While some people believe that the wages given to female workers in Japanese Silk Factories were beneficial, it was not worth the low pay, excessive labor, or the working conditions. Many women took jobs as silk factory workers to get money for their families, but the low pay wasn’t very much help. Document C states that the average daily wage was about thirteen sen
Working overtime signifies many variables such as working over 40 hours every week, mandatory as well as voluntary overtime, working paid shifts, extended shifts and working two shifts back to back (Kunaviktikul et.al.). The institute of medicine (2004) recommends nurses to avoid working beyond 12 hours per day and past 60 hours in a week, but the recommendation is often not followed through in the nursing profession (as cited in hahtela, paavilainen, mccormack, slater, helminen, suominen, 2015, p. 932). Nurses are perceived to be the once that are mandated to work overtime in the healthcare facility compared to any other health care professionals (Golden & Wiens-Tuers, 2005 as cited in Bae & Brewer, 2010, p.99). Increased physical injuries
The Gender Wage Gap Did you know that women would have to stay at least ten more years in the workforce to earn the same amount as men? All through history, discrimination has been a constant blight on human existence; whether it is race, gender, or religion. Unfortunately, when both genders have the same experience, are equally trained, and possess the same degree the pay is not equal. Women and men are not treated equally in the workplace, even though it is the twenty-first century. Women working full-time, year-round earn a median salary of $41,554 compared to men 's median salary of $51,640 (Semega).
Nursing shortages are seen nationwide with a strong correlation between nurses leaving the bedside and a decrease in nurse satisfaction, which furthermore impacts patient outcomes (Cicolini, Comparcini, & Simonetti, 2014). According to the American Association of Colleges of Nursing, by the year 2025, there will be a shortage of over 260,000 nurses (Hunt, 2014). “A lack of job satisfaction is one of the most common reasons nurses leave their jobs and was, in many reports, negatively influenced by such factors as administration, the amount of time available for clinical duties and job security” (Hunt, 2014, p. 573). Understanding opportunities for improvement within individual facilities is essential to develop and implement a process improvement
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
One of the strategies that have been implanted by sisters in the ward is that they will monitor staffs absenteeism rate for every month. Affected staff with high absenteeism rate will be given two cents’ worth on their performance. The ward sisters will explore together with the affected staff on current issues and would address the matters so as to prevent from a re - occurrence that could also jeopardize the ward. I personally felt inequitable that with the high absenteeism rate, staffs have to work harder without an extra helping hand that could lead to exhausted and frustrated after each shift. And because of the good team work among each other, we are still able to complete our work on time, without compromising patient safety.
Some believe personnels are pleased with working 24 hour and prefer it. One reason Emergency responders accept it, as stated in “Are 24- Hour Shifts More Expensive?” By Randy Billings he interview chief williams and he describes 24 hour schedules. “Shorter shifts create hardships for families and are not healthy for firefighters, according to Williams, of the state firefighters association. He argues that a
Many workers suffer from stress. It is important to identify why nurses are becoming stressed and how to reduce work related stress. The past 10 years there has been an increase in stress levels for nursing staff. In 2001 a survey was conducted by “American Nurses Association”. The study results showed that 70.5% of nurses cited the acute and chronic effects of stress and overwork among their top three health and safety
Furthermore, there was a significant correlation between nurse-patient ratio to nurse staffing, job satisfaction, and job-related burnout. Studies had shown that nurses experienced a higher emotional exhaustion and increased job dissatisfaction with a higher nurse-to-patient ratio (Aiken et al., 2002). In addition, the study revealed that 43% of the nurse respondents, who reported job-related burnout and job dissatisfaction, intended to leave their present nursing jobs within the next 12 months (Aiken et al., 2002). The study also showed that an increased of registered nurse staffing decreased both patient mortality and mortality following complications (Aiken et al.,
If she needed to go to the hospital for more specialised care, by getting a referral from her GP, her consultation at the hospital is free. Some disadvantages include delays Amber would have to wait. She would have waiting times for both the appointment to see her GP and further waiting time to see the specialist. This could have a negative impact on Ambers’ condition, as the longer she waits, the probability of her medical condition deteriorating increases (Prentice & Pizer, 2007), meaning she may need more specialised treatment. Another disadvantage is that Amber may have repeated examinations (Siu, 2015).
During the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients.
Changes to lower the number of medical mistakes According to Media Health Leaders medical mistakes are the third leading cause of death in the United States. Hospitals today are making life threatening mistakes and are looking for a way to fix their ways of error. Three methods that would help lower the number of medical mistakes are the increasing patients’ engagement, improving physician guidelines, while decreasing faculty shifts hours. Being aware of your condition and diagnosis would help decrease the chance of experiencing a medical error, because you would have more than just the doctor involved in your overall treatment. A study done by PubMed in “Unsaid but not forgotten: patients’ unvoiced desires in office visits”
This would result in more queries for clinicians which adds up to the time medical coders and clinicians will be unable to prepare ICD-9 claims. Ironically, this comes at a time when practices are being encouraged to make their business practices increasingly efficient and save cash to get through periods of delayed reimbursements after October 1. However, there is a solution of hiring more coders as employees or freelancers to cover the deficit. But this comes at the cost of more planning and budgeting for staffing. Hence, medical practices are advised to do a cost-benefit analysis to determine if hiring more personnel will indeed prove helpful, or it is better to accept longer reimbursement cycles.
First as CEO of Middlefield hospital I would recommend changing their employee’s health plans because with the hospital losing so make money they can’t afford to be paying so much for their health insurance. So by changing to a plan where the employees have a slightly higher
The linear programing also goes on to say that it aides in decision making about how to best use limited resources. RNs are becoming limited resources for hospitals. That is why so many work 12+ hour shifts plus a high volume of overtime. By using this technique it will not only be able to utilize the multiple variables, but also help determine how to allocate these limited resources without putting the RNs or patients at