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Nurse Staffing Ratios and patients
Benefits of nurse-patient ratios
Theory on nurse-patient ratio
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Recommended: Nurse Staffing Ratios and patients
Does nurse to patient staffing ratios make a difference in health care? Studies have proven that increasing the nurse to patient ratio has decreased falls and aggressive behavior. Another positive effect is the improvement of range of motion, quality of care, and patient satisfaction (Shin & Hyun, 2015). However, knowing this information does not change the fact of nursing shortages and overworked nurses. The nurse to patient ratio has been a subject of conflict amongst nurses, employers, and the United States Government. The purpose of this paper is to explore conflict and ways to manage it.
I chose to explore this topic in depth because conflict touches all of our lives. Whether it is at work or in our personal lives. Like most people when you have a bad day at work; I have a tendency to bring the frustration home. Frustration at work causes me to be in a bad mood; hence that makes me argue with my spouse. However, after doing the readings on this subject, I feel I learned to take my emotions out of the situation. I learned to speak up when I am frustrated at work and home. Now, I separate my work environment from my home life. Also, I take a few minutes to calm down, so no more arguments happen over work at home. By speaking
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First, the two disagreeing sides can collaborate by working together to achieve a solution that agrees with both parties. Also, this type of resolution can be considered a win-win strategy (Prause & Mujtaba, 2015). For example, the census is low with only two patients on my unit currently; however, they are high acuity, impulsive stroke patients that are heavy lifts. My boss collaborated with staff and determined a need for an aide; although, staffing ratios do not require one. This was a win-win for all parties involved. I get help: the patient gets assistance as well as supervision needed, and the hospital prevents unnecessary
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).
Many nurses, including myself, face the issue of understaffing and having too much of a workload during one shift. Nurses get burnt out more quickly when working on an understaffed unit. The patient also suffers by not receiving the care they deserve. The issue of nurse-patient ratio is a touchy area
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.
Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem.
Garretson, S. (2004). Nurse to patient ratios in American health care. Nursing Standard, 19(14-16), 33-37.
In several occasions, conflict occurs in the communication of one or two people. Several people have thought of conflict as cases involving pouring of furious anger in a communication process. Nonetheless, conflict is the misinterpretation of an individual’s words or values (Huan & YAzdanifard, 2012). Conflict can also be due to limited resources in an organization (Riaz & Junaid, 2010). Conflict may as well arise due to poor communication or the use of inappropriate communication channel of transmission of information between the involved parties. Management of conflict has various conflict management styles that include avoidance style, forcing style, passive-aggressive style, accommodating style, collaborating style and compromising style. Workplace conflict comes in two different kinds: task involving conflict, which focuses on the approaches used in resolving the problem and blaming conflict that has the aspects of blame and never brings element of resolving problems between the conflicting parties. In the perception of several individuals, relationship conflict is negative.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
Even though I understand my struggles, every time the conversation comes, I always make it worse by raising my voice. The book suggests that I should try to create a conceptual model of what will improve the situation. I realize that the problem may be because I stay in my room too much. My room has become a prison cell for my soul; my mind is surrounded by the tight space. That is to say, I have to explore the world and enjoy the outside air to free my temper.
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
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
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:
According to a nursing article, studies have shown that the mandated staffing ratio has reduced fatigue and medical error among nursing staff while promoting patient safety (Votroubek, 2017). The staffing ratio creates an environment where the nurses are not easily burned out. The ratio gives the nurses less patients compared to before. A friend of mine has told me that she has taken care of over 10 patients in the past and she was grateful for the mandated staffing ratio.
Interpersonal conflict is very common with many relationships. It occurs when two people can not meet in the middle or agree on a discussion. Cooperation is key to maintaining a healthy debate. More frequently; when dealing with members of your own family, issues arise that include conflict and resolution. During this process our true conflict management style appears “out of thin air”. (Steve A. Beebe, 2008, p. 191).
I need to foster my communication skills and develop appropriate conflict management in order to strengthen my self-awareness. Self-management would lead my way in becoming a good leader. Since holding on to negative emotion would only increase the level of stress and adversely impact my relationship among team members so I would better need to recognize the ways to release my anger. If I fail to effectively deal with my anger then it might end up in generating undesirable outcomes. Only a positive work environment tends to be beneficial to develop a good outcome.
After the birth of my first child, I had to learn to develop constructive ways to vent anger. One of those ways was to go off alone, count to ten, and think about what it was that made me angry. After I discovered the root of my anger, I often asked myself, "Will it do me or anyone else any good to be angry?", and, "Will being angry do anything to solve the problem", and the answer to both questions was usually no. By the time I had done the walking and thinking, I was usually not angry anymore.