Every health care facility has their own managers and leaders for the proper functioning of that facility. The prosperity and future lays on these managers and leaders by their plans on long term strategy implication.Inadaequate staffing or staff shortage leads a major safety threat to patients as well as for the staff and as whole the total positive out come the facility. The staff shortage and increasing turn over results a significant reduction of beds available for service, cost increases and the quality of care delivered is decreasing. Identifying and maintaining adequate number of staff is very vital for the safe patient care delivery. One reason for this issue is aging force. Majority of nurses are aged and going to be retried soon. Another reason is nurses gets burned out because nursing is a very stressful job both physically and emotionally. The current economy status, massive reduction on nursing budget resulted on shortage of nurses. Also unsatisfied and poor working environment, increased work load leads increase absenteeism among staff. The increased workload affects the performances of staff and ultimately, the quality of nursing care will impact negatively. If the staff feel that they are not cared for, then it is difficult to take care their patients. Nurses likes to work in an environment with less stress and where they feel more esteemed.…
When nurses are forced to work with high nurse to patient ratios, patients can develop a variety of infections, get injured, and can lead to death. Often at times patients are discharged home too soon without adequate education about how to manage their illness or injury (Raquel & Sean, 2011). Because of patients being discharged to soon, this causes them to return back to the hospital often sicker than they were before. Increase in rate of admissions, transfers, and discharges on hospital unit’s raises nurses’ workload. When nurses have fewer patients, they are able to provide high quality care (Raquel & Sean, 2011). A quantitative research was done based on knowledge of unit’s attribute and shift by shift nurse staffing levels. The researchers inspected 43 units of medical and surgical patient’s mortality in an infamous magnet hospital here in United States. The units and shifts staffing data from 2003 to 2006 were obtained and consolidated with patient data resulting in 3.2 million unit shifts for 197961 patients. The outcome of two staffing variables were scrutinize using a shift unit level: understaffing actual registered nurses staffing eight hours or more below target staffing levels generated by a patient classification system and high turnover which means unit admissions, transfers and discharges exceeds mean day shift by one standard deviation. Patient survival rate was analyzed using Cox proportional hazard regression models with adjustment for clients, unit and shifts risk covariates was practiced. The risk adjust mortality was evaluated to staffing and turnover within the first 5 to 30 days after admission and during previous shifts. The result was dangerous ratios (Raquel & Sean, 2011).…
Quality, safety, and timeliness are the podium of nursing care, where as behavioral disciplines, theories, concepts, theoretical knowledge, and evidences are the leadership qualities. Proper staffing and a competent nursing team ensure maximum productivity, safety, and satisfaction. Nursing shortage impairs the functioning and quality of patient care delivery lead nurses to work under high pressure and feel overworked and overstressed, which leads to poor care and staff retention. Behaviors such as workplace incivility, negative supervisory relationships, and distrust on institution lead to increased nurse turnover and shortages which, in turn, leads to poor care and work…
The authors showed that proponents of Assembly Bill 394 emphasized its potential to improve the quality of care provided to patients and reduce the turnover in nursing staff in California hospitals, but it also created more problems in hospitals. The potential benefits of Assembly Bill included helping to alleviate the nursing shortage, improve working conditions, and attract more young persons to nursing. In the meantime, the authors also reported that many California hospitals and their units were not in compliance with proposed minimum nurse-to-patient ratios. The minimum nurse-to-patient ratios increased hospital expenditures. Hiring registry and traveling nurses and increasing LVN staffing would increase hospital expenditures and lower quality of patients’ care. Because of mandatory ratios, hospitals were most likely to reduce other personal and increase the amount of nonnursing work performed by Registered Nurses. Mandating minimum nurse-to-patient ratios also discouraged innovation in the development of other types of health professionals by hospitals and in the amounts and combinations of labor and capital. The authors…
The purpose of this paper is to discuss the nurse ratios and how management and leaders…
The nursing shortage is nothing new to the United States of America. In this issue analysis essay, the causes that are compounding the nursing shortage are examined as well as the actions taken to prevent the shortage from becoming worse. Past nursing shortage causes and the current causes are studied. Most importantly, patient safety is at risk resulting in medical errors that otherwise would never happen. Nurses are also feeling dissatisfaction within their careers and many nurses across the country do not think positively about their field. It is important that the nursing shortage be controlled before the negative impacts of the deficiency are too great in damage. Together, hospitals, nursing programs, and the government must all work as a team in order to overcome the nursing shortage.…
Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals have also got worse due to the hospitals not keeping up with increase demand of nurses (Welton, 2007). Hospitals that don’t have adequate staffing tend to have an increased rate of negative patient outcomes. Some of these negative outcomes that are potentially caused by the decrease in nursing care are shock, pneumonia, cardiac arrest and urinary tract infections (Stanton, 2004). This has led to state legislatures adding mandatory laws that promote adequate staffing regardless of the severity or acuity of the patients. The additional costs that are required to staff the hospitals with additional registered nurses are unfunded which means that staffing can be decreased in other work areas (Welton, 2007). This shortage is a problem that is affecting not only the patients, but also the staff. Nurse management and leadership play a significant role in finding a balance among all involved. Throughout this paper, the author will be discussing how the managers and leaders play a significant role in the issue of nurse staffing ratios in order to promote quality and safe care for the patients. Also, the author will discuss some tools and skills that are beneficial in supporting the nursing staff and the overall demands in the hospital…
There is a diverse range of aspects related to nursing staffing in health care organizations. Staffing levels in hospitals are likely to have a bearing on the assurance in the delivery of safe and reliable care. However, nursing staffing challenges have remained perennial prompting prolonged attention on the allocation of nurse staffing resources to facilitate patient safety (Weston et al., 2012). Nevertheless, focus on staffing levels has particularly increased with the prevailing shortage of nurses (Rochefort, et al., 2015). Furthermore, there have been changes in the manner nursing is approached. Traditionally, it would be assumed that well-trained practitioners were not prone to errors. Such was consistent with the traditional tendency…
There are studies shown that understaffing affects the patient-care, lower infection rates, lower hospital stays, and fewer in house deaths. In Pennsylvania, the nurse to patient ratios ranges anywhere from 4:1 to 8:1. In a study conducted by Annual’s Internal Medicine, have shown that out of 232,342 surgical discharges, 4,535 patients (2 percent) died within 30 days of hospitalization. Investigators estimate that due to high patient to nurse ratios, nearly 1,000 of those deaths could have been prevented by lowering the patient to nurse ratio. Providing a lower patient to nurse ratio could possibly provide a better quality of care and lower the mortality rate.…
It related with job burnout. According to Aiken, Clarke and Sloane (2002), if there are any unrealistic workloads, it would lead to the shortage of hospital.In addition, it shows forty percent of nurses had job burnout problem and it exceeds the norms of healthcare workers. Some people may argue that nurse just need to take care patient, and it is easy work. In fact, nurses are not only take care patient, but also do some administrative work. Addintionally, nurses are not take care one patient only, they need to take more than one patient at the same time. The statistic shows that nurse-to-patient ratios in public hospital is 1:12. It is higher than other country (Hong Kong Government News, 2013). Nurese also as a bridge of doctor and patient’s family, as patient’s family do not have many chance to see the doctor and nurses need to communicate with patient’s family. It is busy for nurses when visit time. Moreover, nurses face the shortage problem of nurses, thus the workload become…
Mandatory nurse-patient staffing ratios have been a hot topic of discussion for over 15 years. As of today, California is the only state with actual state mandated nurse- patient ratios in place. I support mandatory nurse-patient staffing ratios because research has shown that patients have better outcomes when cared for by nurses who practice under state mandated nurse-patient ratios. According to the article Mandatory Nurse-Patient Ratios “support for mandatory-patient ratios is drawn from the belief that regulated nurse (RN) staffing will increase positive patient outcomes, decrease nursing shortages, increase nurse recruitment and job satisfaction (T, 2011).…
The nursing profession, and nursing care of patients are a critical part of positive patient outcomes. Nurses are the face of healthcare today and are the link to health and personal care and continued improvement in patient care. The points of this study bring out the need and correlation for quality and sufficient staffing. The need, desire and demand is there to increase patient outcomes and in order to do this we need to start with sufficient staffing on our nursing units. This will then increase nursing satisfaction, decrease the nursing workload and allow for more individual…
In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…
For centuries nurses have saved lives and nurtured thousands back to health. Nurses are a vitally important part of the hospital and without them the health care system would be a catastrophe. Gordon also states, “I can't stress enough how unappreciated nurses and their assistants are, they are the foundation on which the hospital rests”. Hospitals wouldn't run as smoothly as they do without them. Nurses are so important although they are often overlooked. The nursing shortage is finally bringing their importance to the light.…
Doctors and nurses both make a huge difference in our lives. Even though they are very different one would not be able to function without the other. Most people think that nurses are just doctors who don’t get paid as much or doctors can easily do a nurses job if they wanted to. They receive different schooling, they work together but their individual jobs are different, and their salaries are very different. But they both work to service you and keep us healthy.…