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Teamwork and someone stepping in to help without being asked were identified as most helpful when a nurse feels swamped. Nu rses practicing in hospitals following the AWHONN nurse staffing guidelines always or most of the time reported less frequency of being swamped as compared with those in hospitals that followed the guidelines some of the time, or rarely (p less then 0.001). Clinical implications Being swamped is a common phenomenon among AWHONN members responding to the survey. The reported incidence of being swamped daily is si