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Staffing in Acute & Critical Care - AACN

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form-input form-select-option-3 filter-select"> <select data-val="true" data-val-required="is required." id="State" name="State"> <option value="">Topic</option> <option value="/clinical-resources/behavioral-psychosocial" >Behavioral/Psychosocial</option> <option value="/clinical-resources/cardiovascular" >Cardiovascular</option> <option value="/clinical-resources/covid-19" >COVID-19</option> <option value="/clinical-resources/ecg" >ECG</option> <option value="/clinical-resources/endocrine" >Endocrine</option> <option value="/clinical-resources/extracorporeal-membrane-oxygenation" >ECMO</option> <option value="/clinical-resources/gastrointestinal" >Gastrointestinal</option> <option value="/clinical-resources/hemodynamics" >Hemodynamics</option> <option value="/clinical-resources/infectious-disease" >Infectious Disease</option> <option value="/clinical-resources/moral-distress" >Moral Distress</option> <option value="/clinical-resources/neurology" >Neurology</option> <option value="/clinical-resources/palliative-end-of-life" >Palliative/End-of-Life</option> <option value="/clinical-resources/pediatrics-neonatal" >Pediatrics/Neonatal</option> <option value="/clinical-resources/pharmacologic-management" >Pharmacology</option> <option value="/clinical-resources/pulmonary" >Pulmonary</option> <option value="/clinical-resources/quality-safety" >Quality/Patient Safety</option> <option value="/clinical-resources/renal" >Renal</option> <option value="/clinical-resources/sepsis" >Sepsis</option> <option value="/clinical-resources/staffing" selected>Staffing</option> <option value="/clinical-resources/titration" >Titration</option> <option value="/clinical-resources/trauma-care" >Trauma Care</option> <option value="/clinical-resources/well-being" >Well-Being</option> <option value="/clinical-resources/view-all-issues" >View All Resources</option> </select> <span class="aacn-icon-up-down-arrows input-select-arrow"></span> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> <!-- /container --> </div> <!-- /module-base --> <div class="module-base plain-html-module light-bg-dark-module-img" > <div class="container"> <div class="module-header row"> <div class="header__wrapper"> <h2 class="module-header__heading section-heading col-xs-12">Staffing: New Approaches Are Crucial</h2> </div> </div> <div class="row"> <div class="col-xs-12 content__rich-text"><p>Inappropriate nurse staffing is a persistent and significant barrier to delivering optimal patient care and one of the most dangerous threats to patient safety and nurse well-being. The COVID-19 pandemic exacerbated this challenge to the point of crisis.</p> <p>It will take a collaborative effort to change the staffing paradigm in our country to one that values nurse staffing as an investment in patient safety and better outcomes rather than an expense. </p> <p>We know that appropriate staffing ensures an effective match between the needs of the patient and family, and the knowledge, skills and abilities of the nurse. It sounds simple, and yet it is not. It is time to stop bandaging our current staffing model—new approaches are crucial.</p></div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base youtube-video-module"> <div class="container"> <div class="module-header row"> <div class="header__wrapper"> <h2 class="module-header__heading section-heading col-xs-12">Advocacy in Action: Leading the Way for Appropriate Staffing</h2> <div class="module-header__sub-head hero-sentence-subtext col-xs-12"><p style="text-align: left;">In partnership with the American Nurses Association, American Organization for Nursing Leadership, Healthcare Financial Management Association and the Institute for Healthcare Improvement, AACN led an initiative to identify strategies that address the crisis in acute and critical care staffing.</p> <p style="text-align: left;">AACN convened the Partners for Nurse Staffing, which launched a Nurse Staffing Think Tank and Nurse Staffing Task Force. Together we created new staffing solutions that advance patient outcomes while ensuring a better work environment for nurses and all members of the healthcare team.</p> <p style="text-align: left;">In this video, Task Force member Ryan Miller shares how nurses can implement the recommendations developed by the two groups.