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Nurse satisfaction related to patient to nurse ratio
Nurse staffing and patient satisfaction
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Increasing Patient Satisfaction Through Nurse Rounding
Nurse rounding is important to hospital-based practice because it directly impacts patient satisfaction (Blakley, Kroth, & Gregson, 2011). It serves as a method to improve quality of care by allowing nurses to routinely visit their patients and provide for any needs while also anticipating any safety concerns. Patients’ overall perceptions of hospital experiences are heavily dependent on how successful nurses are in satisfying the basic needs (Blakley et al., 2011). Rounding permits nurse-patient interaction and communication periodically, allowing observation and exchange of relevant information and also implementation of proper interventions. Nurses must practice rounding competently with compassion. By doing so, the patient has the opportunity to be involved in their own care which builds a trusting and positive relationship between the nurse and the patient, ultimately leading to improved quality of care and safety.
Discussion
Rounding is defined as “the process of proactively meeting patient needs by a nurse making a routine visit to patient rooms to check on specific items and perform basic self-care tasks on a regular, consistent basis” (Blakley et al., 2011, pg 328). It is performed at set intervals, usually every hour or every two hours or it may be increased depending on patient status (Forde-Johnston, 2014). Patients at risk include those who are in acute or critical conditions and those in the post-operative period, who require more frequent monitoring to detect early changes, prevent complications, and reduce consequences. Patients post-operatively following surgery or a procedure remain at risk for pneumonia, shock, cardiac arrest, respiratory arrest, venous thr...
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...anging as new research and methods are discovered to better serve the patients and healthcare professionals (Ignatavicius & Workman, 2013). As nurses use rounding in all their patient care, they will become more skilled with the nursing process, especially with assessments and interventions. Patients are the major users of hospitals and deserve the highest level of care with the best outcomes. With nurse rounding, patient outcomes are improving with a reduction in patient falls and pressure ulcers, use of call light, patient complaints, and most importantly an increase in patient satisfaction (Forde-Johnston, 2014). Nurses play a critical role in the patient care experience; they have the ability to transform healthcare by delivering optimal care thereby improving quality and safety through competent and compassionate use of nurse rounding (Blakley, et al.,2011).
The Implementation Committee must clearly identify the desired results for this project. The ultimate goal is to improve customer satisfaction as a result of the leader adoption of the rounding process and timely identification and resolution to patient issues. In order to do this, nurse leaders must adopt and be held accountable to the Orchid technology and standardized rounding script. This process will improve efficiency of rounding, recording and reporting process. Meanwhile this robust reporting will identify, track and trend data collected during the reporting.
Young, W. B., Minnick, A. F., & Marcantonio, R. (1996). How wide is the gap in defining quality care?: Comparison of patient and nurse perceptions of important aspects of patient care. The Journal of Nursing Administration, 26(5), 15-20.
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
A clinical area of concern in the nursing discipline on 8 West orthopedics at Mount Carmel West is hourly patient rounding. Currently the nursing staff on 8 West does not do patient hourly rounding when providing patient care even thou the nursing manger has tried to implement hourly rounding. There have been many research studies that have shown that hourly rounding has improved patient outcomes and improved quality care nurses give to their patients. Hourly rounding can help address a potential patient problem before the problem occurs (Ford, 2010).
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of 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. Because of the lack of nurses, patient quality of care has suffered.
Working in long-term care can be overwhelming. Imagine you are a new graduate nurse putting your new found knowledge and skills to practice for the first time. Your orientation lasted three days which is standard for nurse home orientation compared to hospital orientation that last approximately six to eight weeks for new grads. The shift has just begun and already you have a new admit, new found pressure ulcer to assess, a possible medication reaction, several new orders to take off and eight patients to document on for varying reasons. Feelings of frustration and confusion take over as you are the only nurse on the unit along with a Certified Medication Technician (CMT) and three Certified Nursing Assistants (CNAs) taking care of 47 patients. Ideal nurse-to-patient ratio continues to be a national issue in both the hospital and long-term care setting (LTC). In the LTC setting there is no official nurse-to-patient ratio; there is a suggested staff-to-patient ratio. This issue not only affects the new licensed nurses but the seasoned nurse as well. Recently, there has been controversial debates as to whether heavy workloads are detrimental to patients. The federal, state, and local government regulates many aspects of healthcare. However, it is the physicians, nurses and other healthcare professional that provide care directly to patients. Consequently, does insufficient staffing, heavy workloads, and unsupportive work environment directly contribute to poor patient satisfaction, nurse burnout, high turnover and job dissatisfaction?
Nurses hate it when patients are constantly turning their call lights on. The nurse feels like they are continuously in and out of that room for every little thing. Patients hate it when they wait a long time for someone to show up after pressing their call light. The patient begins to feel that they are not being take care of well and are being ignored. Patient satisfaction surveys state that one of the top complaints from patients were call lights not being answered in a timely manner. There has been evidence to prove that if facilities implement hourly rounding into their daily routine patient satisfaction goes up and call light use is greatly reduced. It is also proven if patient satisfaction goes up more nurses are satisfied with their job performance and can take care of their patients better.
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,
When the nursing team hourly rounds on their patients it is shown to have a unique relationship. There is a decrease call light usage, decrease in falls, decrease patients developing pressure ulcers, and decrease patient anxiety. With hourly rounding patient
Ford, B. M. (2010). Hourly rounding: a strategy to improve patient satisfaction scores. MedSurg Nursing, 19(3), 188-191.
As defined by the American of Nurses Association (ANA, 2002), “Nursing-Sensitive Indicators are those indicators that capture care or its outcomes most affected by nursing care.” The ANA uses the National Database of Nursing Quality Indicators (NDNQI) to statistically test the relationships between nursing interventions, staffing levels, and positive patient outcomes (Nursing Quality - NDNQI, 2016). These indicators utilize unit specific data enabling action planning and intervention according to the unit if improvement is needed (Nursing Quality – NDNQI, 2016). The purpose of this paper is to show how Good Samaritan Medical Center’s 5th floor, pavilion 2, Medical Surgical/Oncology unit uses nurse sensitive indicators such as pain management,
Shekelle, P. (2013). Nurse-patient ratios as a patient safety strategy. 158, 404-409. Retrieved from http://eds.b.ebscohost.com
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
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.
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care