Nurses are the backbone to all hospitals. They pick up the extra load that physicians pass along to them. Within Renfrey Memorial Hospital one would understand why the work is becoming too physically demanding. Registered nurses (RNs) deliver and manage patient care. They teach them along with the public about the countless health conditions and supply guidance and emotional support to them and their families on how to care and treat themselves. Without the use of registered nurses a shift in performance feedback is sure to happen. Back in the day, meaning 100 plus years ago, women were responsible for nurturing and delivering care to children and those family members who were ill. It wasn’t until the 17th century that men became nurses and tended to the sick as well. However, in the 19th century the definition of nursing was stretched to not only tend to those who were sick and ill but also work under physicians to support them.…
RN’s are greatly needed solely for the reason is that they provide the greatest level of care for many patients. An RN not only provides all types of care, but they also gives advice and helps coordinate other health services for their patients. An RN may be in charge of other nursing personnel such as interns, volunteers and techs. They may be also responsible for a patient’s overall case management, working together in conjunction with everyone from the patient to the primary care physician, as well as other…
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…
If you’ve ever had a job opening and an unqualified candidate down the block, you know the feeling. On one hand, there are a few motivating factors to consider: A sense of moral obligation to hire “your own”, a natural allegiance to your friend, neighbor, or community member, social pressure (your mom knows his mom-‘nuff said) and of course, an honest to goodness desire to help your friend.…
In hospitals with low nursing staff are having a greater incidence of poor patient outcome. Two Studies from the AHRQ suggest that there was a significant correlation between lower nurse staffing levels and higher rates of pneumonia. (Finkelman 2013) While working in a Long Term Acute Care (LTAC) Hospital we…
The worse that could happen is the risk for on the job injuries resulting in loss of work for the nurse and will lead to additional shortages in nursing staff, and medication errors. Generous sign-on bonuses are offered but the nurses do not fulfill the six month requirement to get the bonus. Morale is low and any new hires seem to notice this when they get to the unit. We need to provide a work environment that supports and encourages all staff nurses but especially the newly hired nurse so that he or she will know they have chosen the best place to…
For example I worked in a rather small hospital that only had 5 official labor and delivery rooms. The amount of deliveries being performed on a daily bases with only the minimal amount of staff proved to be very difficult to give the quality care needed, especially to a first time mother with no support. The amount of time it takes to teach a mother how to breast feed for the first time, how to care for herself after a vaginal delivery, and how to care for the infant is very time consuming to say the least. When 2 or 3 patients like that all need the one-on-one care like described above this is where the problems begin, because of the inadequate staff. Furthering my example in regards to safety, caring for the patients in labor and delivery can truly become perplexed. When a patient is given Magnesium Sulfate to help with the resolve of pre-term labor and another given Oxytocin in the management of inducing uterine contractions trying to manage both patients with high alert medications can be simply dangerous. Trying to perform all tasks day after day on a 12 hour shift, nurses get burnt out. Being burnt out leading to one of the many reasons why some of nurses end up leaving their jobs and contributing to nurse…
As a nurse you daily experience the impact of inadequate staffing in healthcare facilities, but the impact is far greater than just…
Duffield C., Diers D., O’Brien-Pallas L., et al. Nursing staffing, nursing workload, the work environment and patient outcomes. Appl Nurs Res. 2011;24(4):244-55.…
The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…
AbstractOne suggested approach to ensure safe and effective patient care has been to mandate nurse staffing ratios. In 1999 California became the first state to mandate minimum nurse-to-patient ratios in hospitals. California is not the only state to enact minimum nurse staffing ratios for hospitals, over the past four years at least eighteen other states have considered legislation regarding nurse staffing in hospitals. Policymakers are forced to consider alternatives to nurses ratios due to nurse shortages. Whether minimum staffing ratios will improve working conditions enough to increase nurse supply is unknown.…
When a nurse just up and quits this puts many resident at risk for safety risk. Studies have revealed that all forms of disrupting and uncivil behavior, whether physicians or coworker’s, have similar impact on a patients safety outcome. It’s said that even seemingly inoffensive behavior directly affects a nurse’s clinical judgement. It decreases the overall care and quality that’s being provided to the patients. A negative interpersonal interaction amongst staff ultimately affects the patient.…
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.…
Imagine being admitted into the hospital with a serious illness and knowing that you may not get the proper care that you need and desire because the nursing staff is short. That could be very dangerous depending on what’s going on with your health. Nurses have always been a huge part of the medical field because of the diversity of the occupation. Patients rely on the care of nurses while healing/recovering and when that care can’t be given, there is a big problem. The shortage of nurses in the twenty-first century will greatly impact the well being and outcome of patients.…