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Impact of the aging population on health care
Impact of the aging population healthcare
Impact of the aging population on healthcare
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Impact of the trends on the overall quality care in the state of Pennsylvania One of the negative trends heighted by HAP (2014) was that the number of licensed general acute care hospitals has declined by 13 percent since 2003. Unfortunately, this trend can increase the likelihood of adverse patient outcomes as there will be a lot of pressure on the hospitals. The number of acuity patients would outweigh the number of available hospitals needed to treat patients. Consequently, there would be poor patient outcomes. Keenan and Kennedy (2003) in the research, The Nursing Workforce Shortage: Causes, Consequences, Proposed Solutions, argued that acuity patients who in the past would have continued the early stages of their recovery in the hospital will now be discharged to skilled nursing facilities or to their homes as a result of the decline in acute care hospitals. …show more content…
Thus, there will be a gap between the number of available health care workforce and the needs of today’s patients for care. According to the Agency for Healthcare Research and Quality (2015), “hospitals with low staffing levels tend to have higher rates of poor patient outcomes like affecting labor and delivery and general medical surgical units as well as intensive care units and operating rooms. More so, HAP highlighted another trend of uncompensated care in Pennsylvania hospitals which ultimately results in a decrease in health care services and access as they struggle financially in the hospital operations. This should not be overlooked as it has magnitude of repercussions in the health system. Actions must be taken to tackle this concern in order not to shift the primary focus of health care system of providing health care needs to patients to uncompensated care
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
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.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
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,
One of the big barrier is the high demands to reduce costs. As healthcare industry has been targeted as an organization that over spends. This has resulted in finding ways to cut costs in the hospitals. Reduce costs can result in losing possible valuable staff members such as psychiatric sitters who improve quality, safety, and value-driven outcomes. Communication barriers between staff and management need to be eliminated.
Griffiths, P. (2009). Staffing levels and patient outcomes. Nursing Management - UK, 16(6), 22-23. Retrieved from Academic Search Complete database.
Needleman, J., Buerhaus, P., PKankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse Staffing and Inpateint Hospital Mortality. The New England Journal of Medicine , 364, 1037-1045.
HAI rates, nurse staffing, length of patient stay, and patient outcomes need to be evaluated in a collaborative manner. Nurses play a vital role within the health care system, and the effects of nurse staffing on patient stay, outcomes, and HAIs is a critical element in health care needing immediate attention. A positive increase in nurse-to-patient ratio, even by adding one additional nurse per shift, will decrease HAIs, patient length of stay, and patient mortality. Stronger educational programs within hospitals regarding infection control are also needed. A more informed and educated nursing staff will likely result in a better educated patient. Overall, staffing of nurses proves to be a critical link between patients and HAI rates.
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.
...staff would not be required to put in the overtime to compensate for the lack of workers. Patients would no longer have to suffer the neglect of the staff because he or she was too busy. Making sure the patient gets the best quality care reduces the time spent for recovery. Reducing the time spent for recovery increases the organization’s finances. Providing a safe facility also reduces the expenses on the private hospital’s budget. Ensuring a patient is safe can reduce potential use of ongoing treatment and services. Hiring the appropriate nursing staff needed can save the organization money. Instead of cutting back on staff, more staff needs to be hired to fulfil the needs of the patient. In the economy today, private hospitals need to focus on the overall long term effects of each action opposed to quick reactions resulting in financial strain for the facility.
here are several different ways to address the nursing shortage in Maine. The first way would be to help create new nurses in Maine. “The University of Minnesota announced a partnership with the Minnesota VA Health Care System in June 2013 to expand enrollment in the school's BSN program. With a focus on enhancing care to veterans, the VA committed $5.3 million to the university to expand clinical placement sites, fund additional faculty, and support interprofessional engagement” (Rosseter, 2014). The nursing schools in Maine could also form strategic partnerships and seek private support to help expand student capacity. In a similar manner, many states have made initiatives to address both the shortage of RNs and nurse educators. For example,
As reported by Bowron (2010), hospitals will benefit from reducing patient-nurse ratio by saving money. Bowron point out that an adequate staffing ratio could lower hospitals’ costs significantly in the following ways:
On May 3, 2012 my grandpa had a stroke. The first thing that came to my head was, “Will my grandpa die?” I did not want to lose my grandpa. He was someone I looked up to, and I loved to be around him. He was hospitalized for approximately two months. My family and I visited him often. I remembered what my grandpa was like before his incident: a fun-loving guy, always cracking jokes to his grandkids. aHe was different now. At first, he couldn’t respond to the doctors with words, he could only slightly shake his head. When people came to visit him, he couldn’t recognize who they were. He didn’t even know who I was. He couldn’t walk. Later he had feeling in his feet, but still had trouble standing up and still couldn’t walk. He started to speak, but slurred. His reaction was slow. He wasn’t the same grandpa I knew months before. I visited the hospital frequently. As
The outcomes made available in the International Journal of Nursing Studies make public that when client’s healthcare needs are left uncompleted owing to dearth of time is the “missing link” that exist in understanding the discrepancy in mortality rates in healthcare facilities. The study shows that, the minute registered nurse staffing is lesser, essential care is often much more likely to be overlooked. Every single 10 % rise in the volume of care left uncompleted was connected with a 16 % rise in the possibility of a client dying resulting from common surgical