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Barriers to nurse staffing at Veterans Administration Medical Centers (VAMCs)

AJN The American Journal of Nursing: February 2015 - Volume 115 - Issue 2 - p 16
doi: 10.1097/01.NAJ.0000460678.12566.5a
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Barriers to nurse staffing at Veterans Administration Medical Centers (VAMCs). In 2010, all VAMCs were directed to develop and implement nurse staffing plans to address historical inadequacies and growing need. In a spot-check review of seven VAMCs, it turns out this is easier said than done. All centers found that creating staffing plans took time away from patient care (one unit reported that it took four weeks). Six of the VAMCs lacked human and hard resources to track and analyze staffing data. Hiring delays of up to six months, rushing new nurses through training, and being assigned duties beyond nurses’ qualifications also hampered progress at six of seven VAMCs. Unplanned staff absences are particularly challenging to cover, forcing nurses to work overtime or float on units where they're unqualified to provide care. Read the report at http://1.usa.gov/1GJHa4K.

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