</p> <div class="col-xs-12 col-md-6"><a href="/~/media/aacn-website/clincial-resources/staffing/task-force-recommendations.pdf?la=en" target="_Blank">Task Force Recommendations</a></div> <div class="col-xs-12 col-md-6"><a href="/~/media/aacn-website/clincial-resources/staffing/think-tank-recommendations.pdf?la=en" target="_Blank">Think Tank Recommendations</a></div> <style>.youtube-video-module { background: #f1efed; padding-top: 70px; padding-bottom: 60px; margin-bottom: 0; margin-top: 0;}</style></div> </div> </div> <div class="row"> <div class="col-xs-12"> <div class="col-xs-1"></div> <div class=" col-xs-10"> <div class="video-wrapper"> <iframe src="https://www.youtube.com/embed/iV7j0ozRvvo?modestbranding=1&amp;controls=1&amp;enablejsapi=1&amp;showinfo=0&amp;rel=0&amp;fs=1" frameborder="0" allowfullscreen></iframe> </div> </div> <div class="col-xs-1"></div> </div> </div> </div> </div> <div class="module-base point-cta-module js-page-section light-bg-dark-module-img white-bg" > <div class="module-img fluid-image-view js-module-image"> <picture class="img__wrapper"> <!--[if IE 9]><video style="display: none;"><![endif]--> <source srcset="/~/media/aacn-website/clincial-resources/images/3card_module_image_background_1920x800_staffing.jpg?h=800&la=en&w=1920&cropregion=0,0,1920,800&hash=A256999C80D94ED99A14CAE9E56E8EF77D23C929 1920w" media="(min-width: 992px)" /> <source srcset="/~/media/aacn-website/clincial-resources/images/3card_module_image_background_1800x1200_staffing.jpg?h=1200&la=en&w=1800&cropregion=0,0,1800,1200&hash=5F51C9A84C07C7AE410B59C5A0B68D27FEB90273 1800w" media="(min-width: 650px))" /> <source srcset="/~/media/aacn-website/clincial-resources/images/3-card_module_image_background_1152x405-v2_staffing.jpg?h=405&la=en&w=1152&cropregion=0,0,1152,405&hash=CFDC51C2EA84A1F489A7D135855717B10086E873 1152w" media="(min-width: 0))" /> <!--[if IE 9]></video><![endif]--> <img class="img__presentation js-image" srcset="/~/media/aacn-website/clincial-resources/images/3-card_module_image_background_1152x405-v2_staffing.jpg?h=405&la=en&w=1152&cropregion=0,0,1152,405&hash=CFDC51C2EA84A1F489A7D135855717B10086E873 1152w" src="/~/media/aacn-website/clincial-resources/images/3-card_module_image_background_1152x405-v2_staffing.jpg?h=405&la=en&w=1152&cropregion=0,0,1152,405&hash=CFDC51C2EA84A1F489A7D135855717B10086E873" alt="module image" /> </picture> </div> <div class="container"> <div class="module-header row"> <div class="header__wrapper"> <h2 class="module-header__heading section-heading col-xs-12">Nurse Staffing Solutions From Our Community</h2> <div class="module-header__sub-head hero-sentence-subtext col-xs-12"><style> @media (min-width: 650px) { .point-cta { height: 400px; } } .point-cta .point__cta { clear: left; display: none; } .point-cta { margin-bottom: 0px !important; } </style> </div> </div> </div> <div class="module-content row"> <div class="module__point col-xs-12 col-sm-4"> <a href="/nursing-excellence/nurse-stories/national-nurse-staffing-task-force-participants-key-takeaways" class="link-blocker" target=""></a> <div class="point-cta"> <!-- OPTIONAL IMG --> <div class="point__img"> <img src="/~/media/aacn-website/nursing-excellence/nurse-stories/list-image_task-force.jpg?h=350&la=en&w=350&cropregion=0,0,351,350&hash=AE3473D6AEB0F6B5423AD12B2070A189C0C40227" alt="point img" class="img__presentation"> </div> <!-- END OPTIONAL IMG --> <div class="point__content"> <div class="module-section-title">Nurse Staffing Task Force Key Takeaways</div> <div class="body-main">Members of the National Nurse Staffing Task Force discuss the most useful takeaways from their work with the multifaceted group. They share useful ways that units can start implementing the recommendations. </div> </div> <div class="point__cta"> <a class="btn-secondary" href="/nursing-excellence/nurse-stories/national-nurse-staffing-task-force-participants-key-takeaways" target=""> <span class="btn-secondary__label">Explore</span> <span class="btn-secondary__arrow"></span> </a> </div> </div> </div> <div class="module__point col-xs-12 col-sm-4"> <a href="/nursing-excellence/nurse-stories/acuity-based-staffing" class="link-blocker" target=""></a> <div class="point-cta"> <!-- OPTIONAL IMG --> <div class="point__img"> <img src="/~/media/aacn-website/nursing-excellence/nurse-stories/maurice_kibisu_350x350.jpeg?h=100&la=en&w=100&cropregion=0,0,350,350&hash=4143A29B0C63BF228D5A0D3052617991DB414EDF" alt="point img" class="img__presentation"> </div> <!-- END OPTIONAL IMG --> <div class="point__content"> <div class="module-section-title">Acuity-Based Staffing</div> <div class="body-main">Read how one hospital implemented an acuity-based staffing tool that uses existing EHR data to provide real-time information about patient needs, supporting efficient and fair assignment of patients to nursing staff.