{"id":12939,"date":"2024-02-08T08:00:31","date_gmt":"2024-02-08T13:00:31","guid":{"rendered":"https:\/\/advertise.nurse.com\/?p=12939"},"modified":"2025-08-18T12:48:06","modified_gmt":"2025-08-18T16:48:06","slug":"can-changing-nursing-staffing-models-make-a-difference","status":"publish","type":"post","link":"https:\/\/www.nurse.com\/solutions\/blog\/can-changing-nursing-staffing-models-make-a-difference","title":{"rendered":"Can Changing Nursing Staffing Models Make a Difference?"},"content":{"rendered":"<p><strong>Understanding the reasons <a href=\"https:\/\/advertise.nurse.com\/blog\/ways-to-improve-nurses-job-satisfaction\">why nurses are leaving direct care<\/a> is crucial in nurse recruitment, as it affects retention rates, future recruitment strategies, and job satisfaction. One significant factor contributing to nurse attrition may be dissatisfaction with outdated staffing models.<\/strong><\/p>\n<p>How can you provide safe, efficient patient care <em>and<\/em> meet the evolving needs of nurses? Innovative nurse staffing is the answer. Making a commitment to find and implement new staffing models is a great way to show current and future staff that you <a href=\"https:\/\/advertise.nurse.com\/blog\/addressing-compassion-fatigue-burnout-and-moral-injury\">support their well-being<\/a> and hard work.<\/p>\n<p>\u201cOrganizations are being very creative with all sorts of out-of-the-box solutions,\u201d said\u00a0Carol Boston-Fleischhauer, former Managing Director and Chief Nursing Officer for Research at The Advisory Board Company.<\/p>\n<h2>Inspiring change<\/h2>\n<p>Data demonstrates an urgent need to revamp existing staffing models. According to McKinsey, about <a href=\"https:\/\/www.mckinsey.com\/industries\/healthcare\/our-insights\/surveyed-nurses-consider-leaving-direct-patient-care-at-elevated-rates\" target=\"_blank\" rel=\"noopener\">one-third<\/a> of nurses plan to leave their current positions. And in an American Association of Critical Care Nurses (AACN) report of <a href=\"https:\/\/aacnjournals.org\/ccnonline\/article\/42\/5\/58\/31808\/National-Nurse-Work-Environments-October-2021-A\" target=\"_blank\" rel=\"noopener\">over 9,000 nurses surveyed<\/a>, 24% of nurses said they have appropriate staffing more than 75% of the time. The majority of nurse leaders (92%) expect the nurse labor shortage to get worse, according to another <a href=\"https:\/\/www.wolterskluwer.com\/en\/expert-insights\/the-nursing-shortage-demands-boldness-and-creativity-now\" target=\"_blank\" rel=\"noopener\">report<\/a>.<\/p>\n<p>\u201cWe know that for the next decade \u2014 literally <em>decade <\/em>\u2014 it\u2019s going to be challenging to have enough nurses for the increasing number of people that are going to need care,\u201d said Claire Zangerle, Chief Nurse Executive at Allegheny Health Network (AHN).<\/p>\n<p>Nurse leaders can consider the nursing shortage as an opportunity to abandon outdated staffing models and think differently when it comes to staffing. \u201cThe current environment in health care is providing a unique impetus to explore <a href=\"https:\/\/www.aonl.org\/system\/files\/media\/file\/2021\/05\/Exec_Insights_Chamberlain_rev5_0.pdf\" target=\"_blank\" rel=\"noopener\">innovative approaches<\/a>,\u201d said Cynde Gamache, DBA, RN, NEA-BC, Vice President and Chief Nursing Officer at Southeast Georgia Health System.<\/p>\n<h2>Nursing staffing approaches<\/h2>\n<p>It\u2019s important to consider <em>what<\/em> is causing nurses to leave. Do they want a different role or care setting? Do they require a care a more flexible schedule? Or do they just want a break from direct care? \u201cIf we did just one thing, we would not be successful,\u201d said Zangerle.