Breaking the unsustainable cycles challenging nursing today

    A panel of clinical experts at the NG Healthcare Virtual Summit share their insights on how to better support and engage with your nurses and create a working environment where they’ll want to stay. 

    While the nursing shortage has been building for years, we recently saw the largest drop in four decades.(1) Between 2021 and 2022, median nursing tenure fell by 19.5%.(2) As a result, there is an increasingly novice workforce caring for sicker and more complex patients. 

    Healthcare organizations have been operating in crisis mode, applying bandages like relying on staffing agencies for interim solutions. This Q&A, inspired by the NG Healthcare Virtual Summit panel discussion, highlights expert insights on: 

    • providing effective and engaging support to help improve new nurse competence and confidence  

    • creating an environment where nurses not only want to work, but want to stay  

    • solving challenges with fewer resources 

    Emerging from Perfect Storm Stats

    Narrowing the experience-complexity gap

    As time shortens for delivering clinical experiences in school, the complexity of healthcare continues to grow. 

    How can organizations think differently about how they support practice readiness for novice nurses?  

    Thinking differently requires collaboration with academic partners in support of students and novice nurses. This early engagement can generate positive results in recruitment, retention, and care quality. One solution is to create or expand externship programs that blend professional development with clinical skill training. Complementing traditional nurse shadowing with virtual learning experiences results in a better-equipped, confident graduate and a positive perspective of your organization. 

    The shifting role of nursing and morale

    Ongoing pressures are battering nurse morale as well as leading to an evolving nursing care model to address delivery and fuel nurses’ positivity.  

    What changes in nursing roles are occurring?  

    Organizations are moving away from a primary nursing model of care by increasingly using LPNs and technicians as nursing extenders to fill care needs. A blended team at the bedside is common, and evidence-based, standardized care is critical as responsibilities shift to ensure the quality is consistent. Providing a variety of learning modalities across the care team meets varying generational needs, leading to higher satisfaction and a career track to success. 

    Download full Q&A Whitepaper

    Emerging from the perfect storm: Breaking the unsustainable cycles challenging nursing today

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    Elsevier can help you provide nurses with the support to build confidence and professional skills at every stage in their career journeys.

    Clinical eLearning supports nurses during orientation, residency programs, professional development, and practice improvement.

    • Nurses seeking career changes can leverage Clinical eLearning orientation courses in several specialties, including Critical Care, Emergency, Med/Surg, Pediatrics, Neonatal, and Home Health.

    • Emerging or existing nurse leaders can benefit from courses designed to strengthen their leadership skills such as becoming a preceptor, charge nurse, NPD practitioner, or nurse manager.

    Transition to Practice and Shadow Health are learning and development solutions that help ensure novice nurses are successful at the start of their careers by cultivating a safe space to develop and assess their clinical reasoning and professional skills.

    Clinical Skills allows organizations to promote consistent care by combining evidence-based skills and procedures at the point of care with continuing education and competency management functionality.

    ClinicalKey for Nursing helps nurses of all experience levels expand their knowledge and support consistent, high quality treatment decisions by answering complex questions based on current evidence.

    Complete the form for additional information on these solutions.


    1. https://www.healthaffairs.org/do/10.1377/forefront.20220412.311784, accessed September 1, 2022.

    2. https://epicresearch.org/articles/the-new-nurse-is-the-new-normal, September 1, 2022.

    3. https://www.incrediblehealth.com/blog/nursing-report-covid-19-2022/, accessed September 1, 2022.

    4. Windey, M., Lawrence, C., Guthrie, K., Weeks, D., Sullo, E., & Chapa, D., “A Systematic Review on Interventions Supporting Preceptor Development,” Journal for Nurses in Professional Development, 31(6), (2015):312-323.

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