Alyssa DeMarco NYIT: Department of Nursing Short-Staffed, Workplace Violence and Mandatory Overtime: An IOM Nursing Issues Paper I view nursing as a process of continuous growth and pursuit of knowledge to provide competent compassionate care. Registered Nursing Professionals try to deliver the highest level of patient care to ensure satisfaction; however, they face many challenges and issues that hinder their ability to properly deliver client care. There are various issues in nursing that needs to be addressed and this paper will focus on three: nursing workforce shortage, nursing violence and mandatory overtime hours. These issues have a direct effect on patient care and this paper aims to discuss the impact they have on the nursing field.
Savor reviewed research that interviewed nurses and explained how many nurses “pointed out that the demand for nurses is rising, with only slow increases in supply, and that nurses’ earnings flattened” (2017). This can lead to a shortage of nurses because in current day society, living has become much more expensive. For example the cost of housing has increased dramatically, and students who go to college are now in charge of paying back their tremendous amounts of student’s loans. All these expenses add up and can be discouraging to a student trying to enter the nursing field because starting pay of a nurse is not enough to live comfortably in current day society. Governments are beginning to realize this and are seeing the decrease of nurses entering the field.
(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). Burnout ,quality of care and patients outcome Different studies have explained the relation between burnout syndrome, stress in work environment ,and patients satisfaction which assessed the quality of nursing care provided, the high quality care the more patient satisfaction.
Review of the Literature The shortage of people entering professional nursing, nurses’ dissatisfaction, and high turnover of newly licensed registered nurses are issues of concern. The national shortage in the nursing workforce highlights the critical importance of encouraging nurses to remain in practice. Evidence suggests that a shortage of nurses is detrimental not only to quality of patient care, but also to staff morale, which in turn affects staff retention (Wilson, 2006). The socialization and assimilation of newly licensed nurses into the healthcare system is a pivotal event that influences the retention of nurses (Aiken, Clarke, Sloane, Sochalaski, & Silber, 2002).
Nurses often faced a variety of challenges in order to maintain quality of patients’ care, in line with the changes in medicine and nursing profession. Nurses need to be mastered in all aspects and play really important roles in providing effective and efficient care to the patients. They need to deal with emotional and professional demand of many people, especially the patients. With the development of advanced technologies and various specializations in medicine, there are many requests for higher expectations and demands for nurses from a variety of specialization as well. Moreover, as a result, it is more stressful and challenging for newly graduated nurses as they face problems to adapt to their new professional career and environment.
This forty percentage of time is spent by nurses giving their time, concentration, and excellent communication for their patient. Each medication must be checked and administered accurately yet promptly. It is very hard for a nurse in stress-fuelled wards to spend just one hour on this job as they can be constantly interrupted throughout the process. Nurses must also remember that administration is the final step of a four-stage process of the medical. The four stages include other healthcare professionals in the “medication cycle”, they include the patient’s doctor, the pharmacist and finally the nurses.
This could lead to a dramatic decrease in nurses and possibly a nurse shortage. However, even though there is a large amount of older nurses presently in the field, there is a growing number of young nurses. This creates and intergenerational team of young and old nurses that could be very beneficial to hospitals. The older nurses would be able to pass down their knowledge and tips to the young nurses, allowing them to obtain years of knowledge/experiences just by learning from the older nurses. Although this may be a positive, there is worry that not enough young students/nurses will enter the field and create a shortage.
Nurses can use the process, of diverse assessment, to gather information that identifies what is culturally important to the patient. Through anticipatory planning, the competent nurse can effectively work within the cultural context of an individual’s specific needs. This process can help the nurse to better understand, plan, and evaluate towards the overall health and wellness of the patient. Considerations such as lack of understanding, gaps in provisions of health insurance, lack of culturally sensitive care, and misunderstanding of cultural norms and values are all barriers that patients face routinely. Therefore, to help dissolve some of these challenges, community health promotion and maintenance programs can be researched, planned, and built to provide cultural competent care for a whole community (Andrews & Boyle,
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.
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
IntroductionDo Nurse Assistants have a big impact on nursing homes? What about the care of Residents?This article reviews nurse assistants, the job commitment they have, and ultimately how it iseffecting other people, most importantly the residents. The findings are horrifying and one wayto fix how nurse assistants view their job or the commitment they have with it is higher pay,more benefits, and possibility to advance. DevelopmentSometimes, a supervisor’s role takes a toll on the care that is received to residents by nurseassistants. These are full grown adults still needing someone to tell them what to do or how to doit when they fully know the right thing to do.
As a nurse, I must extend my concerns for the caregiver as well. In conclusion, living old can be picturesque with today’s advances in medicine, however, the aftermaths of aging can deteriorate bodily systems. Living with a loved one diagnosed with chronic illnesses can profoundly impact a caregiver’s life to the point that it paralyzes social life as well. With the same token, the deep-seeded love for the loved one flows unfaltering and permeates to the core of the heart.
Incorporating strategies to have a successful transition is not impossible since nursing is one of the largest part of healthcare. Acknowledging the different transition phases, from phase 1 which starts in school and graduate program and phase 4 which ends in graduation to workplace, would make the novice NP be confident. But the phase that stands out the most is phase 2, that includes confusion, emotional stress, and anxiety. (Poronsky, C. 2013).
The nursing shortage is something greater than CG4 and the PinnacleHealth system. American Associations of Colleges of Nursing (2016) states the current nursing shortage is different than all previous shortages. The current nursing shortage is product of fewer nurses taking the entrance nursing exam and entering the workforce. In order to solve the nursing shortage, government agencies and healthcare workers need to address the issue at its roots. Brown (2015) states nursing schools denies 68,938 eligible nursing school applicants in 2014.