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Nursing News HighlightsNurses Leading Innovation


THREE INNOVATIVE SOLUTIONS FOR HEALTH SYSTEM NURSING CHALLENGES


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Jul. 18, 2023
Nurse leaders are thinking outside the box to solve some of nursing’s current
challenges and bring joy back to practice. Find out how chief nursing executive
Kathy Howell is working to solve three of nursing’s common challenges at
UCHealth, transforming patient care delivery, and creating a better working
environment for nurses.
Nursing News HighlightsNurses Leading Innovation


THREE INNOVATIVE SOLUTIONS FOR HEALTH SYSTEM NURSING CHALLENGES


SHARE

Share:
Facebook
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Nurse leaders are thinking outside the box to solve some of nursing’s current
challenges and bring joy back to practice. Find out how chief nursing executive
Kathy Howell is working to solve three of nursing’s common challenges at
UCHealth, transforming patient care delivery, and creating a better working
environment for nurses.
Jul. 18, 2023
Source: UCHealth

Nursing is a challenging profession – but often, the expected challenges of
providing care are compounded by burdensome, administrative or non-clinical
tasks that unnecessarily increase workload, burnout and turnover.

These time-consuming tasks are often a root cause of workplace dissatisfaction,
taking nurses away from the work they entered the profession to do (patient
care), and driving many nurses to leave the profession altogether.

85: Redesigning Work: Workplaces
To learn more, tune into the SEE YOU NOW podcast to hear directly from Kathy
Howell and three other forward-thinking nurse executives who share their efforts
to design and build careers for their workforces that are flexible, flourishing,
and resulting in environments where nurses thrive.
Listen Here

With more than a third of nurses planning to leave, workforce solutions are
urgently needed, and nursing leaders across the country are working to bring joy
back to practice by thinking outside the box to solve some of nursing’s biggest
challenges.

Kathy Howell, chief nursing executive for UCHealth, is one of these nursing
innovators – finding new ways to staff hospitals, accomplish tasks, and better
support nurses so they can practice at the top of scope and add satisfaction in
their careers.

The challenges UCHealth and its nursing staff face aren’t unique, but the
approaches Howell has employed are – and they represent three new opportunities
for nursing leaders and health systems to think differently about solving the
challenges nurses face.

“Every single health system leader should be removing the pebbles from nurses’
shoes,” Howell said. “They can do this by listening to their nurses and then
doing something about it.”

Developed through a listening and learning approach, in which nurse executives
regularly round, these three solutions address some of the common challenges
nurses experience in the workplace.



 * CREATING A SAFE WORKING ENVIRONMENT FOR NURSES
   
   Nurses deserve a safe place to work, yet violence against nurses has
   increased since the COVID-19 pandemic. Physical assaults are common. While
   they range in severity, they all add to the mental and physical burden nurses
   carry, Howell said.
   
   Howell and her team enlisted the expertise of non-nurse behavioral health
   specialists in a role titled “behavioral health rounders” to proactively work
   with patients and staff, providing round-the-clock behavioral health provider
   support. These clinicians assess and intervene for at-risk patients and
   provide guidance for staff to assist in developing therapeutic strategies to
   mitigate and minimize violent incidents.
   
   “Those are strategies that really benefit the patient, too,” Howell says.
   “Many times, they are acting out because they don’t have any control, and it
   is the scariest time in their life.”
   
   The efforts to bolster staff are an investment, but one with immense return.
   “It’s been a game changer,” she says. “It’s been well worth it to create an
   environment where nurses feel safe and able to do the work that they’ve been
   called to do.”


 * NEW ROLES ALLOW NURSES TO SPEND MORE TIME PROVIDING CARE
   
   The addition of innovative support roles for nurses is also driving
   satisfaction. Technology malfunctions are frustrating in any setting. In a
   health care environment, they can be downright dangerous. Even a simple
   backlog of data adds to nurses’ stress, leaving them to troubleshoot
   obstacles such as computer issues instead of spending valuable time with
   patients.
   
