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The nursing service in hospitals is a large, complex service. It delivers ordered drugs and other services; assesses and monitors patient status, including progress as expected or problems or developing [...], The failure of many hospitals to staff at safe and efficient levels has created pressure for mandating minimum staffing through regulation or legislation. This article reviews national and global efforts for regulation or legislation to ensure appropriate nurse staffing levels are in place to keep patients safe. Keywords: Patient safety, nurse staffing, nursing shortage.

Nurses advocate for staffing systems that equitably distribute patient workload across the care delivery team, are sensitive to patients' holistic needs, do not require manual data entry, and control practice [...], Patient workload distribution influences quality of care, patient safety, and nursing satisfaction. PANT, a rule-based algorithm, informs equitable daily nurse-patient assignments in the context of census-driven staffing models.

Karlene Kerfoot (KK): Are there any lessons from the past that we should consider when thinking about how the nursing workforce can emerge stronger from the COVID-19 pandemic shock? Peter [...], Nursing Economics Editorial Board member Karlene Kerfoot, PhD, RN, FAAN, interviewed Peter Buerhaus, PhD, RN, FAAN, FAANP(h). A long-time supporter of the journal and its mission, Buerhaus said, "Early in my career, I published my first article in the journal, and now, at the end of my career, I am once again working with Nursing Economic$. Thank you [Publisher] Anthony J. Jannetti, [Editor] Dr. Donna Nickitas, [Former Managing Editor] Kenneth Thomas, past editors, and many others at Nursing Economic$ who have supported my career, and a heart-felt congratulations on the journal's 40th anniversary!"

In fiscal year 2021, an innovative in-house travel staffing approach saved Trinity Health $32.1 million, and it has saved another $33.9 million in the first two quarters of the fiscal [...]

As the person in charge of clinical staffing for Novant Health, Stacy Byram has been spending ample time negotiating with the system's travel-nurse contractor. 'I've been working with the agency [...]

About 40% of surveyed hospitals have accelerated hiring to meet surging demand in medical services, according to Aon's 16th annual Benefits Survey of Hospitals. Conversely, 24% are being cautious, delaying [...]

Ask any experienced nurse manager and you will discover there are two particularly frustrating problems encountered in the realm of staffing. The first is the relentless pursuit of supplemental staffing, [...]

CHI ST. VINCENT HOT SPRINGS + The Family Care benefit program assists with locating backup child core and other services to help balance work and home. Co-workers can earn up [...]

Recently, I was talking with a colleague who works for a large hospital and health care system. While discussing his experiences over the past Ave years, he suddenly stopped and [...]

MEETING THE NEEDS OF hospitalized Americans requires providers, administrators, and consumers recognize that sufficient well-qualified registered nurses (RNs) are essential, RNs compose 54% of the health care labor force (U.S. [...], * While providers, consumers, and administrators recognize the need to attract and retain nurses, recruiting, transitioning, and retaining new graduate nurses (NGRNs) remains problematic. * The first 3-12 months of NGRN employment is a perilous and stressful time, with experiences during the transition period profoundly influencing their careers. * The purpose of this project was to develop a dedicated transition unit using a theory-driven approach. * It addressed employee on-boarding and practice environment issues and it focused on attracting and retaining experienced and newly graduated RNs on an active inpatient unit. * Implications are described for those interested in improving the work environment for hospital nurses.

-- The number of Americans signing up for coverage each week since the Affordable Care Act's fifth open enrollment began Nov. 1 has blown past last year's weekly pace, but [...]

Could it really be? It was April 2004 and I had survived the ups and downs of the first year as chief of staff. I was expecting to settle into [...], IN THIS ARTICLE ... Take an inside look at the challenges faced by the chief of staff of a VA hospital as he navigates his second year in the post.

With no end in sight for the nation's nursing shortage, hospitals are placing greater emphasis on retaining their current RN staff. It's a complex process, requiring in-depth knowledge of the [...]

WE WORK SIDE BY SIDE. We encourage teamwork, because we know that patients need the best that all disciplines have to offer. We are even held accountable to regulations that [...]

Keys to financial success? Let's see-there's staying on top of operating margin, days cash on hand, net days in accounts receivable. And organizational culture?!? At first glance, focusing on culture [...]

As hospitals across the country begin to return to something looking a little more like 'business as usual,' many are finding the practices they adopted to navigate the COVID-19 pandemic [...]

Days after assuming the CEO mantle at North Shore-Long Island Jewish Health System in January 2002, Michael Dowling told his 30,000 employees that they were LIJ's greatest assets. What Dowling [...]

Saint Joseph Health Center, Kansas City, Mo., periodically puts its Level II trauma center on bypass status because it has too few specialists to cover it. The University of Virginia [...]

A mid-size hospital needs a talented leader to replace the current charismatic director who has given notice to advance her career elsewhere. Does the hospital promote from within or look [...]

Lisa Reed recently was promoted to a management position at one of our facilities in Wisconsin. Lisa is an African American who has worked at the organization for 14 years. [...]

Synopsis Systemic workforce shortages combined with increased demand for healthcare services can lead to significant capacity limitations. Organizations can improve profitability through informed strategic and front-line labor management. For example, [...]

Three presenters offered their unique perspectives on the perioperative arena in the education session 'Circling the Wagons: Staffing the Perioperative Setting' at the 2002 AORN Congress in Anaheim, Calif. The [...]

Guess which company had this to say in its 1999 annual report? 'We ... keep a keen eye on how prudent our employees are, and vigorously evaluate and control the [...]

'All the physicians ever do is complain. I can't get them to come together and agree on what we should accomplish or how we should do it.' (Hospital CEO) 'The [...]

MEDICAL STAFF ROOTS date back to initial quality improvement efforts of physician leaders such as Ernest A. Codman, a surgeon who led in the initiation of review of the quality [...]

Executive Summary * An aging population, emerging technology, heightening patient expectations, rising health care costs, shorter patient stays, and growing pressure to improve quality have made the management of nursing [...]

I. INTRODUCTION Enormous and fundamental changes are currently taking place in health care delivery. These changes include the consolidation of health care providers--from hospitals, physicians, and insurance companies, to medical [...]

The hardest task for any leader is to assess physicians' readiness for organizational change. While readiness is critical, however, physicians' willingness to change is often the lynchpin in any successful [...]

The problems associated with nurse and pharmacist shortages are becoming an old and sad story. Now you can add a new chapter: The lack of medical coders has risen to [...]