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Roles and responsibilities of nurses
Roles and responsibilities of nurses
Roles and responsibilities of nurses
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According to Rogers, Wei-Ting, Scott, Aiden, & Dinges, (2004) working long extended helped the shortage of nurses with so many leaving because of this one fact. With nurses constantly being on call and working extended shifts it not only effects the nurse involved but the wellbeing of the patient as well. Logbooks completed by approximately three hundred ninety-five staff members revealed that forth percent of a nurse’s work shift exceeded twelve hours at least twice a week. There are several risks for nurses to constantly working excessive hours. The many risks that come along with working long excessive hours include, but are not limited to, significantly making more errors due to the laws of rest, poorly written reports, and a lower …show more content…
With nurses working long hours it is not known for sure what the true effects are on critically ill patients. To gain a better understanding of recurring work patterns that connect to patient care nurses are uniting to discuss ways to lessen hours and provide better care. Data has been collected from a random sample of nurses working in trauma areas as well as emergency rooms around the United States of America. The data collected included total hours worked, the time of day working, overtime hours, and time to sleep, as well as sleep patterns. As this information was studied, it was found that longer work duration increased the risk of recurring errors and initial errors. It also showed the detectable decrease in the nurse’s ability to pay close attention to their patients and all the important details of the patient’s care. According to the Institute of Medicine recommendations there have been findings to minimize the use of twelve hour shifts and limit nurses to few overtime hours. This will help decrease the number of errors being made in patient care. They also recommend that there should be no more that twelve consecutive hours worked during a twenty-four-hour time
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.
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.
Nurses. They are such a vital part of any hospital and in any medical offices. Their main focus is on the care of individuals, families, and communities so they can recover to perfect health. But with the constant demand, shortage staff and need for nursing, help or hurting them. During my research, I found that some people agree that overworking nurses is okay because the hospital still thrives and that an overworked is just collateral damage. Other think that overworking nurses is wrong and something should be done to change the problem. In this paper, I will discuss effects of nurses being overworked back by research.
...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.
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
A high workload has negative implications for nurses as well. Consequences of heavy workload include stress, burnout, and dissatisfaction, thus affecting motivation for quality patient care. Furthermore, nursing overload was also associated with increased absenteeism (as cited in Fasoli & Haddock, 2010, p. 2).
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
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
According to the book Patient safety and quality: An evidence-based handbook for nurses, “An integrative review by Caruso and colleagues reported that overtime was
Introduction Hospital management teams normally tend to devise methods through which they reduce the cost of service delivery to the patients, and still achieving efficiency in the services offered. Nurses are the health professionals who make the greatest percentage of the staff in most of the health institutions. Considering large the number of the nurses in a hospital and the need to reduce the cost of service provision, management normally tries to reduce their percentage. This has been used in most hospital settings where the number of nurses employed in a given health organization is cut by a significant percentage (Furillo, 2001). Alternatively, some hospitals work on this issue by adjusting labor hours for a nurse to enable them to
Long working hours continue to be one of the largest health concerns in the world. Currently, the world population has become so busy due to the pressure from harsh economic conditions. People are therefore spending long working hours in the workplace, which is an aspect that has negative impact on their health conditions. Statistics from Working Condition Survey indicates that approximately 30% of workers residing in European Union believe that their health is at risk due to the hours they spent in the workplace (Gurung, 2010:16)