World Hospitals and Health Services - International Hospital ...

MANAGEMENT: NURSING SHORTAGES
a. Hiring salary for RN’s grade 7 enhanced from Rs. 6,500 to Rs. 7,000, 8% increase. It should be
raised to Rs. 8,500 - Rs. 9,000. Implemented
b. Increment in educational allowances as per plan. Implemented
c. Introduction of retention allowances as per plan. Implemented
d. Shift differential strategy as per plan. Implemented
e. Initiation of nurses bank as per plan. Implemented
5. Timely promotions. Implemented
6. Flexible working hours. Implemented
7. Supportive management style. Implemented
8. Mentorship and training for novice nurses. Implemented
9. Development of a contract with the nurses at the time of hiring to give services to the institution for two years.
Implemented
HIGH FOR RECRUITMENT
10. Rigorous recruitment at national and international level. Contacting ex-employees and AKUSON graduates sitting
at home for re-hiring. Implemented
11.Developing contract with new nurses at entry level to prevent their drop out rate.Implemented
12. Up country recruitment trips. Not implemented
13. Monthly RN orientation programme. Implemented
14. Accommodation and transport. Implemented
MEDIUM
15. Nursing recruiter. Implemented
16. Seek help from senior nurses representative at STTI and WHO level to help AKUH in controlling staffing turnover
at international level. Not implemented
17. Exit interview at the time of resignation. Implemented
18. Joint faculty should be treated with more caring and positive approach and selection criteria needs to be finalised.
Implemented
19. Joint faculty role should be defined in a joint retreat to enhance collaboration and clarity. Implemented
20. Head Nurses (HNs) & Nursing Managers (NMs) should meet with their assigned Registered Nurses during
Nursing Educational Services (NES) orientation programme and at three months, six months, nine months and
twelve months intervals. Implemented
21. Start unit-based campaign to mentor existing RNs to retain at AKUH through mentorship programme of team
leaders and HNs & CNTs. All NMs of patient care areas. Implemented
22. Positive role modeling by seniors to nursing students during their winter and summer clinicals. Implemented
23. Presentations for onboard RNs to be organised by RNs who have returned from abroad to share their negative
experiences abroad. Implemented
24. Celebrate Nurses’ Week to raise their morale by appealing slogans such as
a. Country needs you,
b. AKU needs you,
c. Nurses are Important etc. Implemented
25. Start reward process on ‘Suggestions on Retention Strategy’ and give rewards to best suggestion that is practical
and applicable. Implemented
26. Nursing Students during their final year should be sent to units for summer clinical where they will be assigned
after completion of their diploma/degree programme. This will enhance cooperation and facilitation by Staff
Nurses of the units. Not implemented
27. Open forums with nurses every quarter. Implemented their Nurses who they are unable to hire. Implemented
31. Providing educational opportunities to nurses. Implemented
LOW
32. Service letter from Personnel Department should not be issued to employees without Director Nursing Services
consultation, unless they have served at AKUH for two years. Implemented
33. Continuing Education Certificates and NES checklist should not be issued to RNs unless they have completed two
years services at AKUH. Implemented.
28. Regular assessments of job satisfaction and workload management among nurses twice a year. Implemented
29. Plan structured summer and winter clinical coverage in all shifts by 50% AKUSON faculty and 50% by Clinical
Nurse Teachers to provide positive experience to nursing students. Implemented
22 | World Hospitals and Health Services | Vol. 40 No. 4