A Long-Stay Unit Incorporating LPNs Into the Staffing Model: A New Innovation in Patient Flow

The aim of this study was to describe a team-based care model that co-located patients with discharge delays to a central hospital unit.

Nationally, discharge delays are increasing amidst a marked shortage of nurses and increasing patient acuities, prompting hospitals to explore innovative and cost-effective care models.

The authors convened a multidisciplinary team to develop a new care model for inpatients with discharge delays. The model, which leveraged the role of the LPN, was overseen by a lead RN.

In the unit's 1st year, 358 patients were discharged. Patients expressed satisfaction with their care, quality care was being provided, and nurses reported less burnout and more meaning in their work.

An innovative care model capitalized on the LPN role, reducing the nursing staff required, without compromising quality of patient care or nursing satisfaction.