Short staffing is one of the many challenges nurses encounter in the work environment. The impacts can be detrimental primarily to the patient’s outcome. To examine the effects of short staffing, research was conducted on 36,539 hospital inpatients to evaluate the amount of those exposed to an understaffed shift and how many patient outcomes resulted in a NSO (Twigg, Gelder, & Myers, 2015). NSO’s are nurse sensitive outcomes based on the nursing care provided to the patient. Patients exposed to short staffing had an increase of greater than one chance of NSO’s compared to patients not exposed (Twigg et al., 2015).
By utilizing the basic metaparadigm concepts as a theoretical guide, quality patient care can be achieved. Exploiting resources and using past experiences as a guide ultimately leads to more effective decision making. The abstract concept of presenteeism proposes that more productivity is lost when a nurse is present at work but is unable to perform at full capacity while the concept of integrity presents that conflicting demands on nurses have the potential to compromise the integrity of the profession thus leading to additional stress. Based on the two concepts of presenteeism and integrity, the following five assumptions were made: 1. Many nurses, identifying with the self-sacrifice culture, promote presenteeism by reporting to work despite illness and expecting fellow nurses to do the same, 2.
Did nurses with greater years of experience report having an easier time managing their parent group? Explain the importance of this finding. In the article it explained that just because nurses have more years of experience did not necessarily mean they were going to have an easier time managing their parent group. This finding shows that not every parent group going to be the same.
Hi Nirmalraj, I do agree with you that staffing level directly affect the care outcome. A study comparing mortality rate in short staffed and fully staffed unit concluded that patient in the short staffed units had a 6% higher rate of mortality (AACN, 2014). Federal and state funding on nursing education will result to increased enrollment but there is need to address retention to achieve a sustained staffing level. Good post. American Association of Colleges (AACN), (2014).
Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.
Upon reflecting on this experience, I feel like I am more confident in handling the situation should it arise again. Reflecting on it has made me realise that not everything I did was wrong and has helped me to explore what I need to improve on. Reflection is important in the nursing profession as it allows us to think about our actions and talk about how we could have carried them out differently (Johns and Burnie, 2013). Reflection plays a big role in developing the student into a nurse (Barbour,
A study conducted by Mahmoud, F. S & Abd-ElSadik, B. (2013).to assess the effect of clinical pathway regarding promoting quality nursing care of children with meningitis exposed to invasive procedures. They found that the mean age of the studied nurses was 25.46 ± 5.08 years. As regards nursing qualification, about two thirds (64.3%) of them had secondary nursing school diploma. As illustrated from the results of the current study the majority of nurses had unsatisfactory level of knowledge and incompetent practice about diabetes and DKA before application of CP as compared to post implementation of CP the relatively high percentage of them gained satisfactory level of knowledge and competent practice. This might be due to lack of continuous education for these nurses, in addition to lack of their motivation to updating their knowledge.
The error in this study was controlled by the researchers reference back to similar research such as this study. The researchers utilized a barrier scale and factored in the nurses educational level, position, and skill level. Some studies on this subject resulted to nurses with higher degrees had higher confidence at experience as using evidence-based research as part of their nursing care practice (Ganz et al., 2009). The conclusion of this study states that although nurses upholds oral care as high priority, most of the critical care nurses in this study do not conduct this care skill with the most current evidence-based practices or even with the proper methods, even though the American Association of Critical Care Nurse (AACN) recommends an oral care hygiene program that that brushes the teeth, gums, and tongue at least twice a day (Ganz et al., 2009). In regards to the second part of the research question, the researchers concluded that evidence-based practices didn’t have an association with personal demographics or level of
Nursing leaders must collaborate effectively when developing a staffing plan to ensure safety and quality meet the institution 's mission and values as this study has done (see Figure 4 and 5). Anderson, Ellerbe, Haas, Kerfoot, Kirby, and Nickitas (2014), “Excellence and Evidence in Staffing: A Data-Driven Model for Excellence in Staffing”, stated nurses should be engaged in recognizing new models of care of which staffing enhances class and outcomes while decreasing the cost of healthcare. According to Anderson et al. , (2014) sufficient staffing is typically done by accomplishing quality results, which reduces the cost of care. The evidence according to Anderson et al.
This article talks about how studies show how staffing measurements effectquality of care and how risk adjustment variables play a role in the outcomes. Staffingmeasures include the amount of nursing staff per patient and the amount of hours aresident gets with staff members and staff member retention. The studies show thatincreased time with licensed staff have improved care and provided much betteroutcomes than with time with for example a social worker. It says that it is difficult tocalculate the retention of staff because the studies are inconsistent. Quality of care ischaracterized by resident and facility outcomes.
While many nurses have an Associate’s Degree in Nursing which gives them the education and skills to enter the job field, a Bachelors of Science in Nursing opens more job opportunities, higher paid salary and more job accountability. With the trend of all new hired nurses being require to have a BSN there is no time like the present to take advantage of a higher education. There are many benefits for a registered nurse to obtain their BSN, many Magnet Hospitals will not hire without a BSN or to be enrolled in a BSN program. Magnet Hospitals set the bar for excellent nurses and exceptional patient care in specialty areas.
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree.
There is a high significance for a nursing student completing their degree in nursing to start their career as a nurse practitioner. Nursing students must prepare to become nationally certified by an accredited body upon completion of their schooling in order to advance their career (AANP, 2016). This academic accreditation process helps to show that the students have met the requirements to practice as a Nurse Practitioner in their population focus testing. The scope of practice will be affected based on the certification that the practitioner obtains. If the Nurse Practitioner obtains a certification as a nurse specialists in pediatrics, oncology, geriatrics, emergency medicine, etc.