<\/p>\n<p>Nurses are taking on new roles like these at Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago:<\/p>\n<ul>\n<li>Educational authorities (to support newer nurses on the night shift)<\/li>\n<li>Clinical excellence mentors on cardiac care units<\/li>\n<li>Shared inpatient and outpatient roles within a specialty (e.g., hematology\/oncology, where nurses work on both inpatient units and ambulatory infusion centers)<\/li>\n<li>Support personnel to step into roles as needed (e.g., admission and discharge nurses)<\/li>\n<li>Asthma specialists (to educate patients prior to discharge)<\/li>\n<\/ul>\n<p>\u201cWe have allowed each unit to identify what works for their team and patient population,\u201d said Karen Richey, DNP, MBA, RN, NEA-BC, and Associate Chief Nursing Officer for Inpatient Services at Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago.<\/p>\n<p><a href=\"https:\/\/advertise.nurse.com\/contact\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-12987\" src=\"https:\/\/advertise.nurse.com\/wp-content\/uploads\/2024\/03\/Nursecom_MediaKit_B2B_April2019_1000x250_V2-300x75.jpg\" alt=\"nurse recruitment\" width=\"804\" height=\"201\" srcset=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/03\/Nursecom_MediaKit_B2B_April2019_1000x250_V2-300x75.jpg 300w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/03\/Nursecom_MediaKit_B2B_April2019_1000x250_V2-768x192.jpg 768w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/03\/Nursecom_MediaKit_B2B_April2019_1000x250_V2.jpg 1000w\" sizes=\"auto, (max-width: 804px) 100vw, 804px\" \/><\/a><\/p>\n<h2>Diverse solutions to staffing<\/h2>\n<p>Nursing leaders are breaking out of the one-size-fits-all staffing mindset. Nurses are thriving with these novel staffing models.<\/p>\n<h3>LPNs in acute care<\/h3>\n<p>Many licensed practical nurses\/licensed vocational nurses (LPN\/LVNs) seek jobs in post-acute care (nursing homes, skilled nursing facilities, assisted living) or ambulatory facilities. \u201cWe are partnering with local vocational schools to invite LPNs from those programs to work in acute care,\u201d said Zangerle. The LPN\/LVN scope of practice differs by state and must be considered in this model.<\/p>\n<p>The relief in workload that the LPN\/LVN can provide, at a minimum, includes patient care tasks, such as dressing changes and admission and discharge documentation. Zangerle explained that this approach gives RNs more time to complete their responsibilities, including assessing patients, communicating with the care team, and other critical skills.<\/p>\n<h3>Team-based care<\/h3>\n<p>The <a href=\"https:\/\/advertise.nurse.com\/blog\/how-covid-19-will-influence-nurse-recruitment\">COVID-19 pandemic<\/a> drew attention to the importance of cross-training nurses to work outside of their specialties to cover care needs. \u201cEach member of the care teams needs to be fully engaged to optimize patient care and outcomes,\u201d said Stacey Chappell, Director of Advocacy and External Communications at the American Organization for Nursing Leadership (AONL).<\/p>\n<p>According to AHN, about 40% of their inpatient units have been converted to a team-based model. This uses a dedicated team of nurses to take care of a cohort of patients, allowing other nurses to cover for each other and make time for meal or bathroom breaks. \u201cWe are seeing remarkable results relative to patient safety, experience, quality \u2014 and also, notably, employee engagement and wellness,\u201d Zangerle added.<\/p>\n<h3>Flexible schedules<\/h3>\n<p>\u201cWe have kind of gotten out of our own way in nursing and dropped some of our rigidity in scheduling,\u201d said Zangerle. Instead of offering strictly 12-hour shifts, nurses can work four-hour blocks, eight-hour shifts, only weekends, or only nights. Another incentive: Nurses get extra pay for working off-shifts.<\/p>\n<h3>Hybrid positions<\/h3>\n<p>Hybrid roles are built with the intent to <a href=\"https:\/\/advertise.nurse.com\/blog\/nursing-staff-development-ideas-worth-investing\">extend careers<\/a> of direct care nurses who want less stress. Nurses can work part time in direct care and part time in another role (such as research nurse or care manager). \u201cIt gives them the best of both worlds. That\u2019s been really popular with our nurses,\u201d said Zangerle.