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Essays on magnet recognition
Magnet recognition 1980
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training. Improve work environment also contributes to financial benefits with lower injuries to nurses such as needle sticks and back injuries. Magnet organizations have to outperform national benchmarks on nurse sensitive indicators such as falls, hospital acquired pressure ulcers, central line associated blood stream infection, catheter associated urinary tract infections, and ventilator associated pneumonia, to achieve Magnet designation and to maintain it. Decrease in hospital acquire preventable incidences equates to less rejected insurance reimbursement. Disadvantages of Magnet Hospital Even though evidence show superior patient outcomes is associated with more desirable work environment for nurses in Magnet recognized hospitals, a
study published in Journal of Nursing Administration generated discussion over whether Magnet and non-Magnet hospitals are significantly different (Kelly, 2011). Nurse unions are critical of the way Magnet programs have been implemented and they argue that it is primarily a promotional tool. Discussions were also generated about the accuracy of data because the total number of data sources that have constituted the Magnet research since 1983 is not large enough to enough to yield accurate results. Critics argue the need to improve the processes used to research Magnet characteristics and environments before a correlation can be made from hospital settings with nurse and patient outcomes (Lundmark, 2008). Ulrich’s research showed that nurses employed in hospitals that are in the process of applying for Magnet recognition often obtains better outcomes on certain factors than nurses employed in Magnet hospitals. This finding suggests that once these Magnet-designated hospitals obtain their recognition status they become complacent and no longer strive to achieve the criteria (Ulrich, 2007). Another major disadvantage in achieving Magnet status is that it is a lengthy, rigorous, and laborious process, which does not occur overnight. In order for a facility to become Magnet status, the hospital must meet a stringent set of standards of care,
Aiken, K. (2011). Nurse Outcomes in Magnet and Non Magnet Hospitals. Journal of Nursing Administration, 41(10), 428-433. doi:10.1097/NNA.Ob013e31822eddbc
...at nursing is one of the most important areas a hospital needs to address when looking to improve safely outcomes. While many still question the need as well as the cost there is no question the benefit to staff and patients of hospitals that are Magnet Recognized. With this designation reaching international standing many more are looking to join the elite Magnet club.
This article is a comprehensive look at staffing on hospital units. It used a survey to look at characteristics of how the units were staffed – not just ratio, but the experience and education level of the nurses. It evaluated several different categories of hospital facilities – public versus private, academic medical centers versus HMO-affiliated medical centers, and city versus rural. It is a good source because it shows what some of the staffing levels were before the status quo of the ratio legislation passed in California. It’s main limitation as a source is that it doesn’t supply any information about patient outcomes.
Without participating in a longitudinal study, it is difficult to truly assess the efficacy in mandating nurse staffing ratios. It is difficult to measure the benefits of mandated staffing due to numerous confounding variables. These confounding variables include the resources available at specific hospitals in addition to the populations that they serve. Hospital volume, RN job satisfaction and the relationship between physicians and nurses have also been shown to affect patient outcomes (Duval et al., 2007).
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Turkel, M. C. (2004). Magnet status: Assessing, pursuing, and achieving nursing excellence. Marblehead, MA: HCPro.
McClure, M.L., & Hinshaw, A.S. (2002). Magnet hospitals revisited: attraction and retention of professional nurses. Washington, DC: American Nurses Association
In the case of nurse staffing, the more nurses there are the better outcome of patient safety. When there enough staff to handle the number of patients, there is a better quality of care that can be provided. The nurses would be able to focus on the patients, monitor the conditions closely, performs assessments as they should, and administer medications on time. There will be a reduction in errors, patient complications, mortality, nurse fatigue and nurse burnout (Curtan, 2016). While improving patient satisfaction and nurse job satisfaction. This allows the principle of non-maleficence, do no harm, to be carried out correctly. A study mentioned in Scientific America showed that after California passed a law in 2014 to regulate hospital staffing and set a minimum of nurse to patient ratios, there was an improvement in patient care. Including lower rates of post-surgery infection, falls and other micro emergencies in hospitals (Jacobson,
Clark, P., Leddy, K., Drain, M., Kaldenberg, D. (2007). State nursing shortages and patient satisfaction
...rking in the hospitals all across the nation, and employing confident employees to those positions will make a large impact on how well people are treated in medical facilities. Every nurse should follow procedure and focus on the job at hand—healing people.
...staff would not be required to put in the overtime to compensate for the lack of workers. Patients would no longer have to suffer the neglect of the staff because he or she was too busy. Making sure the patient gets the best quality care reduces the time spent for recovery. Reducing the time spent for recovery increases the organization’s finances. Providing a safe facility also reduces the expenses on the private hospital’s budget. Ensuring a patient is safe can reduce potential use of ongoing treatment and services. Hiring the appropriate nursing staff needed can save the organization money. Instead of cutting back on staff, more staff needs to be hired to fulfil the needs of the patient. In the economy today, private hospitals need to focus on the overall long term effects of each action opposed to quick reactions resulting in financial strain for the facility.
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Bedside nurses want to change staffing levels to assure that they have enough time to both keep up with the constantly evolving health care and to provide safe patient care. Yet, healthcare employers consider that reducing nurse patient ratio is an unnecessary expense that has not been proven to improve quality of patient care (Unruh, 2008). Employers emphasize that raising nursing staffing level is not cost-effective. In fact, in accordance with ANA’s report (2013), a study, in the Journal of Health Care Finance, confirmed that reducing patient-nurse ratios increased hospital costs, but did not lower their profitability. Higher hospital costs were attributed to wages and benefits allocated to newly hired nurses. Yet, according to Cimiotti et.al (20112), it is more costly for hospitals to not invest money on nursing.
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher