Study: Longer shifts, understaffing increase nurse sickness absence
Editor's Note Hospital units with more RNs and fewer long shifts experience significantly lower rates of staff sickness absence, while understaffing and long shifts drive nurse illness, according research published April 22 in JAMA Network. The retrospective longitudinal case-control study involved 18,674 RNs and nursing support (NS) staff across 116…
Study: Systemic gender bias embedded in surgical practice
Editor's Note Gender bias in surgery goes far beyond barriers for individuals, according to a study published April 8 in The American Journal of Surgery. Ethnographic data reveals women surgeons face entrenched structural inequities that influence their daily work lives, limit their professional standing, and shape perceptions of surgical competence,…
Study: Excessive nurse overtime, agency staffing harm patients
Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open. Using data from 70 US hospitals between 2019 and 2022, researchers…
Advanced practice providers fill capacity gaps amid continued scope-of-practice debates
Editor's Note A recent report in Becker’s Hospital Review illuminated health systems’ efforts to address physician shortage by integrating advanced practice providers (APPs) into care models. Citing projections from the Bureau of Labor Statistics (BLS), Becker’s noted that nurse practitioners (NPs) “are the fastest-growing occupation in the country, with employment in…
No construction required—AI uncovers system-wide capacity
Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…
Session: Fostering harmony among multi-generational perioperative teams
Editor's Note A standing-room-only panel discussion outlined the strengths and challenges of multigenerational workforces Monday afternoon at the 2024 OR Manager Conference, offering insights into different generations' needs and values as well as strategies for fostering harmony. The panel, all from Main Line Health’s Lankenau Hospital, contained a representative from…
Why nurse travelers are more friends than foes
Many are quick to blame travelers for the poor state of hospital finances. However, isn’t there a difference between a traveler in the OR—an interim staff member in the hospital’s profit center—and an interim RN in an area financially supported by OR profits? What about the argument that travelers can…
On-demand staffing reduces costs, boosts efficiency
For many healthcare facilities, operational costs are steadily rising, and no clearcut solution is in sight. However, some hospital systems are gradually reclaiming control over their budgets by finding ways to stabilize their finances and improve workforce morale. During the pandemic, many hospitals turned to short-term contract labor as a…
Traveler tightrope: OR leaders balance best practices, reduction strategies
Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…
Localized nurse shortages to persist amid nationwide surplus, analysis predicts
Editor's Note A new report by Mercer projects a national surplus of 30,000 nurses by 2028, but significant shortages will remain in some states and rural areas where healthcare access is already limited, according to a September 15 report in MedCity News. For example, New York is projected to face…
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