A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective healthcare delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there is a large amount of nurses that are near or at the retirement age.
“Reflection requires continuous critical review to avoid repeating mistakes and allowing unchallenged behaviours to reinforce belief and assumptions” (Rubin-Morton 2015). Therefore, a lack of motivation can cause for an obstacle, resulting in neglecting the use of reflective practice. One could find it hard to organise thoughts with no organisation and lack of planning. Rubin-Morton (2015) also indicates that certain people struggle with expressing emotions and find reflecting on bad experiences unnerving, thus avoiding the use of reflective practice. (Wilson 2011) illuminates how “three in four nurses don’t have time to talk to patients” due to high workloads therefore time can be one of the biggest barriers in a nurse’s career.
Extra budget is needed for training the nursing staff and a new IT support teams is needed for the new system. There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al.,
The nursing faculty shortage has compounded the nursing shortage since there are not faculty to teach the students. According to Nardi and Gyurko (2013), over 75,000 applicants to nursing programs are denied acceptance due to lack of nursing faculty, clinical sites, and budget constraints. Factors that influenced the faculty shortage included: aging faculty, reduced qualified members in the hiring pool, poor salaries, lack of funding for full-time positions and job dissatisfaction. According to Allen (2008), the nursing shortage will continue to increase healthcare cost, increase the potential risk of harm or injury to patients and decrease access to
Although, twelve-hour shifts may be cost-effective for employers, by reducing the number of employees necessary, research shows that it may not be the most efficient way to handle the budgeting problems, because it leads to so many negative adverse effects. David Aveyard, an intensive care unit nurse, has varying viewpoints of twelve-hour shifts, and evaluates both the positive and negative aspects of working longer shift times. He conducted a literature review, which evaluated the effects of twelve-hour shifts in a critical care setting. Aveyard only used articles that were research-based, published in a peer-reviewed nursing journal and relating to intensive care unit (ICU) nursing, patients and twelve-hour
Unfortunately, the validity of many of these potentially powerful arguments diminishes as she neglects to reveal raw, accurate statistics and their sources. In this sense, important information such as the fact that many "[…] promising graduates are now, three or four years later, working for $8-12 an hour […]", becomes easily overlooked by critical readers, faulty of the necessary information to analyze and deliberate upon the data originally presented. Consequently, Ehrenreich 's practice of imposing such reasonings upon her public doesn 't resonate well with the vast audience of critical, well-educated and curious
According to AJN 2008 “the large gaps in care that are for patients and their caregivers during critical transitions can lead to adverse events.” This eventually result in , low satisfaction with care, and high hospitalization rates. As per the Journal of Nursing Education and Practice, 2013, “It is evident from study that nurses have a negative attitude towards the care of the elderly whereas they showed equally good knowledge of geriatric care.” secondly there is no specialized health care professionals due to which the care of elderly compromised. The existing health care providers lack of proper training to handle elderly patients with special health care issues. Explore the reasons for identified gaps in your practice settings 1. Gaps in transitional care and Improper training 2.
As illustrated from the results of the current study the majority of nurses had unsatisfactory level of knowledge and incompetent practice about diabetes and DKA before application of CP as compared to post implementation of CP the relatively high percentage of them gained satisfactory level of knowledge and competent practice. This might be due to lack of continuous education for these nurses, in addition to lack of their motivation to updating their knowledge.These results supported by Hussein (2014),
The number of Certified Nursing Assistance (CNA) to patients or residents is becoming a horrible problem. Patients do not get all the care they need or deserve because the certified nursing assistant ratio to patient is not what it should be. Certified nursing assistant jobs are not an exciting or even a job you would think about perusing, but it is an important job for people that can not take care of themselves like they should. Especially for people with dementia, ole timers, or any other illness. Only California, Nevada, Texas, Ohio, Connecticut, Illinois, Washington, and Oregon have a law where you have only a certain number of patients to CNA’s for each shift.
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. Whenever a nurse does a good work she does not gets recognition for it and if something is wrong done by the nurse so she is negatively criticized for that work.
This fact leads to the tendency to be noncompliant to the treatment by the patients. On top of this, the increasing treatment costs and lack of insurance coverage adds to the problem (Iuga, McGuire & McGuire, 2014). These factors make the people opt to visit the ER instead of going to the doctor’s office.
Some of them that I have personally experienced are mainly when they are not happy with wages. They are not happy with what they are paid and some of them are underpaid for the amount of work they do. This leads to decreased motivation and interest in working and they look for opportunities to take a leave from the work and even pretend sick when they are not. They even look online for better opportunities where they can be paid more for the same work. Secondly, many of the employees in the hospitals have fixed job status for a very long time and when there is no scope for any growth, they get frustrated and it is seen in their performance and when they get any offer from other organization even for the same position with higher salary they tend to move out of the organization.