TheNursingCrisisImprovingJobSatisfactionandQualityof.pptVIP

The Nursing Crisis: Improving Job Satisfaction and Quality of Care Linda Searle Leach, Ph.D., R.N., C.N.A.A. Assistant Professor California State University, Fullerton Current Conditions Increase the Supply of RNs Increase Retention View RNs as strategic assets Satisfying work relationships Improve compensation Make positive changes in work environments Support integration and development of new nurses Labor saving technology Ergonomic technology Adopt characteristics of Magnet hospitals Health Cares Human Crisis: The American Nursing Shortage. The Robert Wood Johnson Foundation. 2002. Increase Retention Expand career options Paid opportunities Strengthen nursing leadership Support education for managers and administrators Nurse executives must be key decision-makers Nurse involvement in decisions Increase visibility of RNs contributions to quality of health care Decrease individual workloads Health Cares Human Crisis: The American Nursing Shortage. The Robert Wood Johnson Foundation. 2002. State Strategies to Address Workforce Issues Increase Supply Registered Nurses Master’s Prepared Nurses Faculty Protect Workforce, Ensure Safety Obtain Data for Workforce Planning California’s Nurse Staffing Legislation Assembly Bill 394 (2002) Directs the California Department of Health Services (CDHS) to establish “minimum, specific, and numerical licensed nurse-to-patient ratios by licensed nurse classification and by hospital unit.” Little data to drive decision-making process, even less agreement Increased costs Expected implementation date: July ‘03 Enforcement challenges * * ? Turnover Unstable Workforce Few Incentives for Experienced RNs Increased Cost of RN staff Declining Morale Quality Concerns Unionizing/Labor Activity Higher Census Aging Patient Population Shorter Lengths of Stay Increased Patient Load Lack of Collaboration Increase Overtime Stressful Work Environment Aggressive Recruitment Image Campaigns Registry/Traveler Staffing Hiring Bonuses High