trends replay discussion 2

Mary Martin

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Reply 1

Supplemental nursing is on the rise with the current pandemic, its when nurses are privately hired and temporary in assignments. This form of nursing is important in instances like the one we are currently in, seeing the rise in cases and the lack of bedside nurses currently now more than ever having supplemental nurses is crucial for the patients outcomes. Although, supplemental nursing does raise questions on the safety of the patients as Aiken et al (2007) discuss the belief that many have in which supplemental nurses have a correlation with negative patient care quality and increased risks, yet their study actually shows no correlation. Floating nurses are hired by the facility yet are believed to be well rounded in all areas of care in order to float where more staffing is needed per day. O’Connor and Dugan (2017) explain that while it is a remedy for short staffing it could create more anxiety, stress, and frustration for the nurses. When it comes to different units I think there are increased risk of both in ICU settings as each hospital has different protocols and floating nurses may have a difficult time handling the care of the patients and their own worries or doubts of their abilities as its not their specialty. 


Reference: Aiken, L. H., Xue, Y., Clarke, S. P., & Sloane, D. M. (2007). Supplemental nurse staffing in hospitals and quality of care. The Journal of nursing administration37(7-8), 335–342. 

OʼConnor, K., & Dugan, J. L. (2017). Addressing floating and patient safety. Nursing47(2), 57–58.

Reply 2


 Floating is the reassignment of staff starting with one nursing unit then onto the next. It is usually due to a hospital being short staffed and having to work in several units which a nurse may be unfamiliar to. Floating, on one hand, allows nurses to become familiarized with all aspects of the hospital and have the opportunity to work in multiple areas, enhancing their knowledge. However, having less amounts of nurses causes more stress on the nurses when treating the patients, which decreases the quality of care and leaves them unsatisfied. Hospital tend to practice floating in order to save money by paying less nurses. Working in unfamiliar area makes nurses uneasy by not knowing what to expect. This can raise safety concerns relating to the use of supplemental staff, citing the potential for less familiarity with hospital and unit procedures and practices and disruptions in continuity of care and team communication as specific risks (Aiken, 2010). The level of stress will always be present, but it varies depending on the unit a nurse is assigned to as well. If one is used to working in a neuro or GI floor and has never been introduced to working with trauma patients, those levels of stress will most likely be heightened in a new setting. According to the participants in a study conducted (Mokgadi, 2015), their work in the ICU means that they are ICU experts and therefore can be allowed to work in their respective units. In other cases, nurses do not have experience working in the ICU, which in turn leads to reduced patient care, which affects the quality of care and intervention.


Aiken, L. H., Xue, Y., Clarke, S. P., & Sloane, D. M. (2007). Supplemental nurse staffing in hospitals and quality of care. The Journal of nursing administration, 37(7-8), 335–342. (Links to an external site.)


Matlakala, M. C. (2015). The views of intensive care nurses regarding short-term deployment. Curationis, 38(1), 1-5. Retrieved from

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