A systematic review study on the factors affecting shortage of nursing workforce in the hospitals

Tamata, Adel Tutuo; Mohammadnezhad, Masoud

doi:10.1002/nop2.1434

Cited by 73 publications

(59 citation statements)

References 66 publications

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“…In the wake of the profound impact of the COVID-19 pandemic, many health workers are finding the human costs of being unable to meaningfully attend to patients' needs untenable and intend to leave. 7 It is not surprising that a concurrent pandemic of psychological stress injuries and mental health issues in the general population and among health workers is straining the healthcare system. 8 Leaders are not spared from these twin pandemics.…”

Section: Introductionmentioning

confidence: 99%

The Healing Healthcare Initiative: Guiding leaders to heal a traumatized workforce

Lown,

Collier,

Manning

et al. 2023

Healthc Manage Forum

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The COVID-19 pandemic amplified burnout and moral distress among healthcare professionals and accentuated the systemic gaps and limitations of current approaches to workforce well-being. The Schwartz Center for Compassionate Healthcare launched the Healing Healthcare Initiative (HHI) in response to these compounded challenges. Aligned with national recommendations, the HHI framework comprises six key principles and eight implementation domains that foster compassionate and trauma-informed organizational cultures. C-suite level executive teams from six diverse healthcare organizations were selected to participate in the year-long pilot. Organizational and executive team surveys identified siloed well-being efforts and gaps in knowledge and awareness that undermine meaningful progress. The HHI pilot offers executive teams a space for reflection and open conversations, fostering trust within the team, and reinforcing the commitment to employee well-being. The program supports leadership teams in creating a strategy to implement the HHI framework that engages frontline workers in co-designing organizational solutions for a thriving workforce.

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Section: Introductionmentioning

confidence: 99%

The Healing Healthcare Initiative: Guiding leaders to heal a traumatized workforce

Lown,

Collier,

Manning

et al. 2023

Healthc Manage Forum

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“…A common international thread through healthcare and nursing literature is that of staff shortages [16] [17]. As well as global shortages, the World Health Organisation's (WHO) State of the World's Nursing report [18] also calls for practitioners capable of working in community settings on registration.…”

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confidence: 99%

Student nurses as a future General Practice Nursing workforce. Implementing Collaborative Learning in Practice: implications for placement learning and patient access. A mixed methods study.

Williamson

Kane

Evans

et al. 2023

Preprint

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Background There is a global shortage of nurses, with particularly acute shortfall in General Practice Nursing in the United Kingdom estimated at as high as 50% vacancy rate by 2031 by some sources. There has previously been some reluctance for GP practices to host student nurses on placement, but it has become imperative to increase placement capacity in GP placements for student nurses if practices are to be able to recruit a future workforce. Collaborative Learning in Practice is a means of organising placement learning for student nurses using a coaching model, that allows for leadership development, peer support and earlier engagement in patient care, and increases placement capacity. Methods This was a mixed methods study using qualitative data from focus groups to evaluate the implementation of CLIP, and routinely collected audit data on numbers of clinic appointments to investigate the potential impact an increased capacity of student nurses might have on patient access to services. The aims of this study were: to implement and evaluate CLIP in GPN settings; to explore issues of interprofessional learning; to explore patient access to services related to increased student nurse capacity. Results Our qualitative data indicated the following themes as important to students and staff: Peer Support; Interprofessional Learning; and the Importance of ‘own clinics’ for students to see patients. The routinely collected audit data indicated that having students leading their own clinics increased the clinic numbers available by approximately 20% compared to when students were not in placement. Conclusions This study shows that student nurses increased clinic capacity and improved access for patients. Students valued their General Practice Nursing placement, felt that they were more ‘part of the team’ than in other placements and consequently had a greater sense of belonging. This was multifaceted, coming in part from the welcoming practice staff, in part from the opportunities for peer support engendered by the collaborative leaning in practice model, and in part from the interprofessional learning opportunities available. General Practice Nursing placements for students are important for future workforce recruitment and can help meet Quality and Outcomes Framework targets for General Practices.

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“…Nurses are essential to safe, quality of care provided in hospital settings 3. Nurses are the largest professional group in the health care workforce 4. Prior to the COVID-19 pandemic, the nursing workforce was experiencing higher-than-normal turnover rates due to the retirement of baby boomer nurses, which accounted for approximately one-third of the nursing workforce 5.…”

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confidence: 99%

“…Between March 2020 and March 2021, the average tenure of an RN decreased by 19.5% to an average of 2.78 years 6. Multiple factors contributing to the nursing shortage have been identified including stress, burnout, work overload, work environment, low job satisfaction, and organizational commitment 3,4. The COVID-19 pandemic was a contributing factor, with nurses leaving the workforce due to high patient acuity, COVID-19 illness, treatment or vaccine concerns, self-preservation or protection for their family, caring for children or parents, and/or early retirement 5…”

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confidence: 99%

“…3 Nurses are the largest professional group in the health care workforce. 4 Prior to the COVID-19 pandemic, the nursing workforce was experiencing higher-than-normal turnover rates due to the retirement of baby boomer nurses, which accounted for approximately one-third of the nursing workforce. 5 Turnover is the highest during a nurse's first year at a new organization, with 31% leaving during that first year.…”

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confidence: 99%

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Closing the Workforce Staffing Chasm by Breaking Boundaries

Tellson,

Murray,

Boysen

et al. 2023

Nursing Administration Quarterly

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As hospitals are experiencing a nursing shortage, nursing leaders must build innovative partnerships and strategies between nursing and recruitment to close the workforce gap. One large health care system was experiencing a high vacancy rate. To improve recruitment and retention efforts, nursing leaders partnered with the recruitment department and other key stakeholders to develop strategies. Together, they designed a candidate-centric recruiting and hiring process, designed innovative recruitment campaigns including recruiting former employed nurses, recruitment of traveling nurses into employees, increased graduate nurse recruitment efforts, and implementation of a registered nurse (RN) Ambassador program. The team improved work process efficiency for recruiters and candidates. Retention efforts focused on engaging nurses in the work environment, decreasing nurse leader workload to allow a focus on staff relationships, and improving exit processes in an effort to retain the nurse. The actual vacancy rate was as high as 20.9% in July 2021 to 8% in September 2022, indicating the system is closing the vacancy rate and nearing the goal of 5%.

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A systematic review study on the factors affecting shortage of nursing workforce in the hospitals

Cited by 73 publications

References 66 publications

The Healing Healthcare Initiative: Guiding leaders to heal a traumatized workforce

The Healing Healthcare Initiative: Guiding leaders to heal a traumatized workforce

Student nurses as a future General Practice Nursing workforce. Implementing Collaborative Learning in Practice: implications for placement learning and patient access. A mixed methods study.

Closing the Workforce Staffing Chasm by Breaking Boundaries

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