It Takes More Than Money
Over 1000 interviews were conducted with participants and a variety of short term plans have been initiated to help solve specific issues at hospitals in each of the twelve markets throughout the U.S. A primary finding has been that it takes more than money to solve the nursing shortage. Financial incentives such as salary increases and benefits do play a significant role in the issue, but other factors have also come to light as hospital administrators begin to think outside the box.
Some hospitals have made changes in the nursing environment.
Physical changes that improve the efficiency and reduce the work load for nurses have been implemented. Improved software changes have also been introduced with success.
Flexible Scheduling
Scheduling changes have been found to be useful. In fact one hospital has introduced several flexible schedules for nurses such as a "parent plan" which allows nurses to work short shifts of two to four hours at peak periods to supplement staff during these times. According to those interviewed this has brought many nurses back into the field.
Per Diem Pools
Other hospitals have built their own pools of per diem nurses. These nurses are specifically trained in policies and procedures for this institution and used according to their availability similar to an agency, but yet specifically familiar with a facility.
Education Incentives and Assistance
Many of the hospitals have provided education incentives including tuition reimbursement and training programs for nurses such as lengthy orientation programs and preceptorships for new grads and new hires who require more intense orientation. Some are also helping to subsidize salaries for faculty at local nursing schools as well as to provide classroom and clinical rotation opportunities. In some instances they are also providing the schools with instructors. (Poor salaries, part time positions and lack of benefits have been a driving force in the shortage of nurse educators.)
Steps in Right Direction
Although most recognize that these efforts won't solve the nursing shortage, they are steps in the right direction to improve working conditions and help to entice more individuals to explore the opportunities in nursing. Most statistical information indicates that by 2012, there will be a deficit of over one million nurses in the U.S. alone
