The study found that reducing turnover from high to medium levels was associated with increased quality, but the evidence was mixed regarding the quality improvements from further lowering turnover to low levels Conclusions: In conclusion, the turnover rate for nursing home staff is high. The 1-year turnover rates identiﬁed in this study were 59.4%, 37.0%, and 36.1% for NAs, LPNs, and RNs, respectively. 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?
In conclusion, health care system should provide enough staffing to handle the high workloads in the emergency department. 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 As a leading cause of disability in the adult population, strokes are a financial burden on the healthcare system and devastating to families. As a contributing factor, most stroke patients will require some form of lengthy rehabilitation to return to their optimal level of function. The sub-acute rehab (SAR) setting is one setting in which stroke patients are cared for and receive rehab. The majority of SAR programs concentrate on routine exercises performed by Occupational
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. Therefore, it would be beneficial for colleges to improve their recruitment practices to increase enrollment of minority groups.
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
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. Cost For instance, inmates over 55 are more costly than their younger counter parts because of their increased medical needs and special treatment . It has been said that inmates over 50 spend more than twice as much time at a medical facility and it is also estimated that an elderly inmates suffer from three chronic illnesses The average cost for a prisoner over 50 is 68,000 a year
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. Due to patent expiration, many brand name drugs are soon going to have generic forms.