constraints continue to foster concerns for the future of health care among nurse leaders worldwide. Causal factors attributing to disparity between workforce supply and demand are well documented in literature while operational outcomes from comprehensive solutions are scarce. Nurse leaders seeking to meet the operational demands of a constrained workforce must embrace innovative care delivery models aimed to meet the generational needs of the workforce. Operational outcomes measured in fiscal year 2023, defined as July 1, 2022-June 30, 2023, include: a total savings of 30 million dollars in premium labor spend, an increase in the organization's fill rate to 86%, a 62% reduction in agency spend, 8% reduction in turnover, including a 9% reduction in first-year turnover, a 4% reduction in vacancy rate, and 20% less time spent on staffing and scheduling tasks.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 2","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Clinical Practice Through Simulation.","authors":"Karen A Grimley","doi":"10.1097/NAQ.0000000000000663","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000663","url":null,"abstract":"<p><p>Nurse leaders are obligated to ensure that nurses are prepared to engage in the provision of safe high-quality nursing care by creating a learning environment where their clinical knowledge and critical reasoning can be safely developed and refined. Simulated educational experiences can accelerate learning and provide nurse's the ability to confidently and competently deliver clinical care in a highly efficient manner.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"51-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Return on Investment of Incorporating Simulation into a New Graduate Nurse Emergency Department Residency Program.","authors":"Jared M Kutzin, Lauren Collins","doi":"10.1097/NAQ.0000000000000660","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000660","url":null,"abstract":"<p><p>Ensuring a smooth transition from education to practice for new nurses is essential in helping stem the flow of nurses out of the profession. However, traditional nurse residency education has only included didactic education sessions. In a novel new graduate emergency Nurse Residency Program, simulation-based education was ranked as the best part of the new graduate Nurse Residency Program. The result of incorporating simulation experiences was increased satisfaction by program participants and a decrease in turnover.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Significance of Simulation: Organization and Education Outcomes.","authors":"K T Waxman","doi":"10.1097/NAQ.0000000000000668","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000668","url":null,"abstract":"","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deb Bakerjian, Jennifer J Edwards, Ana Marin Cachu, Jonathan Kwan
{"title":"Enhancing Primary Care by Investing in Interprofessional Education: The SPLICE Project.","authors":"Deb Bakerjian, Jennifer J Edwards, Ana Marin Cachu, Jonathan Kwan","doi":"10.1097/NAQ.0000000000000667","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000667","url":null,"abstract":"<p><p>The System-transforming, Patient centered Longitudinal Interprofessional Community-based Education (SPLICE) Initiative was a Health Resources and Services Administration (HRSA) funded project designed to educate and train health professions learners in team-based primary care within a clinical environment. The SPLICE project team developed multiple learning activities including case studies and simulations that integrated the IPEC Core Competencies within clinical scenarios. The interprofessional aspects were also modeled by faculty facilitators from different professions. Each activity was thoroughly evaluated by the learners using mixed methods processes including data from retrospective pretest-posttest self-assessments, open-ended surveys, and focus groups. Faculty, staff, and learners invested countless hours of volunteer time due to the enthusiasm and passion for the work supported with HRSA funding to implement and evaluate the SPLICE initiative. Outcomes include the development of an enhanced primary care simulation template; the creation of 21 unique primary care simulations that integrated the IPEC competencies; improved confidence and competence in over 700 learners; over 110 faculty trained in simulation and debriefing skills; clinical skills training for Federally Qualified Health Center (FQHC) staff; improved quality improvement processes at a local FQHC; and a high rate of retention of the graduates in primary care. This project demonstrated a significant return on the investment beyond the initial HRSA funding.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"49 1","pages":"5-17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Morse, Hillary Duncan, Lynette V Apen, Karin Reese, Cecelia L Crawford
{"title":"Centralized Scheduling of Nursing Staff: A Rapid Review of the Literature.","authors":"Lisa Morse, Hillary Duncan, Lynette V Apen, Karin Reese, Cecelia L Crawford","doi":"10.1097/NAQ.0000000000000653","DOIUrl":"10.1097/NAQ.0000000000000653","url":null,"abstract":"<p><strong>Background: </strong>Centralized scheduling of nursing professionals is regarded as an effective strategy for optimizing workforce allocation and mitigating critical staffing shortages. The aim of this review is to (1) determine the effect of centralized scheduling on unit productivity (ie, overtime, contract labor, and floating), time savings for managers, and staff perceptions and retention and (2) discuss current approaches in the implementation of centralized scheduling in inpatient hospital settings.</p><p><strong>Methods: </strong>This rapid review of the evidence follows methodological guidance from the Cochrane Rapid Reviews Methods Group. Four electronic bibliographic databases were searched for research published from 2013 to 2023. A total of 446 articles were identified and screened, with a total of 12 articles included. Studies and reports were included if they addressed the operational question and were conducted in an inpatient hospital within the United States.</p><p><strong>Results: </strong>Case study reports describe improved labor productivity (ie. less overtime and less contracted labor), more consistently balanced staffing of frontline nursing professionals, less staff reassignment (ie, floating), and increased satisfaction and time savings for managers after transitioning to a centralized scheduling model. These findings were consistent with a computational, experimental study that found centralized scheduling resulted in less labor costs and fewer undesirable shifts from the frontline nurse's point of view compared to decentralized scheduling.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"48 4","pages":"347-358"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 Stressors and Resilience Among Nurse Leaders.","authors":"Aoyjai P Montgomery, Patricia A Patrician","doi":"10.1097/NAQ.0000000000000607","DOIUrl":"10.1097/NAQ.0000000000000607","url":null,"abstract":"<p><p>The COVID-19 pandemic introduced many new stressors to nurses in general, yet little is known about COVID-19-related stressors and resilience among nursing leaders. The aims of this study were to explore (1) the COVID-19-related stressor and resilience by personal and work demographics, (2) the relationship between COVID-19 stressors and resilience, and (3) resilience strategies used by leaders and their recommendations to other nurse leaders. This descriptive, cross-sectional study employed an electronic survey to measure COVID-19-related stressors and resilience and included qualitative open-ended questions. A total of 57 nurse leaders responded to the survey. Nurse leaders who were female, African American, chief nurse executive or nursing director, and had more than 10 years of experience reported highest COVID-19 stress in most of subscales. Nurse leaders who were male, African American, chief nurse executive or nursing director, and had more than 10 years of experience reported highest resilience scores. Nurse leaders with higher resilience levels had lower levels of COVID-19 stress in all subscales. Nurse leaders reported the top 3 resilience strategies as (1) prayer and faith, (2) social support, and (3) self-care and the top 3 recommendations to other nurse leaders as (1) disconnect, (2) positive and creative thinking, and (3) self-care.</p>","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"48 4","pages":"E21-E29"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}