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. Memorial Hospital should adapt a staffing grid for each unit. According to the guidelines followed by California there should be a minimum number of patients per nurse. This number will vary
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Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). 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.
Medication Nursing Assistants Nursing assistants have long been the heartbeat of assisted living, long-term care and rehabilitation facilities alike. Over time, their roles in these settings have evolved to accommodate the needs of the RNs/ LPNs they work alongside and the cliental they care for. In 2001, the National Council of State Boards of Nursing (NCSBN) expanded the capacity of NAs in an effort to facilitate safer staffing ratios.
Advanced Practice Registered Nurse (APRN) has grown in the past years and continuation of its growth is expected. Studies show that there are some difficulties that a novice nurse experience as they transition to APRN. (Hill, L. *& Sawatzky, J. 2011). The transition is also stressful for the nurse practitioner, thus making the NP feel inadequate, overwhelmed and incompetent. Fortunately, there are steps that can help this transition run smoothly.
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.
In order for hospital units to maintain somewhat safe ratios a sliding scale approach formula is used by a lot of units across America. An article from The Journal of Nursing Administration on Nurse Labor Data: The Collection and Interpretation of Nurse-To-Patient Ratios states that “almost all units used a sliding scale approach to account for census changes” (Minnick & Mion, 2009, para. 23). If the minimum ratio is four patients to one nurse for said unit the admission of more patients beyond the minimum ratio requires that an additional RN is needed in order to rebalance the ratios to meet 4:1 (Minnick & Mion, 2009). The example sliding scale formula mentioned above may not always work as favorably as nurse managers would like it to. The more patients with high acuities are admitted the more caseloads the nurses have to take on, more so if the unit is short staffed and there are no extra nurses that can be called in to lessen the workload.
Nursing in America: How a nurse’s working conditions and work load are effecting patient care as a whole Ryleigh M. Kennedy Mill Valley High School AP Literature and Composition Mr. Shull May 9, 2023 Abstract This paper goes over how the nursing shortage is effecting patient care around the world. The nursing shortage is causing poor working conditions for nurses which is in turn effecting care they are able to provide their patients. With sources going back until 2003 and up to 2022, this paper provides statistics and quotes from registered nurses urging something to be done and sharing their experiences. This paper also provides solutions to this global issue and why it should be considered an issue to all of society.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
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
Short staffing is one of the many challenges nurses encounter in the work environment. The impacts can be detrimental primarily to the patient’s outcome. To examine the effects of short staffing, research was conducted on 36,539 hospital inpatients to evaluate the amount of those exposed to an understaffed shift and how many patient outcomes resulted in a NSO (Twigg, Gelder, & Myers, 2015). NSO’s are nurse sensitive outcomes based on the nursing care provided to the patient. Patients exposed to short staffing had an increase of greater than one chance of NSO’s compared to patients not exposed (Twigg et al., 2015).
In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.
Nurses are trained and educated to provide critical care, and minimal care to their patients. However, no one with any amount of education or training can provide safe and effective care when given 10-30 patients per one nurse. Hospital nurses that work on critical care units and medical units, can have up to 10-30 patients, if understaffed. In this situation, nurses are more prone to medical errors in charting, giving wrong medication to patients, and unintentional neglect.
It is important to identify why nurses are becoming stressed and how to reduce work related stress. The past 10 years there has been an increase in stress levels for nursing staff. In 2001 a survey was conducted by “American Nurses Association”. The study results showed that 70.5% of nurses cited the acute and chronic effects of stress and overwork among their top three health and safety
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
Nurse and doctors both are important part of a hospital and there occupation is full of stress despite of different level of employment (Scott, 2013). Stress is classified as a precursor or stimulus in response to certain situations, interactions and harsh behaviors. It can also be defined as psychological behavior of a person in response to the environmental condition risking his or her life in danger. In hospital setup, there are certain issues relating to patients, long work hours, misinterpretations, shortage of medications and shortage of instruments that create stress for doctors and nurses. Such events predispose the stress factor and can be threating.