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Staffing issues in nursing
Staffing issues in nursing
Staffing issues in nursing
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This report provides the brief overview regarding the issue related to short staffing. The aim of this study is to provide an insight to the policy maker on the issue of short staffing, its consequences and its management. Currently, several countries are having an issue of insufficient nursing staff. The problem has risen because of wide career option and high cost rate of nursing study. If the problem of short staffing continues like this then by 2025, the shortage of nursing will be doubled comparing to the shortage of nursing in 1960s. On the other hand, due to the problem of short staffing the patient care is missing, nurses are failing to rescue the patient and nurses are having job stress because of work overload and long length of duty …show more content…
Recommendation includes: recommendation to hospital and recommendation to policy maker. Hospital should always maintain the standard of nurse patient ratio, they should not be more business minded because a single missed care leads to the death of the patient. Hospital should hire enough staff and should focus on the patient outcome. On the other hand, the recommendation to policy maker include formulation of new plan and policies to solve the problem of short staffing. Mostly, the policies are formulated but management fails to implement it. So, follow up should be done after implementation of policies. And the cost of study should be minimized so, the students who want to study nursing can afford the study. The policy maker should promote the nursing education to solve the problem of short staffing and shortage of …show more content…
It deteriorates the patient condition or even threats the life of patient because of the failure of initial assessment, continue monitoring as needed.
3) Job dissatisfaction: Although the nurses are more overwhelmed by the patient recovery but the job dissatisfaction and stress still exists because nurses do not feel safe while providing care to the patient because of the short staffing and one mistake or missed care may lead to the death of the patient and furthermore, there is more work-overload and long shift to the limited staff that urge them to leave work. The patient outcome is affected by the short staffing. The quality of service provided by the limited staff is not adequate which results medication error, fall injury and missed care (Duffield et al., 2011, pp.250). The patient remains unnoticed and nurses fail to rescue because of short staffing which increases the mortality and morbidity rate and cost of the hospital stay of the patient (Diya et al., 2011, pp.1075). Furthermore, the nurse staffing is the effective quality care indicator to measure the patients’ outcome in term of change in nursing practice and improved quality
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
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...
Griffiths, P. (2009). Staffing levels and patient outcomes. Nursing Management - UK, 16(6), 22-23. Retrieved from Academic Search Complete database.
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
It also proves that there should some retaining accountability in quality of care to individuals receiving healthcare. Aim is team work , planning, implementation , progress measuring of health care consumer within the organization.Promots continuous ongoing education of all healthcare providers.ANA provides some leadership qualities as nurses can act as a mentor to other colleagues for the improvement of nursing as a profession and quality of care. In leadership important personal qualities are communication and ability to resolve conflicts. So treat others with full of respect ,dignity and trust. Should consider the effectiveness of communication and ways to improve autonomy and accountability of nurses. Work under the influence of polcies and procedures and involve the patients and profession. Decision making bodies are taking the role for the sake of improve the healthcare outcomes and the professional practice improvement. In public health sectors there should be interprofessional team and that should be advance the nursing practice in interpreting the role for community as a whole. Also nureses can teach other staff members and patients. Pomoting good and healthy working atmosphere between local, national , international communities. Leaders are exhibiting the quality of flexible changing style and creativity according to the situation. They should be energetic in their action and also should accept the mistake by self and others . Other quality is co-ordination of care because in health sectors there is licensed and unlicensed nurses so there should co-ordination among staff members. Work as administrative team. Promote communication among staff members through written messages , publications and presentations. Promote direction to improve the effect of the multidisciplinary or interdisciplinary
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
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
Poor staffing stresses every nurse and makes them despite what they once loved to do. Nurses are overworked and because of that they may not provide adequate patient care.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
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.
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
The profession of nursing is always regarded as complex, dynamic and noble. The nursing profession requires many things such as hard work, vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine. The present patient statistics pose, nurses are expected to take responsibility of accomplishing the requirements.
Martin (2015) looks at the effect that nurse staffing has on quality care of patients. Using numerous studies, the article reviews nurse under-staffing in hospitals and how it not only impacts the care the patient receives but also the nurse’s well-being. This article supports that staffing has a direct impact on patient care and safety and
Meanwhile, the supply of nurses has been decreasing because of low salary, long shifts, low autonomy, mandatory overtime, and being forced to work during weekends, nights and holidays prompt many nurses