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Nurse to patient ratios and patient outcomes
Nurse to patient ratios and patient outcomes
Nurse to patient ratios and patient outcomes
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1.0 Background of the Union (Nova Scotia Nurses Union) Nova Scotia is a professional union representing nearly 6,900 licensed practical nurses, registered nurses, and nurse practitioners in Nova Scotia hospital, long term facilities, adult residential centre, and community nursing practices. It consists of 200,000 nurses and students across Canada. The Union are engage in improving patient care, excellent working environment and the protection of the Canadian healthcare system. The NSNU is the only union in Nova Scotia that represents nurses. Vision As a union, we have courage to lead, confidence to challenge, commitment to care. Mission The Nova Scotia Nurses Union advances the social, economic and work life of nurses Values i. Integrity …show more content…
and Professionalism - We believe that fair representation must be guided at all times by the highest standards of integrity which in turn compels us to maintain a professional approach in all that we do ii.
Accountability and Transparency - We believe that we are ultimately accountable to our members and this is demonstrated through transparent decision-making processes and results reporting iii. Communication and Education - We believe open communication and education prerequisites for building a strong, cohesive, and effectives nurses’ union. iv. Compassion and Caring - We believe we must consistently demonstrate compassion and caring for our nurses v. Democracy - We believe democratic practices advance society, our members’ well-being, and our internal and external work as a union. vi. Solidarity – we believe in power of solidarity by harnessing collective power and common goals, ideas and values. vii. Political Action – we believe maintain non-partisan stance enables us to be more effective in our political activity in advocating for positive public policy viii. Quality Health Care – as a union, we consistently reassert our fundamental support for the principles of Canada health act that laid the foundation for a publicly funded health care systems for Canadian ix. Advocacy and Representation – we believe we must guide by the principle of equity in our advocacy and representation activities. 2.0 …show more content…
Strategies Strategy is a term that refers to a complex web of thoughts, insights, ideas, experiences, goals, expertise, memories, perceptions, and expectations that provides general guidance for specific actions in pursuit of particular ends (Nickols, 2016). It is important in trade union at industrial relation to achieved its objective. The strategies used by the Nova Scotia Nurses’ Union(NSNU) is develop and implement communications strategies that promote greater visibility, identity and participation in the NSNU, provide enhanced educational opportunities for members and locals, and heighten the respect and value of nursing in the workplace and in the eyes of the public. This strategic recognize good communications plan not only happen by themselves but they are the result of deliberate strategies that are to accomplish obviously explained objectives. For example they increase member engagement in local and provincial NSNU initiatives where they consult with members for feedback around the engagement tool. Last but not least, the strategies that used by Nova Scotia Nurses’ Union(NSNU) is strive for bargaining that will make sure that improved benefits and conditions of work will apply equally to all nurses in every healthcare sector. This strategic re-affirms the Union's longstanding position that nurses are qualified for get basically a similar pay, advantages and states of work regardless of the healthcare sector in which they are working. The Union perspectives this as a type of ‘equal pay for work of equal value’. The Board, staff and elected negotiating committees for long term and community care will proceed with the work to accomplish equality in benefits over all sectors. For instance, continue to lobby Department of Health and Wellness and employers where the Union engage members to lobby for equality of pay benefits and working conditions. Collective Agreement 3.1 Acute care in Nova Scotia Nurses Union One of the collective agreement in acute care are retiree benefits. Retiree benefits is the nurses who retire on or after November 1, 2006 and who meet the eligibility requirement such as (a) Retire with an unreduced pension in accordance with the terms of the NSAHO Pension Plan and in addition. (b) The nurse must have at least fifteen (15) years of service in the NSAHO Pension Plan at the time of retirement. Employer agrees to provide a monthly amount towards the monthly premium cost of the current NSAHO Retiree Health Plan. The employer increase the amount it contributes to monthly premiums for single coverage and family coverage to 65% . The retiree will be responsible for the full cost of the premiums if he/she remain in the plan. At retirement, the nurse must elect to enrol in the NSAHO Retiree Health Plan and elect single or family coverage in accordance with the terms and eligibility of the plan. The plan only available to employees who are reached the age of 65. 3.2 Long Term Care The Memorandum of Agreement is between Alderwood Rest Home and The Nova Scotia Nurses' Union which is termination of employment. According to the agreement, Four (4) weeks written notice of resignation will be given regarding resignation of employment by the Nurse unless mutually satisfactory arrangements are made otherwise. Accrued vacation, holiday and overtime benefits shall be paid out on the day of resignation or the next regular pay. In the event of suspension or termination of a Nurse’s employment by the Employer, the Nurse shall be given written reasons for the action taken. In this case, Nurses have the right to have a representative of the Local Union at the meeting. The Employer will give the Nurse and the Local union Representative reasonable advance notice of the meeting. The Employer will be notified prior to the meeting, of the Nurse’s intention to be accompanied by a Local union Representative. In the case of a suspension or termination, the union representation may be provided by a Labour Relations Representative of the Union. 3.3 Community Care Community care is related to the Employer shall make reasonable provisions in respect of the safety and health of Nurses during their hours of employment.
