Nurse Retention In Critical Care

There is a great need in the nursing world to ensure that quality and safety are focused and stressed upon in nursing education. The Quality and Safety Education for Nurses (QSEN) address the issues of effectively teaching, in regards to quality, and safety competencies in education (Dolansky & Moore, 2013, ¶ 1). The QSEN was developed to provide nursing education from the focus of individual patient care to the focus of care of the health care system. The QSEN recommends ways to educate and calculate heath care system thinking (Dolansky & Moore, ¶ 1). QSEN really is asking for the nursing profession to move away from individual patient care frame of thinking and prepare graduating nurses with the knowledge, skills, and attitudes (KSA) to really look detailed at the health care system as a whole.

Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience.

Nurse staffing is a significant region of worry because it can place a strain on patient safety as well as quality of patient care. With cost effectiveness in mind, hospital administrations have elected to reduce nursing staffing ratios and substitute licensed nurses using cheaper unlicensed personnel. This increases uneasiness as the quality of care in hospitals might be undesirably reduced. The necessity to evaluate nurse staffing is essential.

Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective. Improvement of nurse staffing levels will improve the quality of care our patients receive.

Nurses are uniquely positioned to be present at virtually every level of our health care system, nurses work at the community centers, clinics, hospitals and nurses are also present not only as bedside clinicians but also at the level of management, in the form of nurse managers, supervisors all the way up to the Director of nurses. We have a unique vantage point of the real state of affairs of our health care system, with the push for higher education and training, nurses will start to occupy more influential

They are in the key position to introduce interventions and strategies related to patient safety. Once of the critical impact on patient safety by nurses in all settings is the capability to coordinate and integrate the numerous aspects of patient care provided by all involved.

I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety. In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and

Helen Hammond is an experienced resource nurse for more than ten years at Bakersfield Heart Hospital. She has an experienced in Critical Care Unit, Medical Surgical and other various hospital clinical settings for almost thirty years. She facilitates efficient flow of the patient care, staff work flow, accurate paperwork, and making sure that medical supplies and devices are working properly and accurately. She has capabilities to communicate to other staff, physicians, patients and families. Her experienced taught her to cope with certain challenging situations and able to utilize her critical thinking skills when solving any problems that may arise. Due to the standard of an organization, ability to think critically, efficient communication and

There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,

I am writing to follow up on the Registered Nurse position as I have not received any correspondence on the paperwork to officially transition over from my current position as a Patient Care technician. My release date from my manager is on April 3rd as Sharon from the Nurse Recruitment and Retention office is working on getting the documents ready for new hire.

The nursing shortage is nothing new or going away any time soon in the United States of America. The United States has seen a shortage before, but by 2025 we will see it crumble, if something doesn’t change. “Health Affairs reported that the nursing shortage will grow to 260,000 RNs by 2025 – twice as large as shortages that have occurred since the mid-1960s.”(http://www.villanovau.com) Most notably, patient safety is in jeopardy causing medical errors that otherwise would not occur. Nurses are also feeling frustrated and unappreciated within their careers causing these errors. It is important that the nursing shortage be talked about and addressed, before the impact of the shortage is too impaired to come back

The Nursing profession currently consists of more than 3 million members. It is the nation’s largest segment of the health care labor force. The importance of their contribution to a medical system is concealed in the fact that they span many domains - from hospitals & health clinics to public health centers. Their varying educational attainments allow serving the miscellaneous needs of the communities ranging from direct patient care to scientific research. Many studies have shown that, coupled with the capable leadership, nurses can improve the efficiency of hospital care. In particular, Transforming Care at the Bedside (TCAB) program initiated by the Robert Wood Johnson Foundation, which ran from 2003 to 2008, produced a statistically

Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and

designing care with the patient and family is a true skills set and cultural attribute that adds