Clinical Issue: Staff unsatisfied with work-life balance related to current 5 day work week including call and mandatory overtime.
Description of Team: Cleveland Clinic cardiothoracic nurses and surgical techs.
Preparation and Planning: Current schedule left little time for work life balance. This is due to travel time, high turnover of staff, and a high surgical case load. Scheduling committee met with management for feasibility of creative shifts. Continued to maintain appropriate level of staffing as stated in AORN guideline for Team Communication. Planning involved creation of "dream shift" staff sign up sheet. This included 10 and 12 hour shifts.
Assessment: Integrate staffing dream shift requests into a new department algorithm. Questionnaire submitted to staff of shift preference.
Implementation: Begin a six month trial of new creative shifts following our new algorithm that was approved and supported by management and surgeons. Follow up with feedback from staff and management.
Outcome: Overall satisfaction increased with staff. Creation of surgical teams that provided better continuity of care, this increased patient safety due to less staffing disruptions during case. Results from Press Ganey Survey and feedback from staff, surgeons and management showed an increase in overall satisfaction of the team. Decrease in staff call-offs and increased flexibility supported new staffing model.
Implication for Perioperative Nursing: Encouraged collaborative practice, provided opportunities in decision making with staff and scheduling, while maintaining adequate staffing to provide optimal work-life balance. Attracted staff from further locations due to consolidation of work days.