Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
It is important to identify why nurses are becoming stressed and how to reduce work related stress. The past 10 years there has been an increase in stress levels for nursing staff. In 2001 a survey was conducted by “American Nurses Association”. The study results showed that 70.5% of nurses cited the acute and chronic effects of stress and overwork among their top three health and safety
Especially, nurses, who are older than 48 years old, may need the drugs for relieved chronic pain as their bodies are easily to be injured to musculoskeletal. There are 10 percent to 15 percent of general population involved in substance abuse. However, healthcare profession has a higher rate of using prescription drugs. The healthcare profession had used drugs for occupational hazard pain (John Furman, January
They can result from the various processes involved in treatment: prescribing, dispensing, administering the medication and monitory of treatment. In addition, there are several factors contributing to medication errors in hospitals. They include individual staff errors and system errors. There are many dangers resulting from medication error on the patient. They include deterioration of health status of the individual, increased financial expenses (as there is possibility of longer stay in the hospital) and development of medical complications.
Medication administration is the nursing task that carries the highest risk, and the consequences of an error can be calamitous for the patient and the nurse (Evans, 2009). There are six main types of medication error that can occur: prescribing faults, prescription errors, transcription errors, dispensing errors, administration errors and ‘across settings’ (Cheung, Bouvy & De Smet, 2009). According to a study done by (Cheung, Bouvy & De Smet, 2009), out of 106 interviews, the most common cause of medication error were: being busy (21%), being short-staffed (12%), being subject to time constraints (11%), fatigue of healthcare providers (11%), interruptions during dispensing (9.4%) and look-alike/sound-alike medicines (8.5%). On the whole, this essay will look into the management of dispensing medication error with a high alert medication, digoxin and strategies to prevent further incidents. Case scenario (Appendix A) depicted.
In Nursing, Mathematics relates to the Drug Computation that plays a vital role in nursing practice where Nurses are accountable when preparing or giving medication practices and when a medication error occur patient safety is at risk. My relationship with Mathematics on Drug Computation precipitates me with a variety of emotions like anxiety. It is clearly an activity for me to work on, spend some graceful time in understanding and analyzing the correct formula in computing drug administration. I am fully aware and admit that I still have some lapses and difficulties regarding drug computation.
Abstract/Purpose: (please refer to separate file) The worsening problem of hospital nursing shortage has resulted to inadequate nurse staffing, which affects our nursing care to our patients and our satisfaction towards our job. Understanding how nursing staffing levels affect both patient and nurse outcomes prompted these researchers to conduct a study on hospital nurse staffing levels (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). The purpose of their study was to examine the relationship between the nurse-to-patient ratio and surgical patient outcomes, specifically patient mortality and mortality following complications nurse retention as well as the factors that influence nurse retention (Aiken et al., 2002). The study was conducted
As a result, the healthcare system and practitioners become aware of the need to review patient care. Some countries have seen the need for a change but focus on external factors rather than caring. However, Watson implies, that the state of been different is to focus on competent, compassionate, knowledgeable, and caring nurses and health practitioners. (Watson.p.471).
regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable . (Meade, Bursell, & Ketelsen, 2006). In addition Nurse staffing in outside of NZ have been found to affirmative effect the quality and the number of life experienced by the persons , families, and communities they serve (Brown and Grimes 1995 ) . However , Heavy hard work (and as a result in less time spent with patients) has
Medication administration errors occurs 34 percent more often than any other preventable error. These errors directly impact patient safety. According to the Institute of Medicine (IOM), there are approximately one million patients harmed in hospitals across the United States. Studies support barcode scanning medication during medication administration can prevent this type of medication error (Marx, K., Stoudenmire, L.L., & Manasco, K.B., 2013).
Valerie Benavidez Professor Stewart ENC 1101 15 November 2015 The Healthcare Crisis in the States Today, many Americans struggle to obtain minimum, let alone full healthcare coverage. The cost of healthcare has sky rocketed over the years and has become less affordable for thousands of people across the U.S. The number of uninsured Americans is at an all-time high. The Affordable Care Act (ACA) makes perfect sense, economically, because it eases rising costs, has been more successful at previous attempts of reform, and provides a better healthcare system overall, compared to the initial medical care system we use today.
Of the staggering numbers of 700,000 to 1.7 million people who contract a HAI during their hospital stay, more than 50% are preventable. Each year the costs for HAI are estimated at $9.8 billion dollars (MCELROY). The contraction of an infection may prolong the length of hospital stay for a patient which once again makes them more susceptible to obtain another HAI. COST OF CHG BATHING. HOW DOES INFECTION AFFECT GERIATRIC
Nurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.