<\/p>\n<h3>Internal staffing pools<\/h3>\n<p>In summer 2022, Southeast Georgia Health System created a Nursing Resource Pool. And as of 2023, 47 nurses have been hired into the program. \u201cFlexibility is an expectation in this role,\u201d Gamache said. Nurses agree to work full time in the pool for 26 weeks and are assigned to whichever hospital they\u2019re needed at. Staffing stays consistent, while nurses get a higher pay rate, Gamache explained.<\/p>\n<h3>Hire nursing students as student nursing assistants<\/h3>\n<p>To support nursing staff, some organizations have integrated nursing students into their workforce. \u201cThis prepares them to start work as a new graduate nurse in the nurse residency program,\u201d said Richey.<\/p>\n<h3>In-house staffing agencies<\/h3>\n<p>Boston-Fleischhauer said that this is becoming a trend for larger systems. Nurses get logistical support for travel and housing, and compensation is based on the nurse\u2019s degree of flexibility they\u2019re willing to accept. In-house agency staff are viewed as permanent employees, which is supportive of the system\u2019s mission, vision, and culture.\u00a0\u201cThis is in direct contrast to RNs from outside agencies assuming temporary employment at a specific institution,\u201d said Boston-Fleischhauer.<\/p>\n<h3>Virtual nursing<\/h3>\n<p>In 2021, <a href=\"https:\/\/www.mckinsey.com\/industries\/healthcare\/our-insights\/nursing-in-2021-retaining-the-healthcare-workforce-when-we-need-it-most\" target=\"_blank\" rel=\"noopener\">over 40%<\/a> of nurses delivered care virtually. And AHN\u2019s inpatient nurses collaborate with a <a href=\"https:\/\/advertise.nurse.com\/blog\/more-telehealth-nurses-may-be-needed\">virtual nurse<\/a> through an iPad to discharge patients. Zangerle added that this same process is used to help staff nurses with certain admission duties.<\/p>\n<p>Remote support can offload certain aspects of care that don\u2019t require a physical presence. \u201cThis frees the direct care nurse to focus on physical assessment, medication administration, and mobility,\u201d said Sarah A. Delgado, MSN, RN, ACNP, Clinical Practice Specialist at the AACN.<\/p>\n<h2>Collaboration can maximize success<\/h2>\n<p>Changing existing staffing models can be challenging. To some, it\u2019s viewed as disruptive to professional, organizational, and cultural norms. But that\u2019s why it\u2019s essential to involve staff at every level. \u201cFront-line staff involvement in model design is critical \u2014 along with investments in staff training, change management, and coaching,\u201d Boston-Fleischhauer emphasized.<\/p>\n<p>Whichever nursing staffing models you try, it&#8217;s important that nurses are involved in the process. \u201cProvide paid time for direct care nurses to take part in or lead every step of development and implementation,\u201d Delgado said.<\/p>\n<p><b>For more information on recruiting through our skills-based talent marketplace or to build your custom\u00a0talent acquisition solution package, <\/b><a style=\"font-weight: bold;\" href=\"https:\/\/advertise.nurse.com\/contact\">contact us<\/a><b> today.<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nursing staffing can not only influence recruitment but retention of current staff. Learn how some staffing models are making an impact.<\/p>\n","protected":false},"author":113,"featured_media":12941,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[],"coauthors":[1433],"class_list":["post-12939","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nursing-retention"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Can Changing Nursing Staffing Models Make a Difference? | Nurse.com Solutions<\/title>\n<meta name=\"description\" content=\"Nursing staffing can not only influence recruitment but retention of current staff. 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