Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
They can result from the various processes involved in treatment: prescribing, dispensing, administering the medication and monitory of treatment. In addition, there are several factors contributing to medication errors in hospitals. They include individual staff errors and system errors. There are many dangers resulting from medication error on the patient. They include deterioration of health status of the individual, increased financial expenses (as there is possibility of longer stay in the hospital) and development of medical complications.
Assessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
Abstract/Purpose: (please refer to separate file) The worsening problem of hospital nursing shortage has resulted to inadequate nurse staffing, which affects our nursing care to our patients and our satisfaction towards our job. Understanding how nursing staffing levels affect both patient and nurse outcomes prompted these researchers to conduct a study on hospital nurse staffing levels (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002). The purpose of their study was to examine the relationship between the nurse-to-patient ratio and surgical patient outcomes, specifically patient mortality and mortality following complications nurse retention as well as the factors that influence nurse retention (Aiken et al., 2002). The study was conducted
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
(Fact sheet: heart and disease). Stress is difficult to measure, but we all know what it feels like and how we cope in stressful situations. (Fact sheet: heart and disease, 2005). Stress is a naturally occurring phenomenon in the life of a nurse. As a nurse, we work with people that are hurt or in pain which results in stress for the patient and also may lead to stress for the nurse.
The nurses are the main perpetrator in this case, as they are the one handling most of the care of the patients. The current situation right now is that there are incidences of missed follow-ups, incorrect diagnosis and poor management of chronic diseases happening in the hospital. I must evaluate if the nurses are neglecting their duties to provide optimal care to the patients or whether it is unintentional. I must also determine whether the hospital management is also to be blamed for the sub-optimal care being provided to the patients admitted in their
Day-4 clinical experience, I was scheduled to stay in the surgery/OR department to watch some procedure. The surgery/OR department is completely different than Med-Surg department. Nurses who work in the OR department seems very busy and fast when they do the patient assessment on the arrival to the department. In this department, the number-one priority nursing care I have seen was patient safety and requires teamwork and interprofessional collaboration. Because surgery is invasive and involves exposure to various anesthetic agents and drugs, and other environmental hazards, complications are common.
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
There are 3 variables they talkabout case-mix which is the residents characteristics, facility characteristics which issize, pay, cost, location, and certification status, and market characteristics which isMedicaid policies. I think that staffing measures definitely has a good association withquality care of residents in a nursing home. If a patient has little time with professional Studies Show Association between Staffing and Quality of Care 3nursing staff they won’t receive the amount of attention they deserve and therefore notreceive quality care.I think a big point in this article is the amount of time spent with patients and theamount of staff you have on hand at a facility. These points are so important because ifyou don’t have enough staff and a lot of patients you may want to help all of them andgive them quality care but it just isn’t in the realm of possibility. You
It’s agreed that Shivonne was a key player in the transitioning of Infusion Clinic to Outpatient hospital. The transition was not an easy task – but Shivonne managed through professionally. Shivonne was once described as an “overachiever” during the transition. Shivonne received an email asking her to check on auth status for one of the patient listed in email. Shivonne checked on all three patients listed in email to close loop.
SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.
In recent times, studies have investigated in the divergence of nursing and social work and the overlapping activities (Kronenfeld, 2009). The MHN principally deals with the physical and psychological well-being of patients in terms of clinical diagnoses, medication and reviews, adherence and psychological therapies. Sommers et al (1992) emphasised on the communication techniques of MHN and Social workers in their interactions with General Practitioners (GPs). Sheppard pointed out that MHN contacted GPs more frequently than Social workers and the rationale for contact often differs. Generally, MHN get in touch with the GPs for the patient’s condition and treatments.
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