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Excellence is just the beginning.Preparing the nursing workforce for futurepublic health challenges: nurse wellnessRush University System for HealthDecember 8, 2021Eve Poczatek, MBADirector, Strategic InitiativesRush Wellness Rush University System for Health
Objectives1.Provide background on whywellness is critical to ongoingnurse success.2.Discuss RUSH nursing and howRUSH has moved to addressthe well-being of nurses.3.Propose investment in nursingeducation, research, andwellness to prepare ourworkforce for future publichealth challenges.
What has happened
The ‘Great Resignation’ in healthcareEmployee turnover is on the rise across the countryand is hitting the healthcare space extremely hard. There are 50% less applicants for healthcare roles1,despite surging rates of health care educationapplicants Existing nurse personnel are targeted by travelnursing roles that pay up to twice as much as typicalhospital salaries for same levels of experience andeducationFewer health care workers compromises care – it isdifficult to maintain quality, safety and patientexperience when facing increasing demand withstaffing shortage.1. "How Baylor Scott & White Hires & Retains Permanent Nurses". November 2021.Rush University System for Health 12/3/20214
Nurses need our support nowAccording to a recent survey by the American Nurses Foundation1: More than a third of 9,572 nurses polled said they do not believe their organization really caresabout their well-being or responds to their complaints; 42% of nurses answered they had an extremely stressful, disturbing or traumatic experience dueto COVID-19; and When asked if they had sought professional mental health support since March 2020, just 31%of nurses surveyed said they had, while 68% said they had not.Given the incredible hardship many nurses have endured through the COVID-19 pandemic coupledwith a national nursing shortage, it is critical to invest in our nurses’ ongoing health and wellbeing now ahead of future public health challenges.1. /nurse-mental-healthRush University System for Health 12/3/20215
What we have done
Rush University System for Health (RUSH)RUSH is comprised of three hospitals, a university, a provider network, and outpatient sites in theChicagoland area. It has 14,059 employees and 3,016 students.Rush University System for Health 12/3/20217
Nursing excellence across RUSH (1 of 2)All three RUSH hospitals have received Magnetdesignation, the highest honor in nursing. Rush University Medical Center received its fifthconsecutive Magnet designation in 2020. It is oneof only 30 hospitals in the world with five designations Rush Oak Park Hospital received its second Magnetdesignation in 2021 Rush Copley Medical Center achieved Magnetdesignation in 2020Eight critical care units across the Rush system havereceived the Beacon Award for Excellence — thehighest honor in intensive care nursing — from theAmerican Association of Critical-Care Nurses.Rush University System for Health 12/3/20218
Nursing excellence across RUSH (2 of 2)Seven nurses at Rush University Medical Center(including Rush University faculty members) and RushOak Park Hospital are included in the 2021 list of 40Under 40 Emerging Nurse Leaders chosen by theIllinois Nurses Federation.Thanks in large part to nurses, Rush University MedicalCenter was recently recognized by the National SafeSleep Hospital Certification Program as a Gold SafeSleep Champion for our commitment to best practicesand education regarding infant safe sleep.Rush University Medical Center’s patient experiencescores were in the 90th and 75th percentiles forinpatients and outpatients, respectively.Rush University System for Health 12/3/20219
Nursing excellence in education Rush University College of Nursing (CON) iscomprised of three academic departments with1,345 active students Of nearly 600 assessed nursing schools, CONreceived four top rankings in U.S. News andWorld Report’s 2022 Best Graduate Schoolsranking Rush CON ranked first in the U.S. News’ bestonline programs list, as well as top five in nursingadministration, adult / gerontology nursepractitioner – primary care, adult / gerontologynurse practitioner – acute care, and family nursepractitionerRush University System for Health 12/3/202110
What is Rush Wellness?Rush Wellness is a philosophy. It is based inthe simple belief that advances in quality patientcare are directly tied to the well-being and vitalityof providers, students, and staff.Free sunrise yoga on Rush University Medical Center Towerrooftop for RUSH employees and studentsRush University System for Health 12/3/202111
COVID-19 wellness efforts Assembled an interdisciplinary team of behavioralhealth professionals to support frontline staff Deployed four primary interventions across the system:wellness rounds, wellness consult service, wellnessplus, and wellness resource hub / wellness rooms Recognized by the American Medical Association andthe New England Journal of MedicineRush University System for Health 12/3/202112
Some nursing wellness activities PNS Work-Life Balancecommittee Critical incident groupdebriefs SOSs / Mini-SOSs Wellness rounds “Exploring Ethics” supportteams Wellness pager “Growing Forward”program on 7N Urgent support forstruggling nurses Mental Health Forums Counseling, mini wellnessretreats, and coaching atthe Center for ClinicalWellness Wellness days Wellness talks / workshopsRush University System for Health 12/3/202113
Rush Center for Clinical Wellness Opened July 2020, exclusively serves Rush employees,students, and house staff Services include counseling, coaching, and other wellnessrelated services Enrolled over 1,100 clients in its first year, 20% of clientsidentified as nurses Averaging 90 counseling appointments weekly Staffed by an interdisciplinary team of health careprofessionals (LCSW, PhD, MD, DNP)Chicago Mayor Lori Lightfoot and First Lady AmyEshleman visit Rush Center for Clinical WellnessRush University System for Health 12/3/202114
Rush University System for Health 12/3/202115
More work to do While RUSH is a national leader in workplace support for our nurses, there is always more we can do. Theseare some of the challenges at the forefront for our nurses:Work-Life BalanceTechnologyBurnoutEducational OpportunityStaffing ShortagesMentorshipRecognitionWorkplace EnvironmentRush University System for Health 12/3/202116
What now?
Preparing for the future 2021 Future of Work in NursingMitigation Strategies1) Integrate workforce wellbeing & health intoorganization culture2) Increase workforce flexibility3) Reimagine delivery models4) Strengthen talent pipelinesand build skills for the future How do we leverage technology to create dynamiceducational and professional opportunities fornurses? How do we attract the best and brightest tothis critical component of the healthcare workforce? How do we create and normalize a formalinfrastructure to encourage and preserve nursehealth and well-being, despite external strains? How do we help a predominantly female workforce tosupport both our patients and their loved ones?McKinsey InstituteRush University System for Health 12/3/202118
Policy recommendations1. Support innovation in nursing through fundedresearch2. Create scholarship and grant opportunity fornursing education and training3. Reduce barriers around nursing licensure andpractice4. Address pay and flexibility gap between traditionalhealthcare roles and agency nursing5. Promote nursing health and wellness throughformal infrastructureRush University System for Health 12/3/202119
Questions & Thank YouRush University System for Health 12/3/202120
Rush University System for Health 12/3/2021. 11. Free sunrise yoga on Rush University Medical Center Tower rooftop for RUSH employees and students. What is Rush Wellness? Rush Wellness is a philosophy. It is based in the simple belief that advances in quality patient care are directly tied to the well-being and vitality
