Young women in custody and leaving custody are at particular risk of poor emotional and mental health. MARGINALISATION OF WOMEN WORKERS While liberalization may have increased employment, it has worsened the quality of employment, especially for women. The article studies macro-level data to analyse employment of men and women. Data collection by official agencies uses faulty processes and much of women 's work remains invisible.
Patient Readmission Patient/hospital readmission has always been a major issue facing the healthcare system but recently in my unit, many patients are being readmitted as early the same day. In 2012, Social Security Act establish the Hospital Readmissions Reduction Program, which requires CMS to reduce payments to IPPS hospitals with excess readmissions, effective for discharges. (Center for Medicare and Medicaid) Readmission is defined as admission to a hospital within 30 days of discharge. I will use John Hopkins Nursing Evidence Based Practice Model to help decrease the rate of readmission.
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According to the researcher, a high BMI of over 30 kg/m2 in the pre-pregnancy period increases the chances of adverse effects on the mother and the child. The mother has an increased risk of mortality, pre-eclampsia, and gestational diabetes and the child is at risk of congenital anomalies, infant mortality and reduced rate of breastfeeding. The researcher does not bring out the problem directly but argues that in the UK and internationally, the number of women who are obese during pregnancy is on the rise and this means an increase in the healthcare cost of managing these women. The main problem is that despite there being guidelines and standards of care published internationally, and pathways of care developed, a barrier to the practice
Both the patients are unhappy with their experience in assisted living and skilled nursing facilities. The author mentions that nursing home prioritizes the provision of ‘nursing’ over the creation of ‘home.’ This is upsetting for patients because they do not sense the comfort of being home. In his 1961 study Asylums, Goffman noted some shocking similarities between nursing homes and prisons. In many nursing homes residents are not allowed to walk alone in case they fall, eat certain foods in case they choke, use knives in case they cut themselves.
It is of utmost importance for the care of patients to be prioritized but nurses have been taking to many hits from many different variables. And these have deterred with the patient 's overall care. The care of the patients have been decreasing over the years due to aspects. These aspects are caused by hospitals themselves which are not taking care of the nurses. These nurses experience illnesses themselves and guidelines and precautions are not takes.
The nursing shortage is one major issue that was presented in chapter 60. According to Mason, researchers predicted the nursing shortage will reach between 300,000 to nearly 1 million nurses by 2030. This issue still persist in today’s workforce due to the high population of the baby boomers retiring and the sudden increase in longevity of geriatric population. As a result, this causes the demand for nursing care to exceed the supply of nurses. In addition to increased demand created by an aging U.S. population, many patients are living with chronic conditions (Mason, Leavitt, & Chaffee, 2016) which further add to the demands.
Buchan and Aiken (2008) stated that the nurses shortage problems may be due to the nurses that not willing to work as a nurse under the current conditions in working environment. A real shortage is circumstances where experienced people are not available for a certain vacancies due to some reasons (Wildschut&Mqolozana, 2008). A news article written by Salma Khalikin in Straits Times stated that according to current situation Singapore may not be able to create enough nurses for upcoming years. The impact of nurses shortage may causes increase work load for nurses which subsequently may increase the risk for nurses made errors in clinical, the risk of increase hospital acquired infections which cause by viral, bacterial, and fungal pathogens. More over the impact of shortage of nurses may also increase death rate, and also increase the risk of occupation injuries and exposure in working environments.
Furthermore, there was a significant correlation between nurse-patient ratio to nurse staffing, job satisfaction, and job-related burnout. Studies had shown that nurses experienced a higher emotional exhaustion and increased job dissatisfaction with a higher nurse-to-patient ratio (Aiken et al., 2002). In addition, the study revealed that 43% of the nurse respondents, who reported job-related burnout and job dissatisfaction, intended to leave their present nursing jobs within the next 12 months (Aiken et al., 2002). The study also showed that an increased of registered nurse staffing decreased both patient mortality and mortality following complications (Aiken et al.,
One of the cause is feeling overworked or more work load .Sometimes the nurses feels overburdened or over worked and this overburdened can reduce their working capacity and increase their stress also. Another cause is the salary or earnings. In the private hospitals registered nurses usually gets low income and have more responsibilities and in government hospitals nurses gets a good amount of pay and not much workload also. More over nurses not received recognition or respect for their work.
Language barriers and lack of cultural competency also propose challenges regarding proper care. While pap smears prove to be an excellent method to detect cancerous cells, Latina women commonly miss this key test due to the cultural practices that reject gynecological health care (Saenz, 2004). These social determinants pose health inequity for these women. Fortunately, vast amount of efforts and interventions have been presented to fix these issues. With the help of Community Health Workers, more preventative information and knowledge can be presented in a trusting way to this specific population (Monroy, 2017).
In a study of 323 nursing home residents, 85.8% developed an eating problem, while 39.1 % experienced pain in the last few months of life. Eating problems are among the most frequent complications suffered by patients with advanced dementia and is associated with the last few months of life. These factors along and her severe diabetes, history of stroke, diminished kidney function indicated that Ms. Long can be considered terminally ill. Distressing symptoms such as pain, pressure ulcers experienced by Ms. Long indicates increased closure to end of
More than one in 10 babies are born premature every year, that adds up to 15 million that are in need of intensive care. Nurses that pursue the Neonatal specialty work in the Neonatal Intensive Care Unit, or the NICU. With the amount of babies that are placed in the NICU due to their condition, it is necessary to have trained professionals taking care of them. However, these nurses face a challenging career. Neonatal nursing can become a very emotionally draining occupation to pursue.
Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task.
An ineffective healthcare policy that I experienced in my practice is skin assessment sign-off at shift change. Although an excellent policy, this was unsuccessful due to inadequate staffing and working long hours. In the Intensive Care Unit (ICU), some patients are high acuity and the nurse-to-patient ratio needs to be one-on-one. Other times an ICU nurse can have three patients due to low staffing. Jooste and Prinsloo (2013) stated that when a hospital is low on staffing, the aftermath can affect the patient’s quality of care as well as their safety.