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Ethics in the nursing field
Essays around nursing ethical dilemmas and professional practice
Ethics in the nursing field
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Nursing and Mandatory Overtime
Nurses have one of the most important roles in society. They provide care to people with many different illnesses and diseases. Nurses do a variety of things like give shots, draw blood, hook patients to IV’s, and all kinds of other things. Their job is to make sure their patients are comfortable and in good hands. The last couple of decades we have hit a shortage of nurses because all of the baby boomers are either retiring or dying. With that being said as the baby boomers are getting older they are getting sicker. The number of patients is increasing as the number of nurses are decreasing. Many hospitals have tried to fix the issue of low nurses by giving them mandatory overtime, so that way all of the patients
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A lot of nurses even volunteer to work overtime or beyond the regular 40-hour full time workers work. However, nurses in states where mandatory overtime is in effect do not have to option to decline the overtime meaning they have to be prepared to work extra at the end of each shift often without any notice in advance. There are only 16 states that regulate mandatory overtime. They either banned it all together, or limited the number of hours each nurse is allowed to work overtime that is mandatory (Bae 61). In a study researching nurse’s hours by both voluntary and mandatory overtime the nurses that worked the longest shifts were the unhappiest with their job (Stimpfel, Sloane, and Aiken). With these types of results, it shows that nurses who voluntarily work do it for other reasons than just to do it. Both nurses who work overtime voluntarily and nurses who are required to work overtime are associated with patient dissatisfaction (Stimpfel, Sloane, Aiken). With these results mandatory overtime should just be banned …show more content…
The Code of Ethics for Nurses advanced by the American Nurse Association includes the statement “the nurse’s primary commitment is to the patient,” which basically means the nurse is supposed to put their needs behind their patients (Stimpfel, Sloane, Aiken). With all of that being said every nurse that works overtime has to put the patience’s best interests into play and either give them proper service, or get a nurse who can give them proper service. It is also the moral responsibility of nurses to avoid a circumstance or “domain of nursing activity” that would cause conflict for the patient (Stimpfel, Sloane, Aiken). Conflict with the patient would include a nurse working overtime whether by voluntarily or by mandate. Even though overtime would benefit the nurse financially and benefit the hospital it would cause patient dissatisfaction which is ultimately the only thing that really matters. One of the main characteristics of the people who go into nursing is their interest in caring for people who are suffering (Bloomfield and Pegram 45). Requiring nurses to work beyond a standard 40-hour week to the extreme that they feel too exhausted to work puts them under a lot of stress because
Inadequate rest which results in fatigue has major implications on the health and safety of registered nurses and can compromise patient care. Nurses often work three to four 12 hour shift a week without taking any breaks while on duty. They often have difficult workloads and challenges which can take a toll and impact patient care. I will be taking a look at nurse fatigue and the impact it has on the nurse’s wellbeing, work, and patient care.
JAMA, 288(16), 1987-1993. Buerhaus, P.I., Staiger, D.O., & Auerbach, D. (2000). Implications for an aging registered nurse workforce. JAMA, 283(22), 2948-2954. Borman, W., Hanson, M.A., & Hedge, J.W. (1997).
Overall, 12 hours may seem long but it is relatively productive for a week. Nurses who work 12 hour shifts and being able to do something they like are more likely to want to work for 12 hours. They find it flexible and balance between work and families. It is a duty to the heart to help those in need if it requires more time. It is similar to anyone who really works hard to get better results. Nurses work hard to get to where they are now and therefore should have the right to choose 12 hour shifts. It is important for nurses to understand that all jobs have negative outcomes, but as long as they make the choice to maintain the level of their health and sleep by taking breaks and adequate exercise. They can further be energized in helping patients and finding work more effectively.
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
I think shortages of nurses can also be a factor in why nurses are overworked and stressed. In most hospitals you can’t even tell if there is a nurse shortage, the nurses run around from patient to patient I’m trying to still provide the same quality care. My aunt is a registered nurse for Northeast medical center and I asked her out of the previously 11 listed reasons nurses are stressed which do you experience the most. She replied, “I have to say that I experience number one which is work overload the most. When I started working as a nurse 37 years ago there were three separate shifts throughout a day and there’s could work instead of the two 7am-7pm. The nursed patient ratio was a lot lower we got to spend time with the patients we had during the day and provide individual attention. You didn’t feel overwhelmed because the hospital had enough nurses. Now they nurses doing e same amount of work as two or three nurses combined, and are still expected to do
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
Nurses and others in the medical field are overworked and understaffed because the government has made cutbacks to the health care system. We live in a country where our health care is a privilege to have, but getting ill becomes a problem if there are not adequate facilities and professionals to care for the sick.
This unhealthy work environment needs to be regulated to give nurses the proper work space so that they can do their job to its full potential, which is something all nurses want not only for themselves but to actually be able to help their patients that are in need. Additionally, nurses are put into uncomfortable situations because of the amount of work that is being done on them. This affects nurses in many negative ways, such as constantly being mentally, physically, and emotionally drained (Grid, Affects Health Care).
Nurse fatigue is a serious topic not only in the nursing profession circles but in the health sector as a whole. The effects of nurse fatigue are serious in a way that the issue can no longer be ignored. As discussed in this paper, it is important for nurses to be aware of the signs of fatigue and take adequate action when it happens. It is also possible for nurses to develop a work ethic that ensures nurses do not reach the point of fatigue
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
Nursing is a great career choice that can be very rewarding and has many benefits that come with the job. One downside to nursing is the scheduling because it runs on a shift system, it can lead to many problems. Nurses often have to work long hours, that can last sometimes more than twelve hours at a time. Working this long can lead to problems on the job, as well as health problems and trouble sleeping.
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
When hospitals do not have enough staff to care for patients, nurses are required to work overtime and because of that, 50% of nurses quit their job (Martin). This is not healthy for nurses and not safe for patients because if nurses are constantly working overtime, they can become tired and dissatisfied with their job. Moreover, when nurses are dissatisfied with their job because of always working overtime, it lead nurses to quit their job which can become a problem for hospitals because it is hard to keep training new nurses all the time. This can cost money and effort. In addition, it will affect patients because it nurses are tired from working overtime, quality of care for patients can suffer. According to Sung-Heui Bae, author of “Nursing Overtime: Why, How Much, and Under What Working Conditions?”, When a nurse works for over 12 hours or more than 60 hours a week, nurses are more prone to making medical errors which can compromise a patient’s safety (Bae). Like what Fackelmann says, “Overworked nurse may not get to a patient quickly enough to catch a subtle sign of a potentially deadly complication”. This can be one of the reason of 20,000 death of patients each year because of overworked nurses
Similar problems to the case presented on South Texas College have tasked policy analyst to question the legitimacy of government intervention on the issue of overtime compensation. Similarly, the perceived market failure surrounding the topic policy analyst have been entrusted to use their technical skills to “predict and access” the consequences of alternative policies related to this issue. The following sections within this document discuss how policy analyst have shaped the formulation of this policy and its effect on public stakeholders.