I am on the medical surgical unit for my clinical. This unit serves patients who have a variety of medical and surgical diagnoses. Some of the diagnoses and conditions include urinary tract infections, gastritis, pneumonia, generalized weakness, and knee replacement. There is a total of 60 beds on this unit.…
Summary: This article informs the reader of the shortage of nurses. The article mentions, as in the past, nurses are still putting in long hours, caring for more patients, desperately trying to stay on top of things. There is a new nursing shortage, different from the old one. The reasons of the shortage are examined. Fewer people are entering the nursing field, a general dissatisfaction of many issues, and a high burnout rate. The article consists of three main reasons for the shortage, each of which go into detail about a certain issue. The new shortage requires unique solutions that will fix the underlying issues, not just solutions that will help in the short run. The solutions of which that were mentioned was needing stronger, professional work environment, adequate staffing, and salaries and benefits to that equal of their responsibilities. To help combat the shortage, federal and state governments are presenting legislation to improve the working environment and helping to pay nursing tuition. Besides government help, there is a personal effort that can be made. The nurses can take better care of themselves, bring suggestions to colleagues and nurse-manager, and raise their personal level of expertise of their…
Duffield C., Diers D., O’Brien-Pallas L., et al. Nursing staffing, nursing workload, the work environment and patient outcomes. Appl Nurs Res. 2011;24(4):244-55.…
Nursing retention of the experienced nurse is a common problem in many acute care hospitals. With the recent increase in nursing graduates and, there is still expected to be a nursing shortage of 260, 000 nurses between 2018 and 2025 (Buerhaus, Auerbach & Staiger, 2009, p. 663). The financial impact related to nurse turnover is astronomical; the cost of replacing a nurse costs anywhere between $42,000 and $64,000 dollars (Lynn & Redman, 2005). To properly stabilize staffing in order to operate a high-reliability organization and provide high-quality and safe patient care it is imperative to retain the nursing staff. Nurse retention is more important than ever before with the constantly changing healthcare environment.…
The issue of concern that this article addresses is “to systematically evaluate nurse working conditions and to review the literature dealing with their association with patient outcomes.” (Bae, 2011).…
The shortage of nursing staff then promotes to the issue of poor job satisfaction rates that then result in turnover among staff members. This occurs due to the added stress of caring for too many patients at one time and not having the time that it takes to communicate effectively among staff members for the well-being of the patient.…
There are many major challenges facing the nursing shortage environment today. One of those challenges includes the facility recruitment of registered nurses and then the facility retention of the registered nurses that they have recruited. Factors to consider would be as to why a registered nurse chose to accept a particular job and will they choose to stay at the facility after being given an employment opportunity. A facility’s reputation, union status, autonomy and salary are among some of the factors that influence recruitment. Factors that influence retention includes the inclusion in decision making, practice autonomy, workers, work load, management’s respect of the workers, and shifts worked.…
The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…
Patients and healthcare professionals would agree that nursing care is a fundamental for achieving optimistic goals and improving patient satisfaction. Whether it being an acute setting of maintaining care plans with patients, nurses play an important role within a multidisciplinary team to help achieve better patient outcomes.…
Nurses are the largest group of health care professionals providing direct care in hospitals. However, they suffer from job burnout…
The nursing profession, and nursing care of patients are a critical part of positive patient outcomes. Nurses are the face of healthcare today and are the link to health and personal care and continued improvement in patient care. The points of this study bring out the need and correlation for quality and sufficient staffing. The need, desire and demand is there to increase patient outcomes and in order to do this we need to start with sufficient staffing on our nursing units. This will then increase nursing satisfaction, decrease the nursing workload and allow for more individual…
Clarke, S. (2003). Patient safety series, part 2 of 2: Balancing staffing and safety. Nursing…
In addition to the aging population and healthcare workforce, another contributing factor impacting the nursing shortage is the demand of more intense healthcare services. Because of this, many of the nurses are reporting high levels of job dissatisfaction leading to a high turnover rate and early retirement among RNs. Despite the 37,000 increase of added jobs in hospitals, long-term care facilities, and other ambulatory care settings, many raised serious concerns about the slow production of RNs…
Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate staffing to meet the high demanding in patients’ needs, to mention but a few. Healthcare organizations need regular, dependable, highly efficient and fully involved staff to provide excellent patient care at all levels. Therefore nursing leaders and managers are highly depended upon in changing this current trend of shortage and turnover of nurses affecting the healthcare profession (Hunt, 2009).…
Stanton, M. R. (2004, March). Hospital Nurse Staffing and Quality of Care. Research in Action. Rockville, MD, USA: Agency for Healthcare Research and Quality.…