Case 7.1 discusses March Madness and how it is an exciting time for NCAA basketball fans. These games are exciting for fans because there are those that cheer for schools that make deep runs into their bracket. Even though these NCAA are exciting for some individuals and these fans are going to want to watch the games, it may cause a problem in the workplace. These fans try to watch the games at work during normal working hours. If I was a supervisor and I suspected many of my employees were watching significant parts of the games during normal working hours, I would respond to them by first making sure that they are staying on task with their work.…
As the book aims to decode the everyday practices of South Asian American masculinity, each chapter details one segment and experience of sport and leisure. The commitment young South Asian American men have to it demonstrates key elements of social formation and co-ethnic intimacy in a large multi-racial city of Atlanta. Pick-up basketball presents one way to provide different and differential claims to the city. Through intentionally organizing pick-up basketball games, South Asian American basketball players create opportunities to enjoy co-ethnic socializing while putting into place this alternate time and space outside of their busy work and family lives. We see in this chapter the formation of the team Atlanta Outcasts, their early basketball…
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).…
Concern!!!! Many assistants voices has been heard, but that's all. We are starting to feel as if there is no one we can go to when we have problems our only reasonable option is to find another job. If this rate continues I feel that there will more Assistants leaving 8th floor new and old employees. As a assistants I see and feel that we are look down on and there is no respect given to us by 80% of the nurses and supervisors. Now hearing from new assistance who have came and left very quickly the reason was because of the nurses attitudes and lack of team work from them. I'm not saying we all are perfect as assistants but most have stop caring because they feel that they are not appreciated as a human or a co-worker. I have seen, heard,…
Furthermore, many nurses are complaining of being dissatisfied. On your first day one of the night shift RNs put in her 2-week notice. In addition, the CEO has gotten word from several families that they are dissatisfied with the care their loved ones are receiving from the staff.…
Nurse staffing levels have been directly linked to decrease retention (Hairr, Salisbury, Johnannsson, & Redfern- Vance, 2014, p. 142). Job satisfaction is a key factor in retaining the experienced nurse. If a nursing unit has a large vacancy, secondary turnover becomes a concern. Quality patient care is negatively impacted by a decreased nursing staff. According to Buffington, Zwink, Fink, DeVine, Sanders (2012) some of the factors that affect retention are unhealthy work environments, scheduling and the ability to self-schedule, rewards/recognition, leadership, and availability of…
Hospital administrators have their work cut out for them in attracting and retaining quality nurses ultimately to provide optimal care for patients through best practice. This will not be an easy process or a quick fix however acknowledgment that the nurse-two-patient ratio and nursing shortage go hand-in-hand contributing to the outcome of how patients, employees, and hospital organizations will be affected. The nurse-two-patient ratio guidelines has been a revolving door that has impacted nurses, patients, and hospitals throughout the country resulting in an increases in poor patient outcomes, increased dissatisfaction and complaints from patients, increased nurses dissatisfied with their job, and a decrease hospital pay…
When it comes to basketball, first I was a fan, then a dreamer, now a player, and soon to be a coach. Throughout this process, I have gained an abundance of knowledge about this game that I love most. A combination of how I was raised, my personality, and my skill on the court have molded and favored a way that I prefer to watch this sport be played. One coach I connect to the most is Tom Izzo. I love how he orchestrates his offense, and the high expectations he has of his players.…
than others. A shortage in staff results in a heavy workload for nurses. Nurses become fatigued…
That is a lot of brilliance and money walking away from an endlessly needing profession. This research paper serves to shed light on a few factors that may contribute to nursing turnover and ways to promote nursing retention.…
The article Nurse-Patient Staffing Ratios in the American Journal of Nursing reported a seven percent increase in mortality for each additional patient added to a hospital nurses workload (Wallis, 2013, p. 21). When caring for a larger number of patients you are more likely to miss important signs and symptoms. It’s difficult to be thorough because there is not enough time to properly assess each patient. When patients aren’t properly assessed it’s easy to fail to notice the early warning signs that a patient may be starting to go downhill. So, instead of noticing a slight change and reacting to it, the nurse caring for a large patient load may not realize there is problem until the patient has already coded or is about to code. Wallis found that “besides the occupational hazards caused by understaffing numerous studies show a correlation between inadequate nurse staffing and poor patient outcomes. High nurse to patient ratios are associated with an increase in medical errors, as well as patient infections, bedsores, pneumonia, MRSA, cardiac arrest, and accidental death” (Wallis, 2013, p. 21). As the charge nurse on my unit I was involved in codes that should have never taken place on the floor. The nurse’s lack of attention to the patient because of high nurse patient ratios resulted in the patient coding on the unit. It was hospital policy that each code that happened on the floor be thoroughly reviewed. In some cases it was determined that the patient should have been moved to Intermediate care or ICU as much as 24 hours earlier. A study published in the New England Journal of Medicine, “examined the relationship between mortality and day to day, shift to shift variations in unit level staffing. The study found that the risk of death increased two percent each time a patient was exposed to shifts with below target RN staffing (Dorning,…
Early childhood is the most important phase of development in one’s lifespan as the experiences during childhood sets the course for later stages of development. It has been noted that a mother’s actions during pregnancy may influence the development of an infant. The developmental influences include prenatal, perinatal and neonatal environments. (Santrock, 2002) Although babies come into the world with no say or control over which family they will be placed into, or the environment in which they will begin to live in, theorists agree that the first two years are crucial, with early emotional, physical and social development influenced by the infant’s biological and environmental factors (Sigelman, Rider, & De-George Walker, 2013). The movie ‘Losing Isaiah’ is an indication of the importance of early childhood development and this paper will look at some of the events in Isaiah’s childhood that influenced his development.…
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.…
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.…
The situation on my own ward is one that is mirrored across the trust, and indeed across the country. Low morale, high stress levels, short tempers and neglected patients all result from the fact that we do not have enough staff to provide complete and adequate care for our 26 very dependent patients. On a night shift, we have two nurses and two HCAs…