Nurse Shortage Approaches
Nursing Leadership and Management
Nurse Shortage Approaches
When nurses are forced to work with high nurse to patient ratios, patients can develop a variety of infections, get injured, and can lead to death. Often at times patients are discharged home too soon without adequate education about how to manage their illness or injury (Raquel & Sean, 2011). Because of patients being discharged to soon, this causes them to return back to the hospital often sicker than they were before. Increase in rate of admissions, transfers, and discharges on hospital unit’s raises nurses’ workload. When nurses have fewer patients, they are able to provide high quality care (Raquel & Sean, 2011). A quantitative research was done based on knowledge of unit’s attribute and shift by shift nurse staffing levels. The researchers inspected 43 units of medical and surgical patient’s mortality in an infamous magnet hospital here in United States. The units and shifts staffing data from 2003 to 2006 were obtained and consolidated with patient data resulting in 3.2 million unit shifts for 197961 patients. The outcome of two staffing variables were scrutinize using a shift unit level: understaffing actual registered nurses staffing eight hours or more below target staffing levels generated by a patient classification system and high turnover which means unit admissions, transfers and discharges exceeds mean day shift by one standard deviation. Patient survival rate was analyzed using Cox proportional hazard regression models with adjustment for clients, unit and shifts risk covariates was practiced. The risk adjust mortality was evaluated to staffing and turnover within the first 5 to 30 days after admission and during previous shifts. The result was dangerous ratios (Raquel & Sean, 2011). The result shows that each shift and unit that where understaffed by 4 to 7% and also has high turnover the risk of patient’s death increases by 2 to 5%. The authors also pointed out that low acuity patient on units that are understaffed, the risk of death is 4 to 12% and with high turnover the risk of death is 7 to 15% (Raquel & Sean, 2011). The strength of the study is that the researcher was able to analyzed patients in the units, staffing, shifts levels and turnover. The authors pointed out that the limitation in the study is that the patient sample was not identical; some confounding of staffing decision with patient clinical conditions and differentials in staffing could have influence the study. The authors elaborated that the findings in this study is consistent with previous association between registered nurse coverage and lower hospital mortality rate, (Raquel & Sean, 2011).
Contrast and Compare Nursing Leaders
Sigma Theta Tau International (STTI) and 40 other healthcare groups of organizations and leaders are helping to find solutions on the war of nurse shortage. The affiliation designed a website, made advertising movements and secured media footage (Sigma Theta Tau International). These measures were being done as a way to entice young people to enter the nursing profession. The advertisement measures also helped to spread the word to the public of the drastic need for nurses. STTI has risen over $1 million dollars to help towards the campaign of nurse shortage. The campaign continues to receive new coverage nationwide to raise awareness of the nurse shortage (Sigma Theta Tau International). Johnson & Johnson and The Honor Society of Nursing worked together and contribute $20 million a year towards campaign to scale down on nurse shortage. The goal of Johnson & Johnson and The Honor Society campaign is to attract people to work in hospitals and extended care facilities (Sigma Theta Tau International). August 1, 2002 the former president Bush, signed Nurse Reinvestment Act. The Nurse Reinvestment Act is intended to alleviate the nursing shortage by offering incentives with tuition reimbursements. The...
References: American Nurses Association (ANA 2014). Nursing leadership, management and leadership style. Retrieved on April 22, 2015 from. http://www.aanac.org/docs/white-papers/2013-nursing-leadership---management-leadership-styles.pdf?sfvrsn=4
American Nurses Association (ANA 2015). Nurse reinvestment act background. Retrieved on April 22, 2015 from. http://www.nursingworld.org/NurseReinvestmentAct.aspx
Raquel, M., & Sean, C. (2011). Staffing with nurse understaffing and high patient churn linked to heightened inpatient mortality risk in a single site study. Evidence based nursing, Vol. 14, p122-123. Retrieved on April 22, 2015 from. http://dx.doi.org/10.1136/ebn.2011.100052
Sigma Theta Tau International (1199-2015). Honor Society of Nursing. Facts on the nursing shortage in North America. Retrieved on April 22, 2015, from. http://www.nursingsociety.org/Pages/default.aspx
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