Some include alienating themselves from everyone else, utilization of drugs or food to cope with things, taking a while to actually get things done, taking out frustrations on other people, or skipping work/school. According to an article by Charanjit Singh, gender, level of qualification, and age contributes to the risk factors of burnout (Singh, 2011). A nurse does not become burnt out easily, it’s a process and as it gradually becomes worse then it will lead to a burnout (Smith, M., Segal, J., Robinson, L., & Segal, R. June, 2016). Negative Consequences Nurses who are often suffering from burnout typically have a lower quality of life.
Nurses Level of Leadership and Autonomy United States Within the United States, the oncology nurses play a vital role in leadership being at the forefront of care, as well as having a wide range of autonomy. However, ultimately, the providers make the orders that the nurses have to follow. A 2013 article, Nursing Practice Environment and Outcomes for Oncology Nursing elaborate on autonomy within the oncology nursing field.
Nursing is a calling that is professionally satisfying and rewarding as nurses set out to give care to other people. However, the hard work can become emotionally and physically challenging due to the tension and turmoil that comes within the profession. Nurses may start feeling frustrated due to common nursing stress or something more serious, such as compassion fatigue and burnout. It is thus important to watch out for the warning signs for burnout and compassion fatigue, which put both the healthcare workers and their patients at risk. Compassion fatigue affects job satisfaction, emotional and physical health of nurses as well as productivity and turnover in the nursing profession.
When the focus is on money and dividends, it becomes hard to see the advantages of evidence based practice. The tight fist managers operate under also influences their attitude towards implementing change. With nursing shortages at an all-time high, managers are forced to institute mandatory overtime, and nurses work short the majority of the time. This leaves nurses with less time to provide care, let alone try to research and implement EBP. With the high rate of turnover resulting from high burn-out rates, managers are focused more on hiring and retaining staff, and not on implementing policy changes.
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.
In healthcare in particular, patient satisfaction is of paramount importance. Patients who are not satisfied with their care are less likely to go back to that hospital in the future and are less likely to recommend that hospital to their family members and friends. It is generally noted that a benefit of nurses working longer shifts is that there is better continuity of care as there are less hand offs, and the nurse is with the patient throughout a longer portion of the day. However, data shows that in most aspects patient satisfaction decreases as the length of a nurse's shift increases.
Many theories exist in nursing today and are used as a guide to practice, and as well as providing a framework for nursing research. The purpose of theory in nursing is to provide an improvement in practice and positively to influence the health and wellness of persons, families and the community. In nursing, there should be a mutual relationship between theory and practice, practice providing the basis for nursing theory development where theory is validated in practice (McEwen, 2014). The problem of nurse fatigue continues to plague healthcare organizations worldwide because of long working hours, accepting extra assignments and sleep deprivation that can be dangerous for both nurse and patient.
Effective nurse staffing is vital to the delivery of high quality patient care. In this manner, nurse staffing is a vital health care issue since nurses are a significant element in the delivery of health care. The work of nurses, unlike the physicians’ work is rarely organized around specific disease populations since patients are normally grouped by nursing care intensity or age group such as intensive care or geriatrics (Duffield et al., 2011). Additionally, elderly patients who need minimum nursing care might be separated into surgical or medical units nonetheless might as well be combined into one ward.
However, it’s the nurses that face several risks. The dangers range from sickness to violent people to just plain fatigue. The first hazard of working in a hospital, is the sickness that gets passed around. She tells me you have to be careful around the ill people and not to become sick yourself. The next jeopardy, is working with unsafe patients and their disruptive behaviour.
- Nurse fatigue is a clinical problem that cannot be overlooked. - Nurse fatigue impedes nursing competency and patient safety. - Long working hour highly associate with nurse fatigue - Nurse fatigue increases medical errors that threaten patients’ safety and outcome; put nurses own health in danger. - Nurse fatigue increase healthcare system cost. - ANA spotted the serious consequences of nurse fatigue and posed a position statement that required nurses and healthcare facilities to work together to reduce nurse fatigue.
Reasons for safe staffing ratios From the early beginnings of nursing to present day, safe nurse staffing ratios have been a heated debate. High patient to nurse ratios have been the norm for over a century throughout the United States. As time went on nursing care, technology, cost containments and patient acuity changed drastically further fueling the need for safer staffing levels. Safety in numbers has been the battle cry of nurses across the United States since the 1990’s when cost containment strategies changed the way hospitals managed costs by regulating patient admissions, lengths of stays, patient acuity and training requirements for patient care.
A healthcare system should include an interprofessional team that works well together. If everyone in the interprofessional team is not cooperative or passionate about building the group, this may impact a patient’s outcome. The goal of an interprofessional team within a healthcare system is to provide the finest quality of care for their patients. If one or multiple cannot put the effort to work with others, the intended result may be corrupt. It is vital for healthcare interprofessional teams to function as a whole to provide the greatest result.
All professions follow a code of ethics. A code of ethics provides legal and ethical guidance to members of a profession. The field of ethics describes how we must treat each other, how we must act, what we must do and why. As professionals, we identify ethical issues that tend to arise within our chosen profession. To consider ethical issues, we need some level of guidance, which is the code of ethics.