An ineffective healthcare policy that I experienced in my practice is skin assessment sign-off at shift change. Although an excellent policy, this was unsuccessful due to inadequate staffing and working long hours. In the Intensive Care Unit (ICU), some patients are high acuity and the nurse-to-patient ratio needs to be one-on-one. Other times an ICU nurse can have three patients due to low staffing. Jooste and Prinsloo (2013) stated that when a hospital is low on staffing, the aftermath can affect the patient’s quality of care as well as their safety. Further research stated that the American Nurses’ Association have guidelines for making decisions on staffing, which “suggest that the number and acuity of the patients, the level of staff working …show more content…
After a 12 hour shift, nurses are tired and just wants to give report and go home. According to Horrigan, Lightfoot, Larivière, and Jacklin (2013), working long hours can cause nurse illness and injury, fatigue and safety problems, feelings of burnout, and depression. This causes the nurses to get discouraged from having to say longer than necessary checking the same patients at the end of each shift. The result of this is neglecting to comply with the policy and a failure in the skin assessment sign-off. Using incrementalism as a policy making mode, skin assessment sign-off at shift change can be successful. One way of accomplishing the skin assessment sign-off compliance is to assign all the off-going nurse’s patients to the same nurse, when feasibly. This can decrease the amount of time spent giving report and conducting the skin assessment sign-off at shift change. Another way of using incrementalism to enhance compliance with the skin assessment sign-off is to conduct it every 24 hours instead of doing so at each shift change. A skin assessment team, with the charge nurse as the leader, could also be implemented to perform this
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The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
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In my clinical experienced, I witnessed nurses who were assigned and burdened with too many patients. Certainly, staffing impacts the quality of care that the patient receives that is why I think that it is important for nurses to speak up and let the administration know what is happening. For me, this represents the nurses’ ability to make decisions considering many issues that affect their personal welfare, their practice environment, and the quality of patient care that they provide. Nursing is a trusted profession, and for the public, the strike is a symbol of a negative behavior. In order to uphold nursing’s image and allow for management/hospitals to respond effectively in maintaining patient care, a 10-day notice of intent is required (Cherry & Jacob, 2017, p.
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.
Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of
According to Stanton, low-staffed hospitals resulted in higher incidences of poor patient outcomes. Such as, UTIs, pneumonia, and fall. However, poor patient outcomes not only result from short-staffed nurses, but can also result from inadequate nursing assistants as well. NAs play a great role in providing basic daily care of patients. These professionals are very crucial in the healthcare industry but sadly, there are NA shortages.
In less acute circumstances, long term outcome of understaffing can also be detrimental to patient condition. Often, when a staff member is overwhelmed with the workload, nursing actions which are perceived less critical may be pushed to the back burner. Debilitated patients may not be turned and repositioned resulting in hospital acquired pressure ulcers, which not only affects patient outcome, but also taxes the hospital
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
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).
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.
Talking about skin aging is a sensitive topic these days as no one would like to actually picture the whole process of their skin losing that youthful appeal after a few years. However, it is essential to know that our skin is like any other part of our body. To be more scientific, skin is the largest organ of the human body. This organ is the first layer which serves as the line of defense and prevents the entry of harmful microbes as well as harmful particles. Apart from this, the body temperature is regulated and the moisture content in the body is also regulated to a certain extent by the skin.
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
• Assessment: Nurses often feel uninformed when changes are made. Not being made aware of important changes can affect patient care. • Nursing Diagnosis: Communication breakdown due to ineffective delivery of new changes related to patient care. • Goal setting: Implement an education book that is placed near the nurse 's station and nurses are responsible to read the changes and sign off when they have read it. • Evaluation: Nurses are better informed and are up to date with new