Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Staffing issues in nursing
Staffing issues in nursing
Staffing issues in nursing
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Staffing issues in nursing
If you’ve ever been in the hospital, you know that 99% of the time your nurse will be the one taking care of you, not your doctor. But do you know how many patients your nurse could be taking care of besides you? Most hospital nurses have around six patients at a time, not including the patients they are discharging to go home or go to another floor, just to bring another patient in. What I want to look at is how this effects our care when in the hospital, and how it effect our nurses work experience. The reason I chose my subculture, nurses, is because I am currently planning on getting my associates in science to continue on to my bachelors in nursing. Another reason is because my mother, Crystal, has been a nurse for twenty years and has worked in many different nursing fields so being able to see the …show more content…
Over that time she has made many nursing friends, therefore I decided to interview her and two of her friends; Tiffany and Vanessa. During my interviews I asked many questions: When did you start working as a nurse and how long have you worked at your current job? How is the staffing? What is the turn over rate? Are there any specific problems that occur because of the short staff? What would improve the most if there was better staffing? A few of the answers I got were: “If their was better staffing, more people would stay rather than them having to hire/train new people all the time.” (Crystal) “If they had better staffing, we would have time to finish all of our work during our already twelve hour day rather than having to end up staying fourteen to fifteen hours just to finish charting.” (Tiffany) “I just started nursing a few years ago and I feel I should have listened to everyone that told me not to do it, even though I love taking care of my patients and love my work environment, the way we are treated and expected to take care of six+ patients alone, without breaks is ridiculous.”
Working in long-term care can be overwhelming. Imagine you are a new graduate nurse putting your new found knowledge and skills to practice for the first time. Your orientation lasted three days which is standard for nurse home orientation compared to hospital orientation that last approximately six to eight weeks for new grads. The shift has just begun and already you have a new admit, new found pressure ulcer to assess, a possible medication reaction, several new orders to take off and eight patients to document on for varying reasons. Feelings of frustration and confusion take over as you are the only nurse on the unit along with a Certified Medication Technician (CMT) and three Certified Nursing Assistants (CNAs) taking care of 47 patients. Ideal nurse-to-patient ratio continues to be a national issue in both the hospital and long-term care setting (LTC). In the LTC setting there is no official nurse-to-patient ratio; there is a suggested staff-to-patient ratio. This issue not only affects the new licensed nurses but the seasoned nurse as well. Recently, there has been controversial debates as to whether heavy workloads are detrimental to patients. The federal, state, and local government regulates many aspects of healthcare. However, it is the physicians, nurses and other healthcare professional that provide care directly to patients. Consequently, does insufficient staffing, heavy workloads, and unsupportive work environment directly contribute to poor patient satisfaction, nurse burnout, high turnover and job dissatisfaction?
For my informational interview I spoke with a nurse who has experience working on a medical surgical unit in a hospital setting. She has been a nurse for 10 years. She also has her bachelors degree in nursing. I started my interview by introducing myself and explaining what my assignment was about, and how she could help me tremendously with answering some questions regarding her nursing career, and what she does as a medical surgical nurse.
The problem, as defined for my argument research paper, is that to cut costs, hospitals have been steadily increasing the number of patients nurses must care for. In many areas it's not uncommon for one nurse to have to assess, give medications to, and manage the care of as many as 12 patients. This puts tremendous strain on nurses. Many of the studies I have seen in my research indicate that a high ration of patients to nurses increases the rate of death or other poor outcomes for patients. It also leads to increased nurse burnout and higher turnover, though at this point I believe my paper will focus on patient outcomes.
In the case of nurse staffing, the more nurses there are the better outcome of patient safety. When there enough staff to handle the number of patients, there is a better quality of care that can be provided. The nurses would be able to focus on the patients, monitor the conditions closely, performs assessments as they should, and administer medications on time. There will be a reduction in errors, patient complications, mortality, nurse fatigue and nurse burnout (Curtan, 2016). While improving patient satisfaction and nurse job satisfaction. This allows the principle of non-maleficence, do no harm, to be carried out correctly. A study mentioned in Scientific America showed that after California passed a law in 2014 to regulate hospital staffing and set a minimum of nurse to patient ratios, there was an improvement in patient care. Including lower rates of post-surgery infection, falls and other micro emergencies in hospitals (Jacobson,
Nurses are the largest and the most trusted professional group in the health care system. They are highly educated and skilled in their areas of practice. However, today’s nurses are experiencing an ever increasing workload, which negatively impacts their ability to deliver safe patient care (Berry & Curry, 2012). This paper explores four published journals that report on survey results on nursing workload and their direct correlation with patient care outcomes. The purpose of this paper is to address the ongoing nursing workload issues and explore the reasons behind it.
Identifying and maintaining the appropriate number of mixed nursing staff, RN/LPN/CNA, is critical to the delivery of quality patient care. Many studies reveal an association between a higher level of experienced RN staffing and lower rates of adverse patient outcomes (“Nurse staffing plans,” 2013). The nurse-patient ratios will in turn improve the nurses working conditions, decreasing the risk of errors to patients.
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
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
Nursing is a field of work that so many people find themselves fascinated with, as well as harboring a degree of respect. We look to nurses with a sense of admiration and reverence, and look to them for security in times of need. What makes nursing such a desirable and enthralling field to other people? Despite the fact that doctors are normally under the spotlight, nursing is of profound importance in American culture. Nurses provide comfort and security, as well as a knowledge of medical aid. The field of nursing has the benefit of coming from a field that is ancient, yet timeless and has blossomed throughout history to make a large impact on our culture today.
How come my nurse doesn't spend more time with me? Why is she/he always rushing to get out of my room? Staffing in nursing is probably one of the biggest issues in health care nowadays. For one, there are just too many patients and not enough nurses, which makes it unsafe for the clients and the licensed professional.
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.
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
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
I prefer to work closely with patients and build that connection with them.” This answer didn’t really shock me all that much, I think its really common for people to go for pre med and then find/figure out that they wont be able to really establish and connect well with the patients. My next question was simple and asked, “Was it your dream to always become a nurse, and did anyone have an influence on your decision?” Emily explained that she has always wanted to work in the medical field, but didn’t really know which area or career path until college. She also went on to say that both her mother and sister are nurses, but her mother had the most impact because Emily was able to be in the hospital a lot during high school and started volunteering when she was young. Knowing Emily’s background it doesn’t surprise me that she went for nursing, there is clearly a family history of it. Also, with Emily volunteering at a young age she was really exposed to the hospital setting which would help her choose a career. I just got a volunteer position at St. Paul Children’s Hospital which I am very excited for because I will be able to experience the hospital setting and really see why Emily is so excited about nursing. My last question was, “What made you want to work with