Zinn, Guglielmi, Davis, and Moses (2012) noted that the present shortage of registered nurses will grow to a staggering 1 million by the year 2020. With this being said, the need to attract, properly train, and retain nursing staff is crucial to the future of health care. It is well known among nurses that the first year working as a new nurse is one of the hardest. Jones-Bell, Halford-Cook, and Parker (2018) recognize that entry into practice is often described as difficult and conflicting between expectations and reality. Besides the incongruence between nursing education and nursing practice, the job itself is stressful and requires skills, confidence, and competence in order to deliver safe patient care.…
Nurse staffing is taking center stage in the legislative arena because of the ongoing nursing shortage and the imminent retirement of many nurses. “Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care. Numerous studies reveal an association…
Mandating Nurse-Patient Ratios • Data shows that lowering the nurse-patient ratio similar to the California mandated ratios will result in lower mortality rates (Aiken et al., 2010). • When the workload is decreased nurses are more successful in identifying a change in patients’ health status, therefore able to intervene and provide a better outcome for the patient (Aiken et al., 2010). • Reports of job dissatisfaction and nurses’ burnout decreased when the nurse-patient ratio in other states were equaled to the California mandated ratios (Aiken et al., 2010). • Research shows that lowering the amount of workload for nurses’ results in fewer mistakes, improved nursing care, a supportive staff, and an overall better working environment (Aiken…
Turnover In the healthcare setting, it has been studied that within the current staffing, scheduling, and patient care levels, something are needed to be done to avoid unsafe circumstances (Richards). If any of these examples become a problem, a nurse may start to think of turnover. Turnover is the effect of quitting a job. Richards states that in the nursing field, it is common for nurses to turnover because of how little time they get for themselves or sleep time (Richards).…
Since 2005, without much success, the Minnesota Nurses Association (MNA) has been encouraging hospital chief executive officers and/or administrators to set a baseline minimum staffing standard or create policy to protect patient safety (Minnesota Nurses Association, 2017). In 2010, the Affordable Care Act (ACA) implemented a new model of healthcare delivery and payment that was designed to improve quality and reduce costs, but as a result, cost control pressures have been put on nurse staffing levels in order to reduce nurse labor hours and their associated costs (Avalere, 2015). With a goal of making a case for sufficient nurse staffing levels and/or models, the American Nurses Association (ANA) teamed up with Avalere to conduct a targeted review of published literature, government reports, and other publicly available evaluations of nurse staffing and patient outcomes (Avalere, 2015). Their key findings with appropriate nurse staffing included: nurse staffing models should consider the number of nurses, the nurse-to-patient ratios and staffing should be adjusted to account for unit and shift level factors; helps to achieve clinical and economic improvement in patient care; improves patient satisfaction and patient quality of life; decreases/reduces: medical and medication errors, patient mortality,…
Inadequate staffing levels on inpatient psychiatric units has several down sides, for example, there is an increased risk for nurse burn out, decreased nurse satisfaction, high staff turnover rates, risk for poor patient outcomes, increased risk for patient on staff and patient on patient violence, and increase risk for safety concerns to patients and staff. All of these issues are currently costly to time, resources and finances. Four years ago the American Psychiatric Nurses Association identified how these issues are impacting the care of psychiatric patients and call for changes to be made in staffing (American Psychiatric Nurses Association, 2011). However, there has continued to be no recommendations or staffing models developed to remedy this issue.…
Donna, the program that you developed sounds like a great model that could be used by other nursing units in both long term and acute care settings, and I applaud your efforts. All too often, and for reasons I do not understand, nurses do tend to eat their own. My employer does have similar programs for nurses and nursing assistant staff. We also provide for a day of job shadowing to allow applicants the time and experience to understand what their role will be on each unit of the acute care hospital before they accept the position. Tilden et al., 2012 also link all levels of nursing staff turnover rates in long term care facilities to the quality of end-of-life care provided by the facility.…
Isn’t it strange how nurses are well-known to render patient care, yet their actions influence adverse patient outcomes? Nurses play a significant role with the improvement of patients’ health. Given a shortage of nursing staff cannot be controlled, the intense workload assigned to nurses with higher patient proportions affects quality patient care and increases nurse burnout. When hospitals are short staffed, nurses tend to take alternative routes to make sure tasks are completed within their shifts which then cause harmful effects on patients including medication errors, nosocomial infections, and pressure ulcers (Cho et al., 2016; Frith, Anderson, Tseng, & Fond, 2012). Short staffing is an ongoing problem in acute hospital settings.…
Nurses have an integral and important role in the health care system. In the long run, suitable nurse to patient ratios will reduce spending and recruitment and retention of quality nurses will improve. Staffing needs and problems will intensify as the changing need for health care grows in our society. In order to retain nurses and have quality patient care, sufficient nurse to patient ratios must be obtained. Hiring additional staff is an economic issue, however, the outcomes could offset the cost.…
Nursing retention is something that every work place faces due to many different factors. Nurses are constantly being overworked throughout their shift that leads many of them to become distant from both their home life and their work. A research journal by Susan Simmons, PhD, ARNP-BC, states that nurses and other healthcare professionals need to learn how to embrace the balance between work and life. “Work-life balance means bringing work, whether done on the job or at home, and leisure time into balance to live life to its fullest (Susan Simmons, 2012).” In the article she proposes the question of whether or not nurses can achieve the work-life balance, because it is said that the outcome of nurses health may have a better outlook if they…
The let-down on ensuring the equate amount of nurse staffing has revealed such a damaging impact on the patient. This problem cannot be based on just adequate staffing, it is also a problem with the patient care and…
The argument I will be addressing in my persuasive essay will be about the unfair workload of nurses. I will be arguing that nurses are overworked and do not have the support of the administrators. My main argument is to have the administrators hiring more nurse staff or to lower the ratio of nurse to patient. This argument is derived from my field of work. I am an RN, and I work in the same circumstances.…
1. Staff shortage is one of the biggest issues in many health care organizations in the united states. It has a direct relationship with the poor patient outcomes and unstable health care system. In our department as we all noticed that every month we have to provide orientation to the new nurses and other health care providers, which has a negative impact on the health status of patients. Old staffs are more experienced than new staffs so they have better skills and knowledge to deal with health care challenges so it is most crucial to minimize the shortage of staffs.…
A nursing shortage provides opportunities for future nurses; however, it causes consequences as well. The impacts of low nursing levels have several negative effects, such as increased risk for medical errors, death, workplace injuries, etc. For a healthcare facility to work efficiently, effectively and safely, there needs to be a sufficient number of working nurses and experienced nurses available to care for patients. Since there is a close connection between patient safety and nurses, staffing levels have become a concern for the public, government and healthcare…
Nurses and providers have an important role to play in the health care system. High patient to staff ratio is an essential feature in ensuring patient safety and quality of health care provided (Manion, 2012). Adequate staffing is a key requirement for nurse retention and patient care. While on the other hand, inadequate staff ratios endangers the patient’s life and the quality of care provided by driving the nurses away from their profession (Connecticut, 2000).…