Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Turnover in nursing introduction
Why patient comfort is important in nursing
Policy and procedure on hourly rounding
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Turnover in nursing introduction
As in business, the companies try to produce the goods and services by the taste and preferences of people. The health care institutions must attempt to align the medical practices with the requirements and needs of the patients. This is essential, not to make profits but to enhance the quality of attention and medical services. It is obvious that people visit the health care institutions because they trust them, but some of them leave the building with satisfaction (McCartney, 2009). It is necessary that these health care organizations ensure that these patients feel satisfied, which could be guaranteed through hourly rounding in an adequate manner.
Review of Literature Beachem, J., & Litton, K. (2013). Take a Deep Breath: Understanding Pulmonary
…show more content…
The article provides adequate information on the morbidity and shows how hourly rounding will help the professionals to fulfill the needs and requirements of patients regularly. Supports the hourly rounding as it would assist the health are organizations to overcome the fear of mistakes and to review all four P consistently.
McCartney, P. (2009). Hourly Rounds: An Evidence-based Practice. The American Journal of Nursing, 34(5), 327-330. The article adequately informs about the depth of issue as increasing number of patients ' complaints reflect the bad reputation of a health care industry. Inclusive of well-structured statistical information and comparison tables demonstrating the ineffective and inadequate practices of professionals. Provides the information about the rate at which professionals are associated with unethical practices at a work place, including phone calls and smoking. Highly supports hourly rounding as it will enhance the level of determination and commitment to health care professionals and nurses.
Prestia, A., & Dyess, S. (2012). Care Partners: Maximizing Caring Relationships Between Nursing Assistants and Patients. Journal of Nursing Administration, 42(3),
…show more content…
Provides adequate information on the rate at which health care institutions are performing hourly rounding. Supports the proposed change as it offers several reasons why hourly rounding is important, including the enhancement of compliance and alleviation in the patients ' complaints.
Therese, M., & Thomas, T. (2010). Nursing Assistant walking Report at Change of Shift. Journal of Nursing Care Quality, (http://journals.lww.com/jncqjournal/Fulltext/2010/07000/Nursing_Assistant_Walkin Chicago25(3), 261-265). It adequately provides background information on the nature of issue reflecting the lack of assistance and support to nurses. Significantly supports the proposed change as it will help in managerial activities. Shows how the implementation of hourly rounding will enhance the quality of health care services, which too in low costs.
Tipton, P. (2008). Recruitment and Retention Report: Rounding to Increase Retention. Journal fo Nursing Management, 39(5),
...ifferent from the previous paper process in that it will improve and streamline the Nurse Leader’s rounding process through technology that provides automated escalations to other members of the team (CipherHealth, 2016). Through the technology, data can be tracked and trended to improve processes.
...t them attain the services easily and at lower costs. In addition, these hospitals have the potential of managing effectively their cash flow. A fixed and proper payment system to the workers of the small health centers can m motivates them to avail quality services to the medical beneficiaries. Small hospitals can be able to have bonus payment in case they provide care in areas short of professional health. Hence, small hospital can implicate appropriately their method of payment. Conversely, there might be a risk possibility when it comes to accessing low amount due to the nature of the illness of the patients, the involvement of high cost of treatment amongst many other factors. In the vent that the overall health care costs are more than earlier anticipated, the hospital and the doctor shall receive less profits. This can have a negative impact on the hospital.
This article is a comprehensive look at staffing on hospital units. It used a survey to look at characteristics of how the units were staffed – not just ratio, but the experience and education level of the nurses. It evaluated several different categories of hospital facilities – public versus private, academic medical centers versus HMO-affiliated medical centers, and city versus rural. It is a good source because it shows what some of the staffing levels were before the status quo of the ratio legislation passed in California. It’s main limitation as a source is that it doesn’t supply any information about patient outcomes.
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
Fisher, L. T. (2007). The body/work nexus: The work of nursing assistants in nursing homes. (Order No. 3261253, University of California, San Francisco). ProQuest Dissertations and Theses, , 132-n/a. Retrieved from http://search.proquest.com/docview/304880603?accountid=34899. (304880603).
