In Episode 48 of The Healthcare Leadership Experience, Lisa is joined by Jim Cagliostro, a Registered Nurse and VIE’s Clinical Operations Performance Improvement Expert. Together they continue to discuss the role of nursing in healthcare, with a focus on the challenges of burnout.
The role of nursing has undergone a transformation in recent years. In this second episode of a two-part discussion, VIE Healthcare Consulting’s founder and CEO Lisa Miller interviewed Jim Cagliostro to explore effective solutions for burnout, the benefits of frontline driven innovation, and encourages all hospital leaders to listen to their nursing teams.
Patient care assistance enables nursing staff to focus on their strengths Volunteers can enhance the patient experience Cost effective staffing solutions to overcome burnout Healthcare needs leadership that listens – and shows up Lessons for the healthcare sector from Undercover Boss The concept of shared governance When leadership doesn’t listen: an example from a patient’s bedside
02:13 Patient care assistance enables nursing staff to focus on their strengths
Jim shared his experience on the benefits of patient care assistance.
‘’And so I mentioned that patient care assistance. And by that, for anybody, most people know, these are people that are trained in terms of what's the safe way to help a patient who's had a certain procedure to help them to the bathroom, or to sit them up or get them over to the chair and set them up for a meal. For recognizing, "Okay, there's certain restrictions that this patient has. So I can go get a drink of water for this patient, but that one needs thickener in their liquid." Or when do we need vital signs and daily weights. These are all activities that patient care assistants or nurse assistants, depending on where you're at, they have different names, that they can help with. And then it allows nurses to focus on the things that only the nurses can do.’’
04:28 Volunteers can enhance the patient experience
Lisa shared a personal experience of her daughter’s stay in hospital.
‘‘My daughter was in the hospital, and we were in a children's wing of a hospital. And it's interesting, because I think that anything to do with children, people tend to be more innovative….But this young man that came in, and I would say he was about 17 or 18, and he would just come into the room and talk to me, talk to my daughter, and really just chatt with her. And he is like, "Oh, I'll go get coloring books and I'll color with her." And I'm just like, "Okay, who are you?" I'm like, "This is great." I mean, he was great. I mean, I knew he had a badge and I knew he was there legit, but I'm like, "What's your role? You got to tell me your story. What's going on here?" And he's like, "Oh, I'm going to start medical school and I have a program here at the hospital where I can volunteer." And he wanted to be a pediatric orthopedic surgeon, which is amazing, because he was not even in medical school and he knew what he wanted to be, but of course that made a change.’’
06:56 Cost effective staffing strategies to overcome burnout
Jim said improving nurse-to-patient ratios was just one way of better managing resources.
‘Every state should, I don't know if every state does, but states will have a minimum nurse-to-patient ratio. And so if you have this number of patients, then you need this number of nurses. So that's one thing... They have to meet that as a minimum, but they can have better standards in terms of, "Okay, the state says five-to-one or four-to-one on this step down unit. But we, as a hospital, are going to say, 'No, we're going to say three patients to one nurse, because we want to provide better care. And yeah, it's going to cost us more maybe upfront, but in terms of the quality of care, in terms of safety, in terms of preventing fall