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Why nursing advocacy is important
Does patient nurse ratio affect patient outcome
Nurse ratios and patient outcomes
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Recommended: Why nursing advocacy is important
Overview
Nurses know that there is a correlation between maintaining adequate staffing levels and safe patient outcomes. Nurse to patient ratios is a very complicated issue in the health care industry. Nursing shortages, higher patient acuities, shorter hospital stays, and the cost of health care has presented a challenge to this staffing issue. An inadequate staff ratio puts patients at an increased risk of adverse outcomes such as medical or medication errors, increased hospital acquired infections, and increased mortality rates ("Nurse," n.d.). The complications and adverse outcomes associated with the inadequate staffing levels come at a cost, which is an even larger financial burden on the health care industry related to the cost of treating infections or law suits from wrongful death situations.
A nurse's code of ethics calls for the principle of beneficence, which is defined as preventing harm and promoting good (Burkhardt & Nathaniel, 2007). Above all, nurses are patient advocates. Finding a solution to the issue of safe nurse to patient ratios is the ultimate example of patient advocacy. The health care industry must maintain patient safety as the number one goal in health care. This goal must be attained in a quality and cost effective manner. Health care facilities, administrators, and staff must learn to collaborate with one another to acquire a solution to this problem.
Angle
This research paper will explore alternative methods of implementing nurse to patient ratios without decreasing crucial staffing levels and without additional government regulations while maintaining safe quality health care.
Providing safe quality health care is expensive. Health care facilities are always in search of ways to trim spending wh...
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...ical Care Nurse, 31(6), 55-65. Retrieved from http://ccn.aacnjournals.org/content/31/6/55.full.pdf
Nurse staffing. (n.d.). Retrieved from http://www.nursingworld.org/nursestaffing
Scott, II, R. D. (2009). The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Retrieved from http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf
Warye, K., & Granato, J. (2009, January). Target: zero hospital-acquired infections [Feature story]. Healthcare Financial Management, 86-91. Retrieved from http://www.apic.org/Resource_/TinyMceFileManager/Advocacy-PDFs/HFMJan2009WaryeandGranatoTargetZeroHospitalAcquiredInfections.pdf
Welton, J. M. (2007, September). Mandatory hospital nurse to patient staffing ratios: Time to take a different approach. Online Journal of Issues in Nursing, 12(3). http://dx.doi.org/10.3912/OJIN.Vol12No03Man01
For my research paper, I will be taking the position that low nurse-patient ratios (the number of patients a nurse is assigned to care for during their shift) are beneficial to patient safety and should be adopted on a larger scale.
Shekelle, P. (2013). Nurse-patient ratios as a patient safety strategy. 158, 404-409. Retrieved from http://eds.b.ebscohost.com
The purpose of his article was to find a better way to prevent healthcare-associated infections (HCAI) and explain what could be done to make healthcare facilities safer. The main problem that Cole presented was a combination of crowded hospitals that are understaffed with bed management problems and inadequate isolation facilities, which should not be happening in this day and age (Cole, 2011). He explained the “safety culture properties” (Cole, 2011) that are associated with preventing infection in healthcare; these include justness, leadership, teamwork, evidence based practice, communication, patient centeredness, and learning. If a healthcare facility is not honest about their work and does not work together, the patient is much more likely to get injured or sick while in the
Nursetraveler. (1999). The original bill that put staffing ratios in place! Retrieved September 10, 2011, from http://nursetraveler.org
Safe nurse-patient ratio is a complex issue debated on for many years. Due to inadequate staffing registered Nurses are faced with high patient ratios, and nurse burn out everyday. According to the American Nurses Association, “Massive Reductions in nursing budgets combined with, the challenges presented by a growing nursing shortage have resulted in fewer nurses working longer hours for sicker patients. This situation compromises care and contributes to the nursing shortage by creating an environment that drives nurses from the bedside”. (2012) Through the nursing process, the essential role of the Registered Nurse is to assess, diagnose, and plan based on outcomes, implement and evaluate the effectiveness of nursing care. However, it is not realistic to thoroughly implement these core guidelines in a safe and effective way, when you are
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
...f infections acquired during the hospital. Many of these studies have indicated that these infection control interventions will decrease the number of sick or dying patients related to hospital acquired infections and lower the medical cost by decreasing the stay of each patient in the hospital.
Patient’s safety will be compromised because increase of patient to nurse ratio will lead to mistakes in delivering quality care. In 2007, the Agency for Healthcare Research and Quality (AHRQ) conducted a metanalysis and found that “shortage of registered nurses, in combination with increased workload, poses a potential threat to the quality of care… increases in registered nurse staffing was associated with a reduction in hospital-related mortality and failure to rescue as well as reduced length of stay.” Intense workload, stress, and dissatisfaction in one’s profession can lead to health problems. Researchers found that maintaining and improving a healthy work environment will facilitate safety, quality healthcare and promote a desirable professional avenue.
The administrators must reduce the ratio of nurse to patient because the current nurses' workload can lead to nurses' burnout, patient dissatisfaction, and negative patient outcomes.
This article is skeptical of mandated nursing ratios, and discusses some outside factors that may be biasing the other studies I plan to cite. This article's strengths are that is from a peer-reviewed journal and written by a recognized expert, which makes it a credible source. Rather than simply supporting or opposing mandated maximum ratios, it introduces the idea that the other ratio studies may have missed some important considerations. The main drawback to this source is that it's a short article and doesn't go into a lot of detail. I may have to end up using other sources to supplement the ideas it proposes.
Nurse to patient ratios are extremely paramount in assisting with overall patient mortality and wellness of our nurses. It is an issues which unfortunately affected by legislation of our government (which is affect specifically on a monetary basis). My research via Academic Search Complete allowed me to identify topics that assist my PICOT question, and enables me to further analyze and research to find out what issues directly affect is matter. Proper nurse to patient ratio, operational costs, government regulation, nurse work life and health, patient wellness, and nursing procedures and duration of those procedures are all affected by this topic and we must ensure that all are properly balanced.
These articles have many similarities when discussing the issue of staffing shortages. For patients, their loved ones and the general population, they don’t understand the ramifications and strain that staffing shortages have on nurses. People expect and deserve complete, competent and safe care when they are patients. These articles bring to light all the struggles that nurses have to deal with. Nurses are fearful that they will make mistakes, will harm patients, and will harm themselves. (Bae, 2012; Erlen, 2001; Martin, 2015) Overtime can be overwhelming and exhausting, which can lead to errors being made. (Bae, 2012; Erlen, 2001) These articles perceive that it may be beneficial for nurses, patients, and healthcare facilities to decrease the nurse-to-patient ratio, however, this option is not always
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
As reported by Bowron (2010), hospitals will benefit from reducing patient-nurse ratio by saving money. Bowron point out that an adequate staffing ratio could lower hospitals’ costs significantly in the following ways:
...s and measurement to decrease healthcare- associated infections. American Journal Of Infection Control, pp. S19-S25. doi:10.1016/j.ajic.2012.02.008.