Summary: Improving Nurse Retention

Incivility in the Workplace and Impact on Nurse Retention Clinical Question The clinical question that is being addressed is whether nurse incivility leads to high turnover rates in the clinical setting. Nurse incivility is a serious issue that must be addressed. Studies have shown that incivility, such as bullying in the work environment is a major source of job dissatisfaction (Berry, 2016). It is important to understand that based on research studies, a healthy work environment is related to improved nurse retention and higher levels of job satisfaction (Ctsai, 2011). Therefore, one must come into realization that it is the conditions that nurses experience in the workplace which affect not only their turnover rate, but their physical and

Abstract Patients have a right to receive the best treatment possible in medical settings around the world. Sometimes a patient can refuse that treatment and as nurses we have to stand by and let that happen. Despite the fact that informed consent is not always directly obtained by a nurse, we still have a duty to assist the physician and patient in order to make the process as fluid and smooth as possible. One of the best interventions we can implement is guide a patient by educating them so that they understand the procedure and the risks involved with it; by doing so, we preserve patient autonomy. As nurses we establish a bond with our patients and we want to help them as much as we can, so obtaining consent from a patient and making sure

This way, the subordinates would take inspiration from the head nurse regarding work and may look up to him/her and might turn up early for work as well. I do not see myself in either of the occupations because both careers requires dealing with patients in a calm manner and being considerate at all times. I, on the other hand, do not have the ability to be considerate as my level of being calm is not the kind that would help me in the medical field. Furthermore, the head nurse has the leadership of being autocratic. In this kind of leadership styles, they make certain to have the orders given to their subordinates.

The turnover rate should be a concern for nursing leadership since the average cost of RN turnover per nurse ranges from $37,000 to $58,400, losing hospital up to $8.1 million per year. Strategies to improve RN retention such as improving communication from leadership,

Without hope there is no motivation, especially for patients who are sick and going through life-changing circumstances. Their recovery process will slow down and may not be even possible if there is no hope, if there is no looking forward to the future and the best possible outcomes. Hope has been defined as a positive and necessary aspect of human life that is a future-oriented, motivating factor (Brumbach, 1994). Nurses have the greatest and hardest role/job to create a positive expectation in patients who have to go through very tough and challenging situations when hospitalized. Nurses can create a positive energy and positive attitude towards patient’s recovery process.

John’s reflective model of influencing factors reveals the key elements which contributed to this incident. The (NMC, 2015) emphasizes on the duty of care a nurse should provide to service users which was not met in this incident. This creates awareness of the lack of basic nursing skills and qualities such as a breakdown in communication, lack of competence, decision making, policies regarding A&E slips and a lack of the school nurse’s responsibility/knowledge about her caseload and children with long term health conditions. It also identifies key issues such as a lack of collaborative working to prioritise health needs and “nursing culture”. The Department of Health (2004) highlights the importance of inter professional working to optimise health needs of children with long term illnesses, it identifies that this improves health outcomes for the child, supports the family and promotes social inclusion.

Abandonment and Nursing The career of nursing is more than just healing the sick. Nursing often causes nurses to face moral and ethical dilemmas. “Ethics refers to principles of right and wrong behaviors, beliefs, and values (Zerwekh & Garneau, 2015, p. 420).” When new graduate nurses begin their careers the first twelve months are a great time to gain a better understanding of personal beliefs and how they can affect patient care. Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs.

AACN Baccalaureate Essentials The AACN Baccalaureate has nine essentials, essential number two “Basic organizational and systems leadership for quality care and patient safety” applies to baby boomer nurses retiring and leaving a big gap in the workforce. With baby boomers leaving the workforce, there will be a demand for nurses and the supply of nurses available will be short, young, and inexperienced. This will affect the quality of care and safety of the patient, which is why this issue needs more attention. Working towards preventing this issue needs to start now as nurses can’t wait till it happens. In essential number two it says “Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care” (AACN, 2008, p.3).

I had learned so much from this class that I will take with me into my nursing career. During this course, I was able to think critically and tried understand what is like to be old. I am happy to say that my results were outstanding and I think the information that I had acquired from doing the internet explore on many different topics will be useful to me in the future. I work in a nursing home and I love helping people with their activities of daily living. Many people that I helped have amazing stories to tell about their life and the things they had done.

Sinek explained that for workers, “If the conditions are wrong we are forced to expend our own time and energy to protect ourselves from each other. And that inherently weakens the organization”. In nursing, if nurses perform poorly and are unable to successfully care for patients that reflects on not only themselves but also their unit, organization, and ultimately their profession. It has been found that nursing is the most trusted profession and I would absolutely like to keep it that way. I realize that I would not be able to do this without the support of those around me and without creating an environment conducive to my vision.