Organizational Sustainability Task Shifting Model

Thus, in addition to recruiting new employees, the existing ones need to be retained to address the situation, as Niamh et al. (2014) explain. How Nursing Burnout affects Nurses ability to provide Patient Care Kathryn (2016) establishes that an overworked nurse that is already exhausted, detached from work, and fatigued may fail to view patients as human beings that need holistic care and see them as objects. Due to work overload, the nurse also finds himself/herself incapable of providing meaningful services to the patients because, at this level, the nurse is unable to manage time, control work, and relate well with his/her colleagues. According to Aditya, et al. (2015), burnout is a feeling developed with time, and it comes in the form of- being exhausted emotionally, reduced ability to make desired accomplishments, and poor delivery of services required.

Nursing Shortage According to Nictitas, Middaugh, and Aries (2106), nurses are the largest segment of the healthcare workforce and are indispensable when it comes to quality patient care, patient safety, and patient satisfaction. It is projected by 2020; there will be a shortage of over 500,000 nurses (Nictitas, Middaugh & Aries, 2016). A shortage of this magnitude will have a negative impact on our healthcare system. This paper will attempt to reflect on the issues that have resulted in the nursing shortage and discuss the future of the nursing profession.

Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse

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

Deadlines are not met, a cynical or resentful attitude develops, a persistent sense of fatigue pervades both are the nurse’s personal and professional’s life. Today the proportion of acute patients entering the health care system through emergency

Problem Identification The extent and impact that Staff Shortage has on administration are: balancing quality and safety with efficiency, providing everyone with access to basic medical care, prescription shortage and building and sustaining the workforce needed for the future. According to the Department of Labor staff shortage in the healthcare industry will reach crisis levels within the next decade. It’s time now to reinvent the wheel in healthcare systems.

A doctor who subconsciously combines the skills of “flesh and blood decision making” and “fast and frugal” actions will be more successful when dealing with a chaotic situation. There is not time to collect data and

Application of Kanter’s Theory in Reducing Work Stress and Burnout in Nursing Due to the rapidly changing health care system and the reduction of resources, nursing demands are greater which has led to work related stress and ultimately nursing burnout. (Hayes, Douglas, & Bonner, 2014; Kushner & Ruffin, 2015; Laschinger et al., 2003; Slatten, Carson & Carson, 2011). Nursing burnout impacts both the performance and profitability of a healthcare organization in addition to adversely affecting patient outcomes (Jennings, 2008; Kushner & Ruffin, 2015; Laschinger et al., 2003). Ordinarily for nurses, making a difference by caring for and helping others is gratifying (Hayes et al., 2014; Slatten et al., 2011); however nurses have had to endeavor several unfavorable circumstances such as long work hours, compassion fatigue, physical labor, human adversities, staffing shortages, lack of breaks, advanced technology, and poor interpersonal work relationships (Hayes et al., 2014; Jennings, 2008; Slatten et al., 2011); thus the effects of sustained exposure to increasingly demanding professional work conditions brought on by doubt and concern results in decreased nursing satisfaction, lack of perceived support, psychological difficulties such as demoralization,

According to the data from Health Resources and Services Administration Bureau of Health Professions (2013), there were 2.8 million Registered Nurses (RNs) and 690,000 Licensed Practice Nurses (LPNs) were working in the period from 2008-2010, in the United States. The nursing workforce grew substantially in 2000s, by RNs growing by more than 24.1 percent and LPNs by more than 15.5 percent. The population of nurses are facing multiple challenges at the workplace, such as shortage in staffing, nurse turnover, increased workload, long working hours, poor relationship with co-workers, lack of support from the management, and eventually these challenges create high level of nurse burnout. It is estimated that job- related burnout measure using the Maslach Burnout inventory – Human Services Survey, 36.5 % of nurses having high level of burnout. The researchers at the Center for Health Outcomes and Policy Research at the University Of Pennsylvania School Of Nursing, estimates if nurse burnout reduces by 10 %, could prevent thousands of hospital acquired infections and reduce the health care expense (Potera, 2012).

Introduction Currently Cross County Staffing has immerged as one off the largest leading medical staffing organizations under the guidance and leadership of Joseph A. Boshart, through his recognition, focus and acknowledgement of front line workers, those who have direct contact with prospective clients and businesses. His mentor was W. R Grace, what Boshart took away from his mentor’s teaching was his devotion and loyalty to all of his employees. In 1992 Cross County Staffing had an 80% turnover rate of employees (2000, p 3). The staff had no interest with staying with the company and those that remained, did not put much effort in to their positions that they held due to their low morale and the instability of the company.

The overall turnover changed from 11.8% 2 years before workshop year to 15.4% 1 year after; - Such organizational characteristics as lower staffing levels, higher hospital bed size and lower quality of care are associated with higher staff turnover, and after the implementation of interventions the turnover decreased from 31.3% to 20.6% (Lartey, Cummings & Profetto-Mcgrath, 1032); - High emotional intelligence of nurses is associated with higher level of performance, longer careers and greater job retention. Meanwhile, lower work abilities in nurses older than 45 are associated with high turnover (Lartey, Cummings & Profetto-Mcgrath, 1032); As a result: - Decreasing nurse turnover results in reducing of healthcare costs, staff satisfaction, safer patient’s care maintenance and stronger teams; Conclusion: - Such strategies as teamwork, practice models, leadership are those factors which influence the retention on the workplace; - Still, there is not enough data on interventions for retaining experienced nurses in healthcare

Healthcare organizations’ goals includes provide quality, value priced, safe health care services and ultimately, improve health outcomes. In addition to this primary goal, healthcare organizations also seek financial stability, community value, ethics and employee engagement. In this context, leaders are asked to efficiently use the available resources to optimize the managerial approaches to direct their teams towards more productive environment and positive interactions with patients. Healthcare setting-unlike business setting-is a more complicated system that consists of different professional teams and departments that usually don’t share the same objectives or planning strategies due to the diversity in the services provided.

The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).

Introduction Effective leadership by professionals is crucial in all healthcare organizations. The way workers define leadership has changed from generation to generation, however, a common description of leadership is the motivating behavior of an individual directing the activities of a group towards a shared goal. (Ward, 2017) Influencing group activities and coping with change are some of the key aspects that an individual in a leadership role will be working towards. According to an article, "management is about coping with complexity" and "leadership is about coping with change", therefore, both aspects are critical to a successful leader.

Along with the accountant and other key staff members they should be able to resolve the business end aspect and go back to being physicians in their practice. As leaders, they will have to foster a commitment to the team to accept the changes. This is what will cultivate a work environment that will continually improve through initiative and innovation. These doctors must enable their workforce to be empowered and help to move the practice in a forward positive direction. Being innovative requires a leader to toss out the old rules of thought and form innovative ideas or thoughts.