Demands of Nursing The demands of nursing are great and often the recognition for a job well done is minimal. Why do it? Why give the extra time or effort? Why go the extra mile for a patient or family? Have you become disengaged? resentful? apathetic? Burnout can be insidious and may not be recognized early enough to make a change to avoid the all too common pitfall of one of the most rewarding professions. The standard recommendation is to get more sleep, exercise, eat more healthily, learn something new, transfer to a new department and learn to say "no". There is another answer. Hospital systems have the ability to invest in their greatest resource, the frontline staff, and help to avoid and potentially remedy this difficult problem. Happy and Engaged Nursing A happy and engaged nurse leads to a happy, satisfied patient that will become a return customer. By investing in the front line staff, a hospital's bottom line will improve. The hospital is a business and wants a return on their investment. Patient satisfaction scores are an integral measure of how well a patient perceives a hospital is providing care. A hospital system that invests their resources and support in their clinical staff create an environment of support and respect. An environment of happy, satisfied employees is quickly sensed by the patient and family. This creates a quality experience for the patient and family. In the finding of "The Relationship Between Employee Satisfaction and Hospital Patient Experiences" by Jimmy Poltier, Andy Dahl and Frank Mulhern, a direct correlation was found between employee satisfaction and patient satisfaction. The quality of patient care improved with happier employees. "By viewing the employees as internal customers" the needs of the staff were met which led to higher patient satisfaction. So how does a hospital achieve this lofty goal? Some Suggestions Here is a partial list of suggestions made by bedside staff: reward and recognition (Daisy Award, Patient First Award, Lifesaver Award) reimbursement for educational programs promotion from within, clinical ladder tuition reimbursement for certifications and renewals, conventions paid education days, additional paid education days for staff with advanced certifications promotion of community events, volunteerism compensation for additional skill sets (ECMO, chemo, precepting, PALS/NALS/ACLS instruction) nurse involvement in decision making (interviews, department decisions, system and process changes) transparency, keep employees informed of changes, future plans, successes, opportunities fair and timely evaluations with a credible performance evaluation tool and biannual one-on-one conversation with direct manager adequate staffing, aggressive recruiting for staff vacancies self scheduling employee assistance program celebration of achievements (personal and professional) support for personal tragedy support through system and process changes free flu immunization vaccines privately counsel and publicly praise provide team building exercises at monthly staff meetings communicate with staff regarding errors and process improvements listen to staff concerns and respond in timely fashion recognize the day to day acts of kindness manage up be available managers set the example (be respectful, pitch in) provide safe working environment, convenient free parking in well-lit parking areas discounted meals in hospital cafeteria embrace family centered care provide space for employee break room, staff meetings keep facility clean/organized/stocked with needed supplies and current equipment recognize and immediately deal with bullying, inappropriate behavior and negative attitudes provide de-briefing after stressful events, deaths daycare facilities Why Empower Nurses? This is just a short list of suggested ways to encourage and empower staff. A happy and engaged nurse is a loyal nurse and can directly affect a hospital's bottom line. Staff retention improves, patient satisfaction scores are higher and an overall culture of support is created. Patients will refer their friends and family to your facility. An investment in the front line staff is a wise business decision with a multifaceted return in the investment.