State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety. Throughout this paper, I will explore both the pros and cons of mandated nurse-to-patient ratios in order to resolve the question, does nurse to
350). Due to the increase in accountability of FNPs to provide safe, quality, and cost-effective health care, it is imperative that the nurse is fully prepared for practice as a nurse practitioner (NP). The outcome of the NP’s role transition can be inhibited or promoted by different transition conditions, such as the environment, availability of resources, support, and nursing experience. All of which fall into the lines of Meleis’s types of transition, making the process complex and multidimensional (Meleis, et al., 2000, p. 18). The role of nurse practitioners has extended in practice to provide comprehensive care. However, as the nurse transitions he or she must adapt to new ways of thinking, and change behavior patterns to facilitate the transition (Meleis, 2010, p. 431). The nurse must work collaboratively with physicians to solve patient problems and care for the patient effectively due to the rise in complex patient
Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the
Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike. The purpose of this discussion board is to discuss evidence-based practice in depth, including the nurse leader’s role, strategies for implementation, forces behind change, how organizational infrastructure and culture help or hinder implementations, and finally, describe the process
Personal philosophy differs for everyone, but generally guides a person in their professional practice in addition to their private lives. In my personal philosophy, I largely base my nursing pathways and private life on ethical values. Although I understand that there empirical beliefs that guide many nurses, and I am still a fresher nurse without years upon years of experience, I still hold ethics at the core.
Evaluation is the process that provides evidence that what we as nurses and nurse educators make a value-added difference in the care we provide. It can be defined as the systematic process by which the worth of teaching and learning is judged (Bastable 2014). There are two main evaluation models when evaluating Karl’s learning; they are the formative and the summative. The formative evaluation is integral to the education process itself, this on-going evaluation helps the nurse prevent any problems which may occur during the teaching. To evaluate the teaching it is important to know what Karl has learned, ask questions to discover if the information provided has been effective. The summative evaluation is to determine the effects of the teaching efforts. It is intent to summarise what has happened as a result of the education. Guiding questions to ask Karl after the teaching plan had been implemented would be did he find the teaching
An action plan for implementing the pilot program for intentional hourly rounding will begin for the telemetry unit selected. Prior to initiating hourly rounding all staff nurses, charge nurses and nurses assistants will attend an educational in-service provided by the clinical nurse educator on the benefits of hourly rounding, how to effectively complete hourly rounding and who is responsible for the rounding. The education will be offered at set times and is mandatory for all staff to attend. Hourly rounding pilot will begin on the selected unit on the November 1st 2015. A rounding log has been developed and will be placed on the board in each patient’s room. It is to begin when the patient arrives on the unit and continue until discharge. The nurse will inform the patient of
The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care. The purpose of this paper is to report results of an organized review of the literature which studied bedside reporting in the hospital
Change agents are aware of the needs of the environment, need to upgrading nursing practice, and recognizing that change comes hard for people.
The perception that “little things can make a big difference” motivated this reader to study Malcolm Gladwell’s “The Tipping Point”. As a future advanced practice nurse, considering all options regarding quality care and safety for patients, whether big or small, can mean the difference between a healthy life or one that is limited.
Change is inevitable and constant in the modern world. Continuous advancement in technology is also changing the healthcare system to ensure patient safety and provide high quality patient centered care. The hospitals are adding more and more computer assisted devices and the nurses are facing new challenges every day. Change in the workplace means making changes in the work environment that is different from the current state. Implementing a change can create anxiety or fear of failure in nurses, which may lead to a resistance to change practice. “Changes to a system may be anticipated and planned, or they may be sudden and unexpected” (Yoder-Wise, 2015). The reimbursement
During the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients. The effectiveness of hourly rounding has been clearly outlined by various evidence based materials and nursing literature, guaranteeing its adoptability (Fagan, 2012). All the same, it is most for the healthcare organization to found out ways of making hourly rounding a policy, in order to help nurses internalize the strategy as part of normal caring
Neff, Cimiotti, Heusinger, & Aiken (2011) carried out the largest survey of registered nurses ever conducted in a large southeastern state to see what the nurses have to say about providing safe and effective care and how satisfied nurses are with their current nursing position. A survey was sent out to a random sample of 49,385 registered nurses who were working and residing in this southeastern state using a modified Dillman’s methodology. Neff et al. (2011) mailed a cover letter explaining the purpose of the survey. Then a postcard was sent out a week after the first mailing to encourage participation. All the nonrespondents were sent a second mailing, and a voice message was sent to all nurses 2 days after the initial mailing and 2 days
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.
A competent nurse is knowledgeable, compassionate, holistic, ethical, a patient advocate, and integrates other disciplines in order to achieve excellence in quality patient care. I believe the road is paved with multiple opportunities for students to experience and collaborate with competent nurses. Because I believe the qualities that are characteristic of a competent nurse also are characteristic of an competent nurse educator, my teaching styles reflects my nursing practice. I believe a student 's level of commitment is influenced by my enthusiasm and passion for teaching. For me, it begins by investing my time, knowledge and experience in students. Developing collaborative student relationships fosters a sense of mutual trust and respect. Gaining every student’s trust enhances the learning relationship and is reflective of my commitment to caring and my dedication to student success to achieve their goals. When it comes to classroom instruction, I feel that how I teach is equally as important as what I teach. I integrate current evidence based practice in all course content. I feel it is important to include new innovations and applications not only within nursing but within related and supporting disciplines. A teacher is no longer the source of learning, rather a facilitator of learning. As a teacher I should know my student and understand that all students possess diverse backgrounds, by knowing your students, I will be able to decide which teaching style and strategies are needed to maximize their learning. I strongly believe it is vital to encourage the integration of culture, ethnicity, and life experiences into personal and corporate learning. I believe it is important to develop and implement innovative strategies in teaching. I feel that student learning is enriched and confidence increased with the utilization of