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Exploring the Evidence: Considerations for the Dialysis Practice Setting Approach to Staffing
Amber B Paulus1,2,3
1Assistant Professor, School of Nursing Department of Adult Health and Nursing Systems, Virginia Commonwealth University, Richmond, VA.
Summary
Nursing shortages in dialysis are worsening due to an aging workforce and recruitment challenges. This study examines key factors for effective dialysis staffing models to improve recruitment and retention.
Area of Science:
- Nephrology Nursing
- Healthcare Workforce Management
- Dialysis Practice
Background:
- Nursing is a high-demand field facing significant strain, exacerbated by the COVID-19 pandemic.
- Longstanding workforce issues, including inadequate staffing, require comprehensive assessment for recruitment and retention.
- Dialysis settings specifically face nursing shortages due to an aging workforce and difficulties in recruiting new and skilled nephrology nurses.
Purpose of the Study:
- To explore evidence-based approaches for staffing in the dialysis practice setting.
- To define core elements essential for designing effective dialysis nursing staffing models.
Main Methods:
- Literature review of evidence on staffing approaches in dialysis.
- Identification and definition of key elements for staffing model design.
Main Results:
- Staffing models must consider a multidimensional approach to address recruitment and retention.
- Essential elements include federal/state regulations, patient acuity, staff ratios, workforce perceptions, patient outcomes, and dialysis modalities.
Conclusions:
- Addressing nursing shortages in dialysis requires a strategic staffing model.
- Comprehensive assessment of staffing elements is crucial for improving nurse recruitment and retention in nephrology.
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