(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient. (Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011).
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients. Furthermore, a qualitative study conducted by Henrich et al. (2017) shows that healthcare providers often experience negative emotional repercussions from moral distress in the ICU, and patient care is frequently perceived as being negatively affected.
Understaffing in hospitals is a major problem that has been affecting healthcare workers and patients for many years. I have chosen to highlight understaffing as a patient safety issue because of the consequences that can arise from it. Shortages in staffing can result in an increase of infection rates (Stone et al., 2007) leading to complications and poorer patient outcomes (Needleman et al. 2002). This particular issue is of interest to me because I have experienced and witnessed it myself.
222) There are many types of violence in nursing that can occur from other nurses, patients, managers, visitors, and physicians Nurse to nurse violence is commonly referred to as horizontal violence. (Huston, 2017, pg151) Horizontal violence are behaviors that hinder nursing job satisfaction, impact job performance and put a lot of pressure on the nurse. According to the Joint Commission “intimidating and disruptive behaviors” can facilitate medication errors, lower patient satisfaction and lead to adverse patient outcomes. (Lachman, 2014) There is no singular solution to this problem and people have the right to work in a safe and healthy environment – regardless of setting. Victims need proper support and the offenders need to have discipline in order to correct this issue.
Aiken (2002) study shows that the nursing shortage has negatively affected communication, nurse patient relationships and timeliness of care and overall competence of nurse’s professional identity. For example, the Francis report in 2013 at the mid Staffordshire foundation trust investigation had bad indication on nurses, healthcare and all the staff in connection to the negative and culture that caused harm to patient. In order to resolve this issue the NHS has to reflect on the nurses’ professional identity, encourage nurses, provide support, and reorganise the work environment (Buerhaus, 2007). A research study conducted by Johnson and Johnson (2012), found that nurses fear that talking about their technical skills and medical knowledge somehow risks their reputation for caring and compassion. In order to protect nursing professional identity, they emphasised that nurses could leverage to have a greater voice in their professional identity and let compassion be the fundamental care to be delivered to patients.
A large topic in D. Spence’s (2010) review is that women are being over-diagnosed with Polycystic Ovarian Syndrome as a method of further oppressing women in the medical field. That is to say, D. Spence (2010) views the over-diagnosis “has made women anxious, paranoid, and unhappy and has undermined their sexuality” (p. 341). Women who have been diagnosed with Polycystic ovarian syndrome often feel like it is used as an excuse to ignore other problems further down the line. Hormone imbalances, weight problems, and depression are often all blamed on Polycystic ovarian syndrome once a woman has been diagnosed, regardless of whether it is the cause or not. It is in this way that the sexist medical practices perceived in modern practices oppress women, demeaning them and making their problems seem lesser than they are.
During psychiatric nurse work in psychiatric setting may exposed to aggressive behaviors from patients that affect on the physical and psychological health of nurse and may produce to increase absence of nurse related to illness (De Benedictis et al., 2011). Seclusion may effect to psychiatric patients by develop negative perceptions of center of mental health, that affect on treatment (Steinert, Bergbauer, Schmid, & Gebhardt, 2007). Ethical issues facing seclusion. There are studies shown ethical and moral dilemma of using seclusion with psychiatric patients. Kontio et al.
Although one cannot point out for sure the exact reasons of abuse or self-harm, experts working in this area have listed out several factors termed as ‘risk factors’ which places a high chance of an individual to face the abuse. The risk factor explains that the behaviours of a person shows about the chances of experiencing abuse in the future. The major risk factors of abuse are: • Dependency • Severe Illness • Family Conflict • Career Stress • Psychological Problems In the article above, one man was stomped on the feet deliberately, and the other was pushed off the wheel chair. The elderly victims were pelted with bean bags and balls just for the entertainment of the nursing home so-called “caretakers”. The major risk factors involved here
(2017) mentions the effects of nursing burnouts on the patients. When nurses suffer from these burnouts, it does not only affect themselves and their family, but it follows them to their working environment. It is affecting their coworkers and the patients. This leads to poor quality of care for the patients, increase patient falls, medication errors, increase in hospital acquired infections, and other factors that affect patient care (Gómez-Urquiza, et al.,