The nursing world with its strengthening economy and employment growth will create a critical shortage for nurses. Practicing registered nurses encounter short staffing in their workplace. It is a concern for nurses in their profession and personal well-being. There are increasing reports on the exploitation of mandatory overtime as a staffing mechanism. An unsafe staffing practice will result in harmful outcomes on patient care, medication errors, and eventually nurses leaving the bedside or the profession. The causes of nursing shortages are attributed to aging populations, increase of patient lifespan, and the expanding role of nurses. Recent reforms in healthcare will also provide people access to the healthcare system. Additionally, the …show more content…
Mandatory overtime with a nurse, overloaded to work more than their required shift, not only decreases the chance of patient safety but also minimizes their nursing autonomy. Thus, ultimately worsening the staffing shortage problem nationwide. With the retirement of the baby boomers, the healthcare is losing a massive amount of nurses in a short amount of time. Research has indicated that majority of nurses intend to leave their current job for a new position or retire early due to excessive amount of hours mandated to work. Nursing students, many of those enrolled also abandon their studies for another career. With a reduced amount of nurses in the future, patient care and safety are at …show more content…
The mandatory overtime cycle will not be easy to break; multiple interventions are necessary. Healthcare facilities can achieve this through by first understanding their objectives and goals. One alternative is voluntary overtime; it allows the nurse to decide whether to consent or refuse a request to work overtime while still promoting continuity of care. Maintenance of sufficient staffing necessitates strong retention efforts on current workers as well as effective employment on new staff members. The use of nurse float pools and staffing agencies also alleviates shortages. More importantly, nurse leaders must establish and maintain an environment where employees feel connected to their organization. Strategic planning does not necessarily eliminate all overtime. However, eradicating mandatory overtime can significantly reduce the primary reason of high nurse turnover. It demonstrates to be a safer method for staff coverage. Magnet hospitals universally are prohibiting mandatory overtime or severely limiting an employer’s ability to require extra hours. As for other government hospitals and nursing homes, mandatory overtime may still be legal. Thankfully, a number of states have stood up to prohibiting the practice altogether in the healthcare
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
In my clinical experienced, I witnessed nurses who were assigned and burdened with too many patients. Certainly, staffing impacts the quality of care that the patient receives that is why I think that it is important for nurses to speak up and let the administration know what is happening. For me, this represents the nurses’ ability to make decisions considering many issues that affect their personal welfare, their practice environment, and the quality of patient care that they provide. Nursing is a trusted profession, and for the public, the strike is a symbol of a negative behavior. In order to uphold nursing’s image and allow for management/hospitals to respond effectively in maintaining patient care, a 10-day notice of intent is required (Cherry & Jacob, 2017, p.
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
n her Nytimes Op-ed article “we need more nurses” Writer Alexandra Robbins reveals that while nurses plays a very important role in improving the health care system of the country, most hospitals and medical establishments are understaffed with nurses. nurses are often one the least recognized group of people who are long due overstretched with the service they provide. Inadequate staffing has become one of the major problems across the country, with the exception of state of California, no other state has set up a standard minimum nurse to patient ratio.many studies has shown that when more patients are assigned to a nurse, the higher for the risk of death, infection,complication, falls and longer hospital stay. the author quoted
Mandatory overtime is an issue faced by many nurses across the nation. It is seen as a solution to the nursing shortage crisis; however, it is not a sustainable solution as it has led to an increase in medical errors, increased patient mortality, decreased job satisfaction, nurse fatigue, and deficits in nurse’s work performance. Several states have enacted or are considering laws to prohibit this problem. According to Rubenfire, “This is something that's been going on in hospitals for a very long time,” Ruben noted. “But it is not as focused on as much in the past.”
Studies have shown that when there are too few nurses for too many patients, patient length of stay is longer, the risk of infections and falls is higher, and overall customer satisfaction lowers, lowering the hospital's image and quality of care. - In the long run, having a lot of resignations and losing patients makes the hospital lose money because looking for staff means using up a lot of time and paying more to administrators just for finding staff. Plus, not having the trust of patients means having fewer people to care for and less and less
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of
Short staffing is one of the many challenges nurses encounter in the work environment. The impacts can be detrimental primarily to the patient’s outcome. To examine the effects of short staffing, research was conducted on 36,539 hospital inpatients to evaluate the amount of those exposed to an understaffed shift and how many patient outcomes resulted in a NSO (Twigg, Gelder, & Myers, 2015). NSO’s are nurse sensitive outcomes based on the nursing care provided to the patient. Patients exposed to short staffing had an increase of greater than one chance of NSO’s compared to patients not exposed (Twigg et al., 2015).
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
They need to be cognizant of not only their mistakes, but the mistakes of those making the decisions before them. Therefore, nurses should not be constantly asked to work overtime because that is how mistakes are missed or made (Kelley, 2004). Nurses should sharpen their saws between shifts and their days off, only then can they perform their absolute