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Hybrid workforce model serves as antidote to nursing burnout

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Health care organizations must do things differently to combat rising rates of nurse burnout. Embracing hybrid workforce models for nurses is an excellent start. 

It's an approach that should pique the interest of benefit advisers whose book of business includes these unsung heroes and heroines who shined brightly during the pandemic. Then again, employing this strategy should appeal to virtually all employer clients who can use the promise of partial remote work as a motivator, morale booster and retention tool. 

Feeling tethered to the office or a 9-5 schedule has taken a toll on employees across a number of industries. And as the dust continues to settle over the degree to which employers are allowing remote or hybrid work to continue, what's clear is that flexible schedules have become more valued than ever before. 

Nurses today demand greater control over their careers, including how and where they work. It's one reason why they (and other clinicians) increasingly embrace contract opportunities over full-time employment in traditional care settings. In fact, a LinkedIn special report shows nurses "have made the most dramatic move into contract work," with a nearly 10% increase in the number of nurses who list contract positions on their LinkedIn profiles from 2020 to 2022 alone (from 13.7% to 23.1%).

In this environment, organizations that design and implement hybrid workforce models – incorporating a mix of both virtual and bedside nursing care – stand to come out on top in nurse retention and recruitment. Advancements in technology are making the shift to a hybrid nursing model increasingly possible.

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A recent panel of nurse executives found three out of four expect an increase in virtual nursing labor in the next three years. Crafting the right approach to hybrid nursing care will be key to reducing nurse burnout. 

Burnout rates among nurses and physicians remain higher than they were before the pandemic, a KLAS Arch Collaborative report found. Survey responses show 65% of nurses attribute burnout to staffing shortages, which contribute to a less-than-optimal workload, another driver of burnout (45%). Nurses struggle with the feeling of having no control over their workload (39%) and too many administrative pressures (54%).

These pressures are prompting organizations to consider incorporating virtual models of care where they could provide the greatest support for onsite nurses and patients alike.

In bedside care settings, the availability of a virtual nurse who can offer specialized assistance when it is needed most allows onsite nurses to focus greater attention on complex cases. Those tasks include monitoring administration of medications, educating patients on how to care for themselves after surgery or talking a novice clinician through a test or procedure.

At a time when hospitals are bracing for an increase in readmission penalties, reinvesting those dollars into hybrid work models that strengthen care quality while easing pressure on frontline nurses makes good business sense. It also avoids scenarios where clinicians feel as if they have little control over their work environment – another contributor to burnout.

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Hybrid workforce models have become a way for hospitals and health systems to retain existing nurses and recruit new talent, as recent discussions with industry experts about the LinkedIn findings show. In developing a hybrid workforce model, consider the following.

In determining the business case for hybrid workforce support, it's important to identify areas where implementation of a virtual model in the bedside care space could increase productivity, improve patient outcomes and strengthen financial performance. 

For instance, higher labor costs are one of the top margin pressures hospitals face, and reducing these expenses is a business necessity. Innovation in nursing workforce models – specifically, putting virtual care models in place to support bedside care – can help hospitals improve satisfaction. In doing so, they can strengthen their ability to hang onto key talent at a time when more nurses are retiring early or leaving the profession due to stressful working conditions. Ultimately, this reduces nurse labor expense.

There's also a continued push to reduce overall costs of care – something hybrid workforce models can help to achieve by helping onsite nurses work more efficiently and effectively. It's one reason why we expect to see increased use of virtual nursing tools in the acute care space in 2024. 

Read more:  75% of employees say their managers weren't trained to oversee a hybrid team

At Bon Secours Mercy Health, for example, virtual nursing pilots at three hospitals – two in Ohio and one in Virginia – tested a variety of approaches to determine the impact of these models on in-person nursing satisfaction, patient experience, throughput and productivity. One model, deployed at Bon Secours Southside Medical Center in Petersburg, Va., leveraged a remote nursing care subsidiary of the health system and a telehealth platform to speed inpatient admissions. 

Use of virtual nurses to support this process reduces the moral distress bedside nurses experience when they must delay an admission to their unit until they have met the immediate needs of other patients in their care. It also enables these nurses to devote more of their focus to direct patient care, increasing satisfaction by limiting interruptions. In addition, this model positively impacts patient throughput from the emergency department, enabling appropriate utilization of resources.

Most health systems are still in the early stages of developing a proficient model for hybrid care, including in hospital settings. It takes a combination of technology and the right clinical resources to do this well. As more nurses seek flexible work options, designing an approach that resonates with these practitioners who a vital role in every community will reduce the potential for burnout and optimize retention of the bedside caregiver. And if benefit advisers are finding that the hybrid work model also resonates with other employee populations they serve that are struggling with burnout and retention issues, then they owe it to those clients to help craft an arrangement that works for everyone. 

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