Emergency Room Patient Fatigue Analysis

“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable

Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.

Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit.

Medicare reimbursement is partially based on a facility’s Star Rating. A critical component to this is patient surveys and HCAHPS. I have seen a push toward the customer service experience. Indeed, I feel strongly that every healthcare worker including nurses should treat each of their patients with respect, equality and do the absolute best to meet their needs.

The patients experience within the hospital is collected from a survey done randomly among patients. Each hospital must have at least 300 survey responses per year. After collecting the data, the data is submitted to the survey data warehouse, where it is analyzed and adjusted to truly reflect the hospital’s conditions. The Centers for Medicare and Medicaid Services along with the Agency for healthcare research standardize the survey results with the hospital consumer assessment of healthcare providers and systems survey. This survey has only thirty-two questions which are analyzed each year.

Researchers theorize that shift work exerts adverse effects in nurse by disturbing circadian rhythms, sleep, and family and social life. Disturbances in circadian rhythms may lead to reductions in the length and quality of sleep and may increase fatigue and sleepiness, as well as gastrointestinal, psychological, and cardiovascular symptoms. In addition, working at unusual times may make it difficult to interact with family and maintain other social contacts. Similarly, long work hours may reduce the time available for sleep, leading to sleep deprivation or disturbed sleep and incomplete recovery from work. This may adversely affect nervous, cardiovascular, metabolic, and immune functioning.

Research article examining at least one of the key words were selected for review and discussion in this chapter. Almost the entire study variables will be discussed in this chapter through reviewing relevant literature. Burnout Burnout is defined as a psychological syndrome which characterized by three concepts: emotional exhaustion, depersonalization, and diminished personal accomplishment. Emotional exhaustion refers to lack of energy and feeling that one’s emotion is used up to increase psychological demands. Depersonalization refers to treat other as objects rather than people through uncaring attitudes and behaviors.

Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of

Introduction For several decades, government officials and healthcare experts have been discussing the broken and dysfunctional US healthcare system. The US ranks highest for cost and lowest for outcomes. Healthcare accounted for 17.4 percent of the gross domestic product in 2013 (CMS.gov). The Institute for Healthcare Improvement highlighted the quality of healthcare in the US or lack of quality with the 100,000 lives campaign. The Institute for Healthcare Improvement brought national attention and awareness to the epidemic of hospital errors and the loss of life related to those errors.

Students are being woken up in the middle of a deep sleep. Being an alumnus of Melrose High School, I also remember the exhaustion I felt during the week. This can be detrimental to not only the learning but also their health. Sleep deprivation increases risk taking behavior, substance abuse, and impedes judgment and decision making ability. Many districts have taken part in this time shift.

Great job on your post, you made some really good points and subjections to help prevent safety issues related to nurse fatigue. In addition, Middaugh (2016), states that according to the ANA, “nurses and employers have a joint responsibility to reduce risks from nurse fatigue and help create a work-life balance”. In fact, during one of my rotation, I heard a nurse complaining of been tired after working 2 days on the row and was on her third shift back to back. She was supposed to be off that day but another nurse couldn’t be at the hospital so she was called in to replace that nurse. As we know, back to back shift increase the risk of errors and compromise the patient health from error with no direct injuries to the point of causing death.

Once the cause for your fatigue has been identified, there are natural solutions that will all help to put the spring back in your step at work. In this article I’ll show you 5 creative and effective ways to combat fatigue while you’re trying to focus on work. ●Liver Detoxification Poor liver detoxification is a common cause of fatigue. The liver’s job is to remove toxins and waste from the blood, but a toxic liver is unable to do this.

Burnout also mean a state of physical, emotional, and mental exhaustion that results from long-term involvement in work situations that are emotional draining (Moate, Gnika,

Sleepless in American is a National Geographic documentary on the lack of sleep Americans are receiving each night. The film starts with the statistic that “40% of American adults are sleep deprived” and followed with different effects of sleep deprivation such as: weight gain, delayed reaction time, depression, anxiety, speeds the growth of cancer, and has been linked to Alzheimer’s disease. Although, there is no scientific evidence to support the need for sleep, it is an important process that allows our bodies to function properly. Several sleep studies have been performed to understand the effects sleep deprivation has on a person. The participants of the sleep trial only received four hours of sleep per night.

The theoretical framework on fatigue is illustrated in Figure 1. It lays out two effects of fatigue, which may be the positive route or negative route, and is attributed to adaptive and maladaptive coping methods, respectively. The process starts with an assessment by the provider, who then collaborates with other health care professionals for treatment, education and health promotion. However, the individual has free will to follow health promotion or continue to live a stressful lifestyle. The individual is accountable for his or her actions and the concept of nonmaleficence is acted upon if the individual decides with the positive route of health promotion.