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Issues with staffing in health care
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When a person enters the world of nursing usually it’s an exciting experience you have worked very hard, and dedicated a lot of time to this, and you’ve finally made it. With any job there are things that they don’t teach you in school, simply because they don’t want to scare you away, or it’s something you have to learn when you’re in the field. The cause and effect of being short-staffed in the nursing industry is at an all-time high. It leads people to wonder if being short-staffed is the cause of more falls, improper patient care, not having proper documentation, even if mistakes are going to be made because the staff that is overworked. There are many obstacles that have to be overcome when there isn’t enough people to cover the patient ratio. Usually, in situations like this it’s understandable that staff complain to administration about the issues at hand. There is a more efficient and proper way to go about it, without making waves with the higher ups. It’s no secret that things aren’t running as smoothly as they should be when not having enough workers becomes an issue. The stress levels are high, workers are agitated, and tired from the countless hours of overtime. Administration is relying on everyone to pitch in to make up for the missing spots on the …show more content…
A good portion of the time administration will highlight their long term employees, stating that they can work short because they are the best. Making it seem like the situation at hand isn’t as bad because they have people who do their jobs. However, this tactic only works for so long, people who are overworked get tired, which could lead to dangerous even life threatening effects. Mixing up medications, giving the wrong dosage of a narcotic, even being so exhausted after another 12, or 16 hour shift that they fall asleep on the way home. Any sane person can see how discombobulated this can
The United States offers some of the most established and advanced health care in the world. Practitioners and administers are constantly trying to improve the quality of care received by patients in the US. Data has consistently shown that the presence of a registered nurse contributes directly to positive patient outcomes (Cho et al., 2016). The debate across the country, however, concerns the precise number of staff required to provide safe, high-quality care. The issue of safe staffing is one that is of great importance to all involved in the delivery of health care across the country.
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
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
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
These articles have many similarities when discussing the issue of staffing shortages. For patients, their loved ones and the general population, they don’t understand the ramifications and strain that staffing shortages have on nurses. People expect and deserve complete, competent and safe care when they are patients. These articles bring to light all the struggles that nurses have to deal with. Nurses are fearful that they will make mistakes, will harm patients, and will harm themselves. (Bae, 2012; Erlen, 2001; Martin, 2015) Overtime can be overwhelming and exhausting, which can lead to errors being made. (Bae, 2012; Erlen, 2001) These articles perceive that it may be beneficial for nurses, patients, and healthcare facilities to decrease the nurse-to-patient ratio, however, this option is not always
Last, The Magic of Chaos, that’s every as nurse. Around five am my phone rings, Good morning Ms. Bushnell, “I can’t work today”. That’s usually how my day begins eighty percent of the time. Those phone calls would not have been so bad, if I was working with a full deck of cards. My organization is not the only one with this dilemma of being short staffed, this has become the normal for healthcare. For nurses, this can have profound impact on day-to-day work causing burn out. As a leader, I had to accept the reality that being short staffed was not going to change and adapt accordingly. When leaders are innovative, empower others and promote shared decision, individuals are more likely to embrace the change. Keeping a positive attitude, recognizing others for their hard work and letting them know their valued can increase staff performance. The first thing that came to mind for me in this situation was how we can work smarter and not harder. With staff involvement, we re-evaluated our work flow and redefined some of the roles of nurses in our department for better utilization of time and nursing skills. The change was embraced and staff engagement in the new work flows have been
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
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.
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
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
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
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.
Having the feeling that everything at work has been placed on their shoulders is a struggle that most workers in today's American society feel as if that they are at constant battle with their employers. Many workers feel as if they are given several tasks that they feel they are not able to complete in shift. Workers are usually not given fair treatment as they are having to sacrifice a great deal for the company in which they work for. Even though they agreed to the company's policies when they were hired for the job they should still be allowed to be able to work their desired schedule. For employers to follow by the employees requests the management needs to know the workers' concerns.
The people who work for you should not be overworked. If this happens you will find that when they become very tired this depletes their levels of work which leads to a negative end result (sloppy work). Make sure that all workers are given adequate time off as no one should really work over an 8-10 hour period on any given job. The utilization of time is always considered very important; how one uses time will determine the attainment of their ultimate goal.