The healthcare institution is currently facing a deteriorating deficit of nurses and nurse managers, a trend that has been observed nationwide in recent years. This ongoing and escalating shortage of nursing professionals is unparalleled in the annals of modern healthcare (Tamata & Mohammadnezhad, 2023). Within our organization, seasoned nurses have exited the profession due to retirement or career transitions, leaving behind vacancies that the remaining nurses and leaders have struggled to fill (Broome & Marshall, 2021).
This challenge is exacerbated by the absence of nursing education opportunities in baccalaureate nursing programs and the lack of experience among potential candidates for these open positions. As Beitz (2019) note, the scarcity of academic nursing education programs in the United States has been a persistent issue since the early 1970s. The purpose of this paper is to explain evidence-based strategies to curb the nursing shortage and how the strategies can be applied to our institution.
The issue of nursing shortages has been a long-standing challenge, and its effects on our institution are reflected in various important indicators (Baker, 2022). Based on our internal records, there has been a 15% rise in nurse-to-patient ratios in the last year, resulting in heavier workloads and possible risks to patient safety. Furthermore, there has been a 20% surge in burnout and discontentment among nursing staff, impacting overall staff morale per the survey done three months ago.
Two reputable sources have provided insights into how different organizations are addressing the nursing shortage problem. The initial article, authored by Ma et al. (2022), focuses on “Innovative Staffing Solutions for Nursing Shortages.” It examines the impact of a newly implemented therapeutic staffing model at the Kent and Medway NHS and Social Care Partnership Trust (KMPT). The article identifies several themes among the staff, including shift patterns, ward duties/workload, and morale. While the new model shows promise, it also highlights certain issues. The article suggests recommendations to enhance team cohesiveness, foster a sense of value, and strengthen professional identities.
The second article, published by NSI Nursing Solutions, Inc. in 2021, is a report on national healthcare retention and RN staffing. According to this article, one measurable indicator of the severity of a hospital’s vacancy rate is the utilization of contract labor and overtime. The management should not perceive contract labor costs as mere operating expenses but rather incorporate them into the position control system. A more accurate understanding of the direct labor cost can be obtained by including these costs within the payroll cost line.