Consistently Exploring Nurse Staffing and Neurocritical Care Unit Turnover.
J Neurosci Nurs
; 56(2): 54-59, 2024 Apr 01.
Article
in En
| MEDLINE
| ID: mdl-38232239
ABSTRACT
ABSTRACT BACKGROUND:
Staffing models within nursing units have long been a hot topic of discussion. The COVID-19 pandemic exacerbated this discussion by straining the national nursing environment and workforce. Before the pandemic, the neuroscience intensive care unit (NSICU) primarily used an acuity-adjusted staffing model and aimed for a nurse-to-patient ratio of 11.5. During and after the pandemic, the NSICU was forced to primarily use a centralized staffing model because of the increased turnover in the hospital at large and a rise in patient census.METHODS:
Unit census data in an NSICU were tracked before, during, and after the pandemic alongside utilization of a centralized staffing model in the hospital at large.RESULTS:
During this time, the NSICU saw a statistically significant increase in average nurse-to-patient ratio and incidences of both floating and tripled assignments. The NSICU simultaneously saw a 180% increase in nursing turnover.CONCLUSION:
Although we cannot prove that a centralized staffing model is directly responsible for higher nursing turnover, its utilization led to greater incidence of poor staffing-reflected in deviation from the nurse-to-patient ratio goal of the unit. Nurse staffing concerns play a large role in nurse satisfaction in the workforce staffing shortages have been described both as a precursor to and as a consequence of increased nursing turnover.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Personnel Staffing and Scheduling
/
Nursing Staff, Hospital
Limits:
Humans
Language:
En
Journal:
J Neurosci Nurs
Journal subject:
ENFERMAGEM
/
NEUROCIRURGIA
/
NEUROLOGIA
Year:
2024
Document type:
Article
Country of publication:
United States