Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability.(Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff .(Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) . Bases upon several studies 25% to 33% of critical care nurses have a symptom of sever burnout syndrome.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). BURNOUT AMONG NURSES AND QUALITY OF CARE
Introduction As a whole, fall injuries in hospital settings cost around $19 billion in the year of 2000. In 2020, the cost of falls is expected to cost over $54 billion (Hicks). The government deemed that since hospital falls were avoidable, they decided that they would no longer reimburse the expenses and instead the hospital would have to pay for the mistake by itself. With the cost of falls rising, it is even more important to bring to light the importance of fall prevention and safety.
Specific prolonged illnesses, such as diabetes, stroke, and mental conditions, Alzheimer’s diseases are determining factors of placement in a nursing home. Elderly persons who live alone with the inability to accomplish daily functions are another reason for placement. Finally, mild cognitive impairment which is considerably underdiagnosed is reason for placement in nursing homes. Understanding these issues, not all nursing home facilities have services that will provide residents with the necessary help needed. Since these residents must be placed into a facility, and nursing staff remains understaffed, short-handed, and overworked, consequently, abuse, neglect and mistreatment rise to the surface where residents reap this unethical behavior.
Understaffing in hospitals is a major problem that has been affecting healthcare workers and patients for many years. I have chosen to highlight understaffing as a patient safety issue because of the consequences that can arise from it. Shortages in staffing can result in an increase of infection rates (Stone et al., 2007) leading to complications and poorer patient outcomes (Needleman et al. 2002). This particular issue is of interest to me because I have experienced and witnessed it myself. As a midwifery student in a busy maternity hospital, I can appreciate the hard work and dedication each midwife gives to their patients.
Nurses often face ethical dilemmas and moral distress throughout various levels of direct and indirect patient care. According to Moon and Kim (2015), patients often die in the intensive care unit, and ethical conflicts frequently occur due to a variety of factors, such as verbal abuse, poor communication between health care providers, and increased incidences of end-of-life issues. I think this is a very important subject to think about, especially when these conflicts can significantly impact job satisfaction, burnout, and ultimately threaten the quality of care for patients.
As all know, the incidence of patient falls will be the big thing in every health care centre. I also worry if Madam Y experienced any complications, I might not be able to forgive myself. This critical incident made me feel sad and disappointed in myself. After this incident, I started to blame myself for the fall and this affected my nursing practice until the end of my shift. I still being uncomfortable and not confident on that day while performing my nursing skills and felt sad throughout the day.
When nurses suffer from these burnouts, it does not only affect themselves and their family, but it follows them to their working environment. It is affecting their coworkers and the patients. This leads to poor quality of care for the patients, increase patient falls, medication errors, increase in hospital acquired infections, and other factors that affect patient care (Gómez-Urquiza, et al.,
Even though some types of nursing home neglect are noticeable, numerous cases of nursing home neglect go unreported and ignored. Reporting nursing home neglect can make a difference between life and death for the patient being mistreated. Malnourishment, thirst, and ulcers are noteworthy worries for a nursing home patient. These physical forms of nursing home neglect may be more definitely identifiable for the patient’s family when they come to visit their loved ones. Wounds from nursing home drops, or choking in a nursing home bed, are likewise both instances of physical nursing home neglect (Gil,
As a result nurses are expressing burnout and job dissatisfaction, moral distress, and the inability to provide quality care to their patients (Erlen, 2004, p. 289). Since the profession of nursing is struggling with
The nursing faculty shortage has compounded the nursing shortage since there are not faculty to teach the students. According to Nardi and Gyurko (2013), over 75,000 applicants to nursing programs are denied acceptance due to lack of nursing faculty, clinical sites, and budget constraints. Factors that influenced the faculty shortage included: aging faculty, reduced qualified members in the hiring pool, poor salaries, lack of funding for full-time positions and job dissatisfaction. According to Allen (2008), the nursing shortage will continue to increase healthcare cost, increase the potential risk of harm or injury to patients and decrease access to
As a nurse, I must extend my concerns for the caregiver as well. In conclusion, living old can be picturesque with today’s advances in medicine, however, the aftermaths of aging can deteriorate bodily systems. Living with a loved one diagnosed with chronic illnesses can profoundly impact a caregiver’s life to the point that it paralyzes social life as well. With the same token, the deep-seeded love for the loved one flows unfaltering and permeates to the core of the heart.
Alzheimer 's is a hard disease to deal with, and more often, caregivers are needed for patients with Alzheimer 's disease. As a caregiver, it will not be an easy thing to do. In fact, caregivers are often stressed and overwhelmed because of the frequent care the Alzheimer 's patients require. They require help with eating, bathing, dressing, taking prescribed medication, communicating, help going to the bathroom, and more. Patients with Alzheimer 's are not able to perform these daily tasks because they may forget how to do them.
Minimum coverage allowed in your state of residence. Under state law, a patient may pursue a civil claim against physicians or other health care providers, called medical liability or medical malpractice, if the health care provider causes injury or death to the patient through a negligent act or omission (Malloy, 2015). In North Carolina, The Nurse Practitioner has different risks and premiums. The recommendations are to obtain as much coverage as the provider can afford, but no less than one million (Krauss, 2004). Some employers will carry the liability insurance but they strongly recommend obtaining one 's own policy for additional coverage.
After reading the case, "Nursing Facilities Case: Mary", one can't help but to feel sympathy for the family members involved with making the decision to do a hip replacement on such a frail body. Should Mary's family members authorize the double hip replacement? What factors should be considered? Who else, if anyone, should be considered? What are the implications of that decision on the parties invlved: Mary, her children, the faculty staff?
My chosen career path at this point in life is to be an Executive Director for a Long Term care Nursing Facility. In the world of for-profit Long Term Care Nursing, everything has a dollar amount associated with it. The average cost of a LTC Nursing facility in the state of Maryland is about $7k per month; unfortunately, people are not able to pay out of pocket this amount of money and the financial burden can tear families apart when coming to the decision that their loved one can no longer care for themselves. Financial concerns should be the least of a families concerns when making such a life altering decision. Nowadays the LTC Nursing facility does not just cater to the needs of the elderly but to also a much younger populations who are