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Hospital cuts use of agency nurses and revamps floating

Abstract:  How Aultman Hospital (Canton, OH, 808 licensed beds) revised nurse staffing to eliminate the need for per-diem nurses and reorganize the way that staff nurses are assigned to units based on shifting census needs is described in this article by the CNO.  Nurses at this magnet hospital had expressed discomfort and stress related to floating to other than their home units so nursing leadership instituted a “no-pull rule” in 2005 in concert with a “willing to walk” program.  In the new program, nurses who are interested in floating are asked if they wish to float each time the need arises, and are permitted to refuse an assignment.  However, if census is low, and nurses do not choose to float, they must either take time off without pay or use benefit time.  RN turnover at Aultman Hospital has been cut in half between 2007 and 2010.

Why I like this article: It’s a nice case study with supporting data and a brief lit review.

Source: Good, E., and Bishop, P.  Willing to walk: a creative strategy to minimize stress related to floatingJONA. Journal of Nursing Administration;41(5):231-234, May 2011.

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

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