</div> </div> <div class="point__cta"> <a class="btn-secondary" href="/nursing-excellence/nurse-stories/acuity-based-staffing" target=""> <span class="btn-secondary__label">Explore</span> <span class="btn-secondary__arrow"></span> </a> </div> </div> </div> <div class="module__point col-xs-12 col-sm-4"> <a href="/nursing-excellence/nurse-stories/nursing-workload-tool-to-assist-with-unit-staffing" class="link-blocker" target=""></a> <div class="point-cta"> <!-- OPTIONAL IMG --> <div class="point__img"> <img src="/~/media/aacn-website/nursing-excellence/nurse-stories/list-image_pant-score.jpg?h=165&la=en&w=165&cropregion=0,0,350,350&hash=9408436236957E5FF6D892A51438ED7083324C8B" alt="point img" class="img__presentation"> </div> <!-- END OPTIONAL IMG --> <div class="point__content"> <div class="module-section-title">Workload Tool to Assist With Staffing</div> <div class="body-main">A health system developed a tool to calculate patient care workload, based on the nursing interventions documented in the electronic health record. Read how a nurse used collaboration and perseverance to lead this innovation.</div> </div> <div class="point__cta"> <a class="btn-secondary" href="/nursing-excellence/nurse-stories/nursing-workload-tool-to-assist-with-unit-staffing" target=""> <span class="btn-secondary__label">Explore</span> <span class="btn-secondary__arrow"></span> </a> </div> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module js-page-section dark-bg" style="background:#36c4d6;"> <div class="container"> <div class="module-header row"> <div class="header__wrapper col-xs-12"> <div class="col-md-1"> </div> <div class="col-md-10"> <h2 class="module-header__heading section-heading">Share Your Innovative Staffing Solutions</h2> </div> <div class="col-md-1"> </div> </div> </div> <div class="module-content row"> <div class="col-md-1"> </div> <div class="col-xs-12 col-md-10"> <div class="module-content__description body-main"><p>Nurses are innovative and flexible when faced with a challenge. While AACN is exploring large-scale and collaborative staffing transformations, we know you are innovating at the unit level to find new ways to approach nurse staffing.</p> <p>Please share the new and different approaches you have taken that resulted in improvements to staffing. Your experience can inspire others, and even small steps move us all closer to our goal of appropriate staffing for all healthcare institutions. Together, we can shine a light on creative solutions that are happening now.</p></div> <div class="module-content__cta"> <a class="btn-flow--alt light" href="https://app.smartsheet.com/b/form/648442331e924052b9380808ff9102c1" target="_blank"><span class="btn-flow__label">Share Your Solution</span></a> </div> </div> <div class="col-md-1"> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base plain-html-module light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="module-header row"> <div class="header__wrapper"> <h2 class="module-header__heading section-heading col-xs-12">Key Nurse Staffing Resources</h2> </div> </div> <div class="row"> <div class="col-xs-12 content__rich-text">AACN, a longtime champion for appropriate staffing, offers many resources. These featured resources can help you navigate staffing challenges, seek solutions and make your optimal contribution to support a healthy work environment and care for patients and their families.</div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">AACN Standards for Appropriate Staffing in Adult Critical Care</h3> <div class="module-content__description body-main">These seven standards, developed with input from our community, offer guidance to improve some of the many processes that affect appropriate registered nurse staffing. They include specific actions, exemplars, tools and resources that support nurses and enhance patient care.</div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="/nursing-excellence/standards/aacn-standards-for-appropriate-staffing-in-adult-critical-care" target=""><span class="btn-primary__label">Read More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">Nurse Staffing Task Force Imperatives, Recommendations and Actions</h3> <div class="module-content__description body-main">Review recommendations and actions put forth by the Nurse Staffing Task Force that address five imperatives: reforming the work environment, innovating care delivery, establishing standards, improving regulatory efficiency, and recognizing the value of nursing. </div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="/~/media/aacn-website/clincial-resources/staffing/task-force-recommendations.pdf" target="_blank"><span