   Nurses’ frustration with tech breakdowns led Howell to introduce patient
   technology technicians – always-on technology professionals – at UCHealth
   hospitals. The technicians make sure all the equipment works and fix problems
   that arise, allowing nurses to provide uninterrupted patient care.
   
   A patient technology technician at UCHealth.
   Source: UCHealth
   
   Pre- and post-implementation surveys showed dramatic results – 96% of nurses
   reported satisfaction with the time they spent managing technology, up from
   14% before the pilot. According to Howell, “Many of the nurses said, ‘I can’t
   work on a unit without this role!’”
   
   With that takeaway, there was only one next step: “We are implementing this
   role in all of our hospitals,” she said. “We’re hiring 140 patient technology
   technicians. So that’s a home run.”
   
   Another new role at UCHealth is the patient care assistant (PCA). Under the
   supervision of an RN, these individuals assist nurses by providing basic
   patient care such as monitoring vital signs, enhanced mobility, taking blood
   glucose measurements and other care tasks. This improves nurse and patient
   satisfaction, and it frees up time for nurses to provide higher-skilled
   patient care interventions.
   
   The PCA role also offers an entry point into health care, as applicants can
   be accepted with no prior health care experience and undergo a rigorous,
   six-week training program. Applicants are recruited through partnerships with
   local schools and community organizations, and the role provides a
   springboard into a career as a health care professional. More than 60% of
   UCHealth PCAs are pursuing higher education through the UCHealth Ascend
   Career Program, which offers varying levels of assistance for continuing
   education and professional growth – including full tuition for some programs,
   such as a Bachelor of Science in Nursing degree. This helps create
   opportunities for those who may have encountered barriers to accessing higher
   education.
   


 * VIRTUAL WOUND CARE NURSES, BETTER CARE FOR PATIENTS
   
   Specialty nurses play a significant role in patient care. Their niche
   expertise is a critical part of care delivery, and wound care nursing is no
   exception.
   
   “Wound care nurses are really specialized nurses who treat and prevent wounds
   from occurring in a hospital,” Howell says. “You never have enough of these
   nurses.”
   
   84: Redesigning Work: Workforce
   Learn more in the second episode of SEE YOU NOW’s series on redesigning work.
   Meet Iman Abuzeid of nursing career marketplace Incredible Health, as she
   shares insights in building workplace cultures that serve and support nurses
   and bring joy back to nursing.
   Listen Here
   
   Howell and her team came up with a new care delivery concept to improve
   capacity and efficiency of the nursing team supporting wound care. How it
   works: Wound care nurses in the UCHealth Virtual Health Center, in metro
   Denver, review the full scope of patients currently admitted at hospitals
   across Colorado and identify those at high risk for pressure injuries and
   wounds.
   
   Electronic medical record data is fed to the “virtual cockpit,” where wound
   care nurses can remotely assess risk. The wound care nurses see patients
   virtually and in partnership with nurses at the bedside.
   
   “We were able to see 38% more patients using this model,” Howell says. Not
   only that, but the model also gives staff options – nurses can work at the
   bedside one shift, and virtually the next, finding a balance that fits their
   needs and their lifestyle. “It’s an example of how we’re taking our nurses
   with expertise and giving them technology and processes so that we can make
   them more efficient. We can make their role better so that they really enjoy
   what they're doing.”
   
   Howell and the UCHealth team continue to evaluate ways to create a more
   satisfying and flexible workplace. The system recently launched a
   “FlexSchedule” program, where nurses work four 12-hour shifts per week for 12
   weeks, followed by 4 paid weeks off, providing greater flexibility for nurses
   who would like time off in larger blocks.
   
   These and other scalable solutions are improving the workplace for nurses,
   restoring the joy in nursing and creating an environment where they can
   thrive.
   
   
   
   --------------------------------------------------------------------------------
   
   For more than 125 years, Johnson & Johnson has been proudly committed to,
   elevating, and advocating for and supporting the nursing profession, as we
   know that nurses are the engine that keeps our care system running. Click
   here to learn more.
   

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