Nurses are burning out and leaving the profession, generating fears that a looming nursing shortage will impact many aspects of patient care. What's driving that burnout' What's most important to a nurse's job satisfaction' How common are toxic cultures in health care settings' What can health care leaders do to improve the problems' In this video, we talk to five current and former nurses to learn about the reality of working in health care, including the toxic cultures and stressors they've experienced, and get advice from them and health care experts on what needs to change. Article author and researcher Donald Sull also discusses the truths about job satisfaction revealed by the analysis of 150,000 employer reviews by nurses on job site Glassdoor, and what health care leaders can learn from them. 'The key, actionable finding from our research is, nurses are telling you what's not working for them, often in very granular detail, and they're offering concrete recommendations to address these issues. They want to help. They want their voices heard, and they want to make a positive impact,' Sull says....
We analyzed the free text of 150,000 reviews written by U.S. nurses from the beginning of the pandemic through June 2023. For each review, we analyzed whether it mentioned one of 200 topics and assessed whether the nurse spoke about that topic positively or negatively. The topics were derived from research on various elements of employees' experiences, including culture, compensation and benefits, work schedules, and perceived organizational support. We clustered related topics together into two dozen broader themes. We used the topics as features in an XGBoost model that predicted each nurse's overall rating of their current or former employer on a 5-point scale. We then calculated SHAP values (which assign an importance value to each feature in a model) to directly compare the relative importance of different topics in predicting job satisfaction (measured by the overall rating each nurse gave their employer). We also used textual analysis to compare how favorably travel nurses spoke about topics compared with nurses on staff at health care systems....
More than 80% of U.S. nursing homes reported staffing shortages in early 2023. SciLine interviewed Dr. Jasmine Travers, a gerontological nurse practitioner and assistant professor of nursing at New York University Rory Meyers College of Nursing, and asked her how the shortage affects health care for nursing home residents, if nursing homes in poorer neighborhoods have been hit harder by the shortages, and what can be done to fix the problem. Jasmine Travers: In 2001, the Centers for Medicare & Medicaid Services proposed minimum staffing standards. They indicated that total nursing hours should be 4.1 hours per resident per day. And that's including the registered nurse, the licensed practical nurse and the certified nursing assistants. Only 25% of nursing homes were found to be meeting those total nursing hours in 2019. Lower occupancy levels can be a significant issue. Higher occupancy brings in more revenue to the nursing homes. With lower occupancy and less revenue coming in, then that's a decrease in financial support that the nursing home needs to run their day-to-day activities....
From strengthening the nursing workforce to achieving universal health coverage, discover how investing in nurses can lead to improved health outcomes and sustainable development....