Ford, B. M. (2010). Hourly rounding: a strategy to improve patient satisfaction scores. MedSurg Nursing, 19(3), 188-191.
Bouville (2008) describes whistleblowing as an act for an employee of revealing what he believes to be unethical or described as an illegal behaviour to a higher management (internal whistleblowing) or to an external authority or the public (external whistleblowing). Whistle-blowers are often seen as traitors to an organisation as they are considered to have violated the loyalty terms of that organisation while some are described as heroes that defend the values and ethics of humanity rather than loyalty to their company. In the medical community, it is the duty of a practitioner aware of patient care being threatened to make it known to those in charge and for those in charge to address the issues and act on it. The General Medical Council (GMC) stipulated this act of raising concern as a doctor’s duty in its Good medical practice guide. This paper will be based on the analysis of the experience of whistle blowers, reasons why they chose or chose not to take such actions and personal opinions on whistleblowing in the medical community.
...stants are on the forefront of basic resident care in long-term care centers (Sorrentuino & Remmert, 2012). They are essential to the day-to-day operations of these facilities because they aid the nursing staff in many aspect of resident care. Nursing assistants may be the first health team members to recognize the physical, emotion, and social, symptoms that may be common to residents experiencing serious or life-threatening illness. (Botonakis, 2012) Providing this crucial information to the supervising nurses is a very important to resident care. Emotional support and social interaction provided by the nursing assistant play an important role in the residents overall stay in a long-term-care center. It also adds to the residents quality of life. While not the most glamorous career field, the certified nursing assistant, is defiantly a necessary and important one.
Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506.
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 ...
To improve services at the ABC Physician Practice Group, we decided to analyze appointment scheduling to increase patient access to the providers. This was achieved by measuring the Third Next Available appointment system using the following steps:
The major concern for registered nurses regard’s the nurse’s health and well being. Safe staffing levels are continuing to become more of a problem. The U.S is expected to experience a shortage of nurses as the “Baby Boomers” age and the need for health care grows (Rossester, 2014). This shortage is causing some health organizations to work with minimal amounts of nurses. This is affecting the nurse’s ability to provide safe care due to fatigue and injury. This shortage is also resulting in a dramatic increase in the amount of mandatory overtime, which often means that nurses stray from face-to-face patient care and can produce an increase in the amount of medical errors (American Nurses Association,
However, hourly rounding method changed the nursing staff waiting to the call bell to the hourly rounding to meet the patient 's needs proactively. Hourly rounding Revealed by the Studer Group, it is another way of regulating existing work. The design is to meet the patients needs and ensure patient safety (Ford, 2010). By addressing the 4Ps that are assessing patient 's pain, reposition the patient, patient 's personal needs, placement of patient 's bedside items within reach (Ford, 2010). The history of the concept of rounding started in the late 1980s as a solution of the increasing in complaints from the patient and the physicians, in a medical center in Birmingham (Hourly Patient Rounding - ADVANCE for Nurses. n.d.). Currently, health care system facing the new challenge since the Affordable Care Act (ACA) is passed in 2010.With the law, The United States health system confronting the fundamental change. Patient-center care and patient’s satisfaction direct the health care practice. Patient fall is the big unsatisfaction for the patient and the families. Also a significant burden for the health organization related to the treatment of the injury caused by the patient
Extraneous variables are defined as variables that exist in all studies and can affect the measurement and relationship among the study variables (Grove, Burns, & Gray, 2013, p. 694). For the current study on hourly rounding, one of the extraneous variables identified is the staffing ratio. If the unit being studied on encounters a staffing issue (short staffed), it would mean that the nurse-to-patient would be higher. To address and control this variable, the two medical surgical units selected have a fixed nurse-to-patient ratio of 1:6, based on their policies and procedures. If a nurse calls in sick, the hospital’s staffing department has a pool of resource nurses who float to units which are short staffed. Furthermore, a common practice is to offer a bonus/incentive to other staff nurses on their day off to come in and work to fill the staffing problems. Another possible extraneous variable to the current study is that some of the staff (nurse or patient care technician) could just be signing the log without actually adhering to the standards of hourly rounding (addressing 4Ps). ...