Workplace Safety and Health Committee shall be established in accordance with the Occupational Health and Safety Act. It explains that the NSNU concerned about their employees and the employees of the NSNU also concerned about the community because of the presence of these attitudes will improve the performance of the organization in the community. According to agreement between Alderwood rest home and Nova Scotia Nurses Union (NSNU), the Employer and the Union shall comply with the provisions of the Nova Scotia Occupational Health and Safety Act and Regulations and Safer Needles in Healthcare Workplaces Act. The Parties agree to deal with health and safety matters in accordance with the Occupational Health and Safety Act and its
regulations. Conclusion In a nutshell, Scotia Nova Nurses Union take care of the nurses well-being. The Union make sure the employee are working in a good condition and also provide the need of the employees as well. For the collective agreement of acute care, they increased the current amount for single coverage to family coverage up to 65% in NSAHO Retiree Health Plan. Next, the union make reasonable provision in respect of the safety and health of Nurses during their hours of employment by established Workplace Safety and Health Committee in accordance with the Occupational Health and Safety Act in Community Care aspect. In the case of a suspension or termination, the union representation may be provided by a Labour Relations Representative of the Union which is stated in long term care of collective agreement. Overall, we can say that Nova Scotia Nurses Union have done their best protected their employees’ and their health care system.
- Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
I pray that the busyness of life, the tasks that need to be done, the science of healthcare, sleep deprivation, or monotony will never cloud the love and compassion that I have for people. Personally, I love making connections with people. I love giving people a chance to tell their stories. During my nursing practice, I foresee that I will do my best to be the most caring nurse possible. The responsibility lays within each individual nurse as to the level of caring and compassion that they bring to carrying out their nursing duties. I will continually choose to focus on the needs of my patients above my own. Displaying empathy, I will strive to put myself in each one of their shoes and make self-reflection a priority. I foresee that I will do whatever is within my power to enhance trust, comfort, happiness, and wellness for my patients. This may look like spending extra time with a patient, visiting a patient when I’m off-duty, providing emotional or spiritual resources to a patient, respecting a patient’s beliefs and values, providing for any physical needs or extra comfort measures, or just lending a listening ear or a shoulder to cry on. My patients will always know that they are not
Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.” (Nursing World, 2001). Provision 8 taught me that ANA’s goals are not limited to the health and welfare of individuals, but their goals also encompass the welfare of the community through promotion of collaborative work of nurses with other health professionals and the members of the community.
The phrase politics of nursing or even politics in nursing has so much meaning to the individual nurse. In nature politics have a dichotomy nature, and depending on who you talk to, their individual slant is unique. This makes the discussion of politics a very complicated issue. Agreement is the basis for the efforts that arise from politics, yet with every issue there are two sides who have to compromise something to get a bit of what they want. So what happens when a nurses are so busy they cannot advocate for themselves? Who will advocate for nurses when they can no longer bridge their essential needs in a health care environment? Unions are a modern option for nurses who struggle with voicing their needs and patient needs in an outdated bureaucratic twenty first century capitalist world of health care. The purpose of this paper is to look into the contributions of Unions on nurses, patient care, and the way health care facilities address issues that limit a collaborative approach to health care.
This is one of the values that is of the utmost importance when being a nurse. We must have compassion for our patients. We as nurses will make an impact every single day in the lives of people in our community. We need to realize that we are the voice of the voiceless and the advocates for those who cannot advocate for themselves. You realize that even by helping one person, you are making a difference and are making the world a better place one patient at a time. Some of us may enter the field and some of us may be continuing on in our education, but we all share one thing in common, we are all nurses and we all made
middle of paper ... ... According to Bush (2009), nurses must learn forgiveness and love to prevent and overcome compassion fatigue. “Nurses should treat themselves with the empathy and compassion that they give others” (Bush, 2009, p. 27). Nurses should take time to nurture themselves by maintaining a healthy lifestyle and diet. They should also continue to participate in activities that they enjoy, get plenty of rest, and have a sense of self-awareness throughout their career.
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 professional role of a registered nurse in today’s health care system cannot be underestimated. Registered nurses are often regarded as one of
There are several professional values that a nurse must possess altruism, autonomy, human dignity, integrity, and social justices are among these. Altruism is being concerned for the well-being and welfare of others; this includes their patients and colleagues. This is demonstrated daily through understanding cultural differences, considering the perspectives of others and mentoring others
As a nurse, we must know right from wrong and hold true to our judgments on certain issues. Therefore, nurses must
She further identified seven concepts that are essential to current nursing practice, she stated that,” Based on the acronym FLOWERSTM, they include fundamentals of care, leadership at the bedside, ownership of outcomes, wisdom, ethics, relational competence, and skilled caring.” (Sprayberry, 2014, p.123). Nursing professionals play several key roles, which directly affects client outcomes, such as, critically thinking while being the patient-caregiver, advocate and educator along with coordinating and collaborating with the various members of the multidisciplinary health care delivery team. Nurses always prioritize excellent patient safety and care every day and collect information and recognize the practices that need improvement. For example, the process of identification and documentation of nursing-sensitive outcomes that are a direct result of nursing assessments and interventions. Nursing professionals take leadership roles concerning promoting safety and quality through collecting evidence, analyzing and interpreting the data necessary to improve practice. Armed with the edge of working closely with clients, nursing professionals can identify opportunities of cost-effectiveness without compromising on QI. Through being patient advocates, nurses ensure, that health care clients receive good quality and
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
Working in health care is an important job. People put their trust in us to do our very best to provide them with the absolute best care. Being entrusted with such responsibility requires nurses to conduct themselves both professionally and ethically. Nurses must adhere to the professional values of human dignity, integrity, autonomy, altruism, and social justice. It is these five values that guide us in our practice and as nurses we must promote and emulate these values. They play an important role in the quality of treatment and success of an organization and help us determine right from wrong.
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their