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Reducing RN Vacancy Rate: A Nursing Recruitment Office Process Improvement Project
Stephanie A Hisgen1, Nancy E Page, Deirdre K Thornlow
1Author Affiliations: Senior Director (Dr Hisgen), Visiting Nurse Service of Northeastern New York, Schenectady; Doctor of Nursing Practice Graduate (Dr Hisgen), Assistant Professor (Dr Thornlow), Executive Vice Dean (Dr Merwin), and Ann Henshaw Gardiner Professor of Nursing (Dr Merwin), Duke University School of Nursing, Durham, North Carolina; and Chief Nurse Officer (Ms Page), Upstate University Hospital, Syracuse, New York.
Improving the registered nurse (RN) hiring process significantly reduced RN vacancy rates and boosted nurse manager satisfaction. This operational enhancement streamlined recruitment efforts within the academic medical center.
Area of Science:
- Healthcare Administration
- Nursing Management
- Process Improvement
Background:
- High registered nurse (RN) vacancy rates negatively impact patient care, staff morale, and organizational finances.
- Efficient recruitment is crucial for maintaining adequate staffing levels and ensuring quality healthcare delivery.
Purpose of the Study:
- To decrease the registered nurse (RN) vacancy rate at an academic medical center.
- To enhance the hiring process within the Nursing Recruitment Office.
Main Methods:
- The Model for Improvement framework guided the process redesign.
- Interventions focused on optimizing the hiring timeline from interview to position fulfillment.
Main Results:
- Significant reductions were observed in the time to interview and check references.
- The overall registered nurse (RN) vacancy rate decreased substantially.
- Nurse manager satisfaction with the recruitment process markedly improved.
Conclusions:
- Re-engineering the recruitment process led to greater operational efficiencies in RN hiring.
- The study demonstrates the positive impact of targeted process improvements on critical healthcare staffing metrics.
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