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Staffing Unleashed

Demonstrating their on-going commitment to exploring essential topics, supporting innovation and keeping nurse leaders informed, Nursing Economics® has launched a column on staffing; Staffing Unleashed. From each issue we will place the column here for discussion. Speak out, we want to hear from you!

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Kathy Douglas

Response to the Nov/Dec 2010 column (When Caring Stops, Staffing Doesn't Really Matter) has been strong. This topic struck a chord, it is one that clearly needs more attention. In this issue, we hear back from Nursers around the globe and further explore ways we can measure and monitor for caring and the impact it has on the outcomes of our patients and our workforce.

RESPONSE TO THE NOVEMBER/December 2010 Column "When Caring Stops, Staffing Doesn't Really Matter" has been strong (Douglas, 2010). This topic has struck a
cord. It is one that clearly needs more attention. A deeper dive has confirmed the importance of bringing this more into the light of day. It is the kind of thing that can easily get buried or set aside, but that would be a mistake. Thankfully there are many concerned about the topic of caring, from bedside nurses, managers, leaders to…

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Kathy Douglas

In this issue we explore the question how to create environments that in parallel support the best possible outcomes for patients and create the type of environments where caregivers can thrive. To accomplish this, we looked to two experts on this topic - Rebecca Hathaway, MSN, RN, EDAC, Senior VP Healthcare, MMC Architects and Susan Burks, Owner, Burks Consulting Group.

RESEARCHING LAST ISSUE'S column, "When Caring Stops, Staffing Doesn't Really Matter" (Douglas, 2010), brought up a flurry ofthoughts around how to create environments that in parallel support the best possible outcomes for patients and create the type of environments where caregivers can thrive. Environments that help address some of the issues that were raised in my last column. This in turn led to conversations with two individuals from different backgrounds and perspectives who have become…

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Kathy Douglas

When it comes right down to it, no matter how modern, sophisticated, or efficient staffing programs are, if the individuals who are executing the care are not qualified, engaged, and able to offer the caring necessary for healing, the whole system can unravel quickly. At its very essence staffing works because of the people who are staffed.

With staffing holding such an essential role in the success of health care delivery it makes sense that staffing be deeply understood in all its dimensions. And yet, while much attention is given to structures, processes, operations, and technology, we may be overlooking that which is perhaps, above all these things, the key to the outcomes we strive to achieve.

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Kathy Douglas

The challenges before us in health care staffing are big, but they will never be solved by the application of symptom-level solutions. Health care staffing is a complicated arena, and nurses are in the best position to assure a good match between the problems being addressed and the solutions being adopted.


Kathy Douglas

While the call for data-driven staffing is loud and even overdue, our approach to it must be harmonized with the human side as well. Discovering the right combination of hard data and soft data may well be the impetus needed to catapult a shift in how we approach staffing to new levels of effectiveness.


Kathy Douglas

Getting your arms around the topic of evidence-based staffing is not simple. This is difficult for a number of reasons, not the least of which is the lack of an accepted definition of evidence-based staffing; what exactly does it mean? Even if we set politics and the lobbying of different interest groups aside, gaining agreement on something that has such far-reaching implications and which impacts so many stakeholders would not be easy.


Kathy Douglas

“The world of healthcare staffing is complex, multi-facetted and the implications of staffing are far reaching, touching almost every aspect of healthcare. If we open our minds, leverage experience and ideas from across disciplines, facilities and geographies we can uncover new approaches to staffing that can better serve our future”

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