class="btn-primary__label">Learn More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">Nurse Staffing Think Tank: Priority Topics and Recommendations</h3> <div class="module-content__description body-main">Review a set of priorities and recommendations, developed by the Nurse Staffing Think Tank, that provide immediate strategies that can be feasibly implemented in the short term (12-18 months) to help address the nurse staffing crisis. </div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="/~/media/aacn-website/clincial-resources/staffing/think-tank-recommendations.pdf" target="_blank"><span class="btn-primary__label">Learn More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">Society of Pediatric Nurses Position Statement on Staffing</h3> <div class="module-content__description body-main"><p>Review recommendations from the Society of Pediatric Nurses to be considered as part of a staffing plan for the nursing care of children.</p> </div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="https://www.pedsnurses.org/assets/docs/Engage/Position-Statements/SafeStaffing.2022.Final.pdf" target="_blank"><span class="btn-primary__label">Read More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">Nurse Staffing: Ratios, Reimbursement and the Work Environment</h3> <div class="module-content__description body-main">Review key issues related to safe nurse staffing, including discussing ratios, changing reimbursement models to address the value of nursing care, and the importance of a healthy work environment. </div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="/blog/nurse-staffing-ratios-reimbursement-and-the-work-environment" target=""><span class="btn-primary__label">Read More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base text-button-module side-button js-page-section light-bg-dark-module-img" style="background:#f1efed;"> <div class="container"> <div class="side-button__wrapper bordered light"> <div class="module-content row"> <div class="col-xs-12 col-sm-7 col-sm-offset-1"> <div class="side-button__text"> <h3 class="module-content__title body-heading--large">Protecting Your Nursing License When Staffing Is Suboptimal</h3> <div class="module-content__description body-main">The ability to provide care safely, as well as protecting nursing licenses, may be at risk when barriers to appropriate staffing exist. Review strategies to protect your license, including understanding regulatory standards, tapping into resources from boards of nursing, and using a decision-making process.</div> </div> </div> <div class="module-content__cta col-xs-12 col-sm-4 col-md-3"> <a class="btn-primary--alt light " href="/blog/protecting-your-nursing-license-when-staffing-is-suboptimal" target=""><span class="btn-primary__label">Read More</span><span class="btn-primary__arrow"></span></a> </div> </div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="module-base plain-html-module light-bg-dark-module-img" > <div class="container"> <div class="module-header row"> <div class="header__wrapper"> <h2 class="module-header__heading section-heading col-xs-12">Additional Resources</h2> </div> </div> <div class="row"> <div class="col-xs-12 content__rich-text"><style> @media (min-width: 1200px) { .module-base.text-button-module.side-button.js-page-section.light-bg-dark-module-img { padding-top: 0px; } } </style> <p>We offer journal articles, webinars, books and other materials to help with staffing challenges. Explore AACN’s many resources to support your journey to appropriate staffing and healthy work environments.</p></div> </div> <!-- Module Footer --> <div class="module-footer"> </div> </div> </div> <div class="base-listing-module ce-activities-list-module js-clinical-resources-list-module" data-key="searchParamsJson"> <input id="BaseServiceUrl" name="BaseServiceUrl" type="hidden" value="/api/sitecore/ClinicalResources/execute" /> <input id="js-have-open-filter" name="js-have-open-filter" type="hidden" value="false" /> <input id="RenderingId" name="RenderingId" type="hidden" value="{BC19DBD8-DC3F-4F36-AD9F-11D8012F869B}" /> <input id="DataSourceId" name="DataSourceId" type="hidden" value="{DD967E62-24D5-4A04-A7B6-D765DF67CE1E}" /> <input id="ListDescription" name="ListDescription" type="hidden" value="" /> <script> var searchParamsJson = {"ContentEncoding":null,"ContentType":null,"Data":{"searchParamJson":{"searchParams":{"PageKey":"staffing","Category":null,"UrlQueryParams":"","RowsDefault":10,"Rows":10,"Page":1,"Sort":null}}},"JsonRequestBehavior":1,"MaxJsonLength":null,"RecursionLimit":null}; 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