Dr. Charles Smith a once highly respected forensic pathologist who was praised for his work, now his reputation has been tarnished and his work has been proven to be a sham. He started his work in 1978 at the Toronto Hospital for Sick Children and was considered to be the leading expert in his field. Dr. Smith’s expert testimony on the cause of death in children lead to numerous criminal convictions. However during a review of 45 autopsies that Dr. Smith performed on children there had been some serious errors found made by the doctor in 20 of those cases. The findings of errors lead to the cases to be reopened which resulted in many overturns of convictions and has led to further inquiries into more cases where Dr. Smith gave expert testimony…
The Clinical Nurse Specialist (CNS) can be found working in numerous specialties and having an understanding of alcoholic liver disease and the transplant process will help optimize care of the patient with alcoholic cirrhosis. Because there is no alternative treatment to liver transplantation for most patients with end-stage liver disease, it is important that the CNS understand that the 6-month rule could be lethal in some circumstances. Early detection and treatment can be life-saving. Clinicians commonly fail to screen patients, and thus fail to recognize or treat alcoholism appropriately. Clinical history that may suggest alcohol abuse or alcohol dependence includes the pattern, type, and amount of alcohol ingested, as well as evidence of social or psychological consequences of…
Challenges are always present in the lives of many individuals, whether the person is doing a simple task as cooking or a more complex task such as working in a healthcare facility. Nurses are prime examples of people who experience many challenges in their workplace. In the film, “Sentimental Women Need Not Apply: Historical Context of Nursing,” the nurses explain some of the challenges that nurses had to deal with in the past. They also informed us of the conflicts they are dealing with now.…
Recent literature reviews on job satisfaction among nurses in a health care settings reveal found that job satisfaction is influenced by several factors including co-worker interaction, coping strategies, educational opportunities, employer policies, and procedures (Hayes, Bonner, & Pryor, 2010). Job satisfaction is a complex phenomenon, and collaboration between the individual nurses and managers is crucial to increase nursing satisfaction with their job.…
The case study focuses on administrative nurses working for a small nonprofit hospital. Michelle, administrator of surgical services for three years, considered herself relatively new compared to other administrators within the hospital. Michele often disagreed with other administrators and believes her own personal values guided her decision making. She…
“In today’s economy compassion fatigue can be very costly personally and professionally for nurses, and financially for institutions” (Lombardo & Eyre, 2011, para. 31). The patients that are being cared for are not receiving the best care from their disengaged nurse. This leads to decreased patient satisfaction scores and possibly an increase in mistakes. But most of all the patient will not have had the optimal care they deserve. The institution suffers as well. There is the cost of increased rate of turn overs, the decrease in employee satisfaction scores, and the decrease in patient satisfaction scores. Hospitals must now report out on quality indicators such as nursing satisfaction. Just this past year the scores at hour facility dropped on the yearly survey, nurses are getting tired. Patient satisfaction scores are also a huge player now, related to the changes in health insurance. With reimbursements now depending heavily on quality care this should be an area of concern and great work to come for…
Summary: This article informs the reader of the shortage of nurses. The article mentions, as in the past, nurses are still putting in long hours, caring for more patients, desperately trying to stay on top of things. There is a new nursing shortage, different from the old one. The reasons of the shortage are examined. Fewer people are entering the nursing field, a general dissatisfaction of many issues, and a high burnout rate. The article consists of three main reasons for the shortage, each of which go into detail about a certain issue. The new shortage requires unique solutions that will fix the underlying issues, not just solutions that will help in the short run. The solutions of which that were mentioned was needing stronger, professional work environment, adequate staffing, and salaries and benefits to that equal of their responsibilities. To help combat the shortage, federal and state governments are presenting legislation to improve the working environment and helping to pay nursing tuition. Besides government help, there is a personal effort that can be made. The nurses can take better care of themselves, bring suggestions to colleagues and nurse-manager, and raise their personal level of expertise of their…
According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, Registered Nursing is listed among the top occupations in terms of job growth through 2022 (American Association of Colleges of Nursing,2014). The nursing shortage will have a significant impact on the care that is being provided to the patients. Nursing leaders have the authority to hire or recruit new nurses to meet the needs of the facility. In this paper the author will discuss why nursing shortage is occurring, why nurses are displeased with the profession, and how nursing managers and leader will deal with nursing shortage and help to recruit nursing…
Forsyth S, McKenzie H (2006) A comparative analysis of contemporary nurses’ discontents. Journal of Advanced Nursing; 56: 2, 209-216Washington DC: ANA. Retrieved May 23, 2012 from http://www.ananursingethics.org/nursingethics.htm.…
When thinking about the United States and their health care delivery system it has been noted for the past two decades that Americans are unhappy with their existing health care systems (Blendon, 2006). This is where the change comes into play. When talking with some colleagues who are registered nurses they all have said we can expect that, in addition to proposed results, there will be unseen stresses and unplanned outcomes occurring as a result of the reform. Some of these unplanned events are expected to slow down nurses ' ability to guarantee quality of care and secure settings for patients. The nursing…
As the nurse manager of a 30-bed medical-surgical unit, you have just received the results of the quarterly patient satisfaction survey. The satisfaction scores for your unit show an ongoing decline over the past three reporting periods. You also look at your unit’s satisfaction scores as compared with other units in the hospital and realize that the scores for your unit are now lower than those of most other units in the hospital. As you begin to ponder the meaning of these data, you receive a call from the office of the vice president of nursing to schedule a meeting with you to discuss your plan to improve patient satisfaction on your unit.…
In a survey of nurses one out of five plan on quitting in the next year, and over forty percent didn't like their jobs. As an aspiring nurse this is of great concern. There are a handful of reasons that I decided to enter the nursing field. Helping people is a great, personal satisfaction. Flipping burgers might pay the bills, but it gives you no sense of purpose. The pay is pretty good. However, the more I learn about the job, the more I realize the pay doesn't nearly match the job. There are too many factors that create a dangerous environment. Insufficient staffing is a major factor. It promotes hazardous conditions for both the patient and the nurses. The nurses are stresses out, overworked, and some are under trained. After a twenty-four hour shift on minimal sleep, who wouldn't start to slow down or make mistakes? Mistakes range from under or overdosing to vital care being delayed for hours on end. Nurses are usually the ones who detect problems with the patient. When there aren't enough nurses, these problems go undetected. So, small problems become large life-threatening problems.…
The familiar phrase of overworked and under appreciated has rang through the nursing field. As health care reform and insurances make critical changes, nurses are forced to keep up. Nursing managers are in a bind to meet the new budget cuts and criteria set forth by these changes, which includes higher patient to nurse ratios. Low staffing can lead to nurse burnout, job dissatisfaction and poor staff retention (International Journal of Nursing Practice, 2014). This article will outline some issues at hand with unsafe staffing ratios and the legislative actions regarding this matter.…
The purpose of this paper is to discuss the causes of nurse turnover and shortage, find out ways nurse leaders and managers may resolve this problem, and also to discuss the writer’s own personal and professional philosophy of nursing regarding this issue.…
The shortage of nursing isn’t something that just came along. The nursing shortage began in 1998. “An insufficient supply of essential personnel, such as nurses, is a stressor that many hospitals are dealing with,” says Buerhaus. The shortage has become the headline of every major healthcare newspaper, including advertisements in search of nurses who may need jobs. The shortage resulted from a combination of factors, including rising demand, little growth in nurse wages, and stressful workplace environments (Buerhaus). Being underpaid is the number one reason for many shortages. Other causes are short nurse staffing, poor work conditions ,inadequate resources for research and education, the aging nurse workforce, and the predominant female nature. It…