These results add to a rather large body of research over the past 30 years also showing high rates of caregiver turnover. Most important, the study shows that, in general, high rates of turnover are associated with worse quality of care. Application: I plan to use the article to show negative impact of high turnover of
It is crucial to maintaining the appropriate nurse-to- patient staffing ratio for providing safe patient care outcomes. Nursing shortage lowers the nurse to patient ratio that can increase medical and medication errors, patient complication, mortality and also increase dissatisfaction and burnout among nurses. According to researcher Shekelle, he found the significant relationship between high patient-to-nurse ratio and mortality rate. For example, in 232 342 patients discharges, post surgery of some hospitals in Pennsylvania, 2 percent (4535 patients) died within 30 days of hospitalization. As the result, this study found the difference between 4:1 and 8:1 ratios of the patient each nurse has may cause about 1000 deaths of the total amount
Nursing burnout is the major cause of patients that have died from acquiring infection during hospital stay. The risk factors of burnout lead to cognitive detachment in nurses, resulting failure to perform adequate hand hygiene and other infection preventive measures. The study presented that for every 10% increase in nursing burnout, the rate of catheter associated urinary tract infections increased one per 1,000 patients, and surgical site infections increased more than two per 1,000 patients every year. Over 1/3 of the nurses surveyed, estimate that reducing the burnout rate of 10% would prevent over 4,000 infections per year, and also eliminate the associated monetary cost of these infections. (Dr. Cimiotti,
INTRODUCTION Anxiety prior to surgery is common, indeed up to 80% of patients will experience it (1, 9). With anxiety disorders affecting approximately 15% of the UK population (2, 3, 9), preoperative situational anxiety may significantly exacerbate an existing anxiety disorder. While anxiety can be expected in the preoperative period, research demonstrates has been shown to have that it has negatives effects in the postoperative period, from increased postoperative pain to decreased wound healing, and long-term psychological distress (4-9). This raises the question of whether doctors are ethically obligated to tell their patients the truth and just how much information should a doctor disclose to their patient? Are there any situations when disclosure is ethically objectionable?
Another way to avoid this problem is to implement laws to regulate how many hours nurse can work per week. Sleep is important and sleep deprivations lead to many errors that a nurse can make. Nurses should be reeducated on the importance of sleep and fatigue related problems and their impacts on patient safety and medical errors. The last one I saw was titled “Gender Differences in Choice to Attend College for Hispanic Families” by Stephany Ortiz.
OPTIMIZING STROKE CARE 2 Optimizing Stroke Care in the Sub-Acute Rehab Setting Anita Jackson Chamberlain College of Nursing NR451 RN Capstone Course Winter 2018 OPTIMIZING STROKE CARE 1 OPTIMIZING STROKE CARE 9 Optimizing Stroke Care in the Sub-Acute Rehab Setting
Debra, In my practice, I also see more white nurses in a managerial position than the minority groups. Another consideration is the diversity in the age of nurses. The average age of nurses in the workforce is increasing, which means that over the next ten to fifteen years one-third of the nurses will be over 50 years old (Andrews & Boyle, 2016). At some point, our country will be suffering from a nursing shortage due to this group of nurses retiring.
This article focused on emergency department boarding expresses the idea that department crowding is not an emergency department–based problem. Rather, it is a symptom of dysfunction in interrelated parts of the broader health care system. The article identified that particular patients are more susceptible to boarding in the emergency department for longer periods. Blacks, females, the elderly, psychiatric patients, and patients suffering from pneumonia and congestive heart failure have longer boarding times than others in the emergency department. In large metropolitan areas, 48 percent of admitted patients board at least two hours, but in areas with populations of under one million, only 23 percent of admitted patients board at least two
Furthermore, during the past three decades the United States prison population has increased sixfold. Research has found that the growth is not caused by more crime but by policies that send inmates to prison for longer periods of time. One of the consequences of this is the increase of older inmates in prisons. Unless dramatic changes come to sentencing and the parole policies the number of older prisoners could soar over 400,000 by 2030 posing a tremendous threat to state and federal budgets.
Lori Chordas claims in her viewpoint that the production of generic versions of prescription drugs cuts the price of medication notably. Brand names can cost from thirty to eighty percent more than generic versions of the same medication. More Americans are recognizing the savings associated with buying generic brands instead of brand name. Generic drugs made up sixty five percent of prescription drugs distributed in 200 according to IMS Health.
Various studies have shown that heart diseases are number one killer in America. It has been observed that rate of re-hospitalization of patients, aged 55 years and up, suffering from suffering congestive heart failure is quite high than other ailments. Many researchers have pointed out that inadequate patient education at the time of discharge is one of the reasons of increased rate of readmissions in CHF patients. Many studies show that the lack of self-reliance and gist of self-care management are the root cause of re-hospitalization.
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5).
Medicaid relates to critical race theory in how many low income individuals are able to access health care nationwide. According to PBS News Hour (2015), “ In California, 3 million more people than expected have enrolled in Medicaid, but that success has exacerbated longstanding shortages of some kinds of care” (para. 1). This directly relates to social work practice in that I could have client’s that will be affected with the changes. People could have a hard time trying to find providers in their areas for their specialty needs, that will also take Medicaid as payment. Most providers do not want to take Medicaid patients because they will not get paid enough for each patient compared to private health care payment.
Medication administration errors occurs 34 percent more often than any other preventable error. These errors directly impact patient safety. According to the Institute of Medicine (IOM), there are approximately one million patients harmed in hospitals across the United States. Studies support barcode scanning medication during medication administration can prevent this type of medication error (Marx, K., Stoudenmire, L.L., & Manasco, K.B., 2013).