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Nurse burnout consequences
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Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
Organizational Support Direct care staff often look to their direct supervisors or the organization itself for support to prevent burnout. The staff’s direct supervisor needs to be aware of the individuals employees stress level. This can be done my spending time with the individual while working directly with individuals and also listening and paying attention to what the staff member is saying. Many human service organizations offer very generous paid time off packages to their employees so that the employees have the opportunity to take time off for themselves or their families. While the paid time off package is nice the organizations need to look at other options as well to keep valuable employees and reduce burnout.
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
Hand washing or isolation of the sick persons with infections in the prevention of hospital acquired infections. 5. Does the use of hand washing, and antisepsis lower the rate of hospital acquired infections? The fifth PICOT question is selected because of the reported low compliance percentage among medical caregivers.
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Nursing practice in the 1900’s has changed immensely over the several decades. Education, roles, and hygiene has advanced tremendously since. Infection control started and has grown to be one of the most important roles in the medical field today. In the early 1900’s, nursing schools were directed by hospitals which provided a more useful practice for nurses to train efficiently.
Nursing is the profession that never leaves the patient from admission to discharge. Due to the high emotional and physical demands of the job, burnout or nursing fatigue is prevalent in the profession. Burnout is a well-studied problem; however, there are very little changes done to prevent fatigue in health care. Nursing fatigue is an interplay of individual, organizational and systematic factors that negatively affect not only the health of the nurse but also patient safety. For the purpose of this paper, I will focus on the external challenges in the organizational level that might affect new nurses in their first year of practice such as heavy workload, lack of support and poor leadership style.
Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.
I thought about nursing burnout through watching the video by speaker Madelyn Blaire. Burnout is categorized as physical, mental, and emotional exhaustion. Burnout can lead to dulled emotions and detachment. I wonder why nurses are burning out.
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
Florence Nightingale is one of the historical nursing figures who has shaped my practice. One theory that still holds true and is of utmost importance is cleanliness. Cleanliness in the environment can include many things for example a clean surgical wound, or clean PICC line dressing, or a clean hospital room just to name a few. Evidenced based practices shows proper hand hygiene can prevent or stop the spread of microorganism. On the negative side many microorganisms are becoming resistant to antibiotics increasing the need for nursing profession to be diligent in cleanliness.
In order to combat this, a nurse must find ways to increase human dignity while also decreasing the likelihood that an infection will be acquired by the patient. The use of an indwelling catheter is a known threat to human dignity and can cause urinary tract infections. The use of intermittent catheterization, allowing the patient to be involved in the decision to insert or remove a catheter, and educating the patient on catheterization can increase human dignity while decreasing cases of catheter associated urinary tract
The main reasons for developing a HCAI are poor hand hygiene by healthcare staff, medical device related infections such as intravenous lines and urinary catheters and the overuse or improper use antimicrobials. Hand hygiene is the cornerstone measure to prevent healthcare associated infection (HCAI) and it has been shown that MRSA is primarily transmitted from patient to patient via the hands of healthcare professionals (Donskey, 2009). Although hand hygiene is the simplest, most effective and most cost effective way to prevent the spread of HCAIs (Pratt et al. 2007) (Kilpatrick et al. 2013), adherence to hand hygiene among health care professionals remains low worldwide (WHO, 2009).
OCCUPATIONAL STRESS ISSUES AMONG NURSES The health care industry has had to deal with occupational stress factors over a long period of time. Studies have shown that, over time, health care workers are higher up the ladder with issues related to substance abuse, suicide and elevated forms of depression and anxiety linked to occupational stress. In addition to the aforementioned psychological factors, burnout, absenteeism, reduced patient satisfaction and treatment/ diagnosis errors are also resulting outcomes of occupational stress. Nursing is generally perceived as a very demanding profession.
1999). A high nursing turnover impacts serious challenges at all levels in healthcare delivery. The commonest negative influence of turnover in the context of the work environment is the inability of a health facility or organization to meet the patients’ needs and less time devoted to provide quality care to patients (Tai et al., 1998, Shields and Ward, 2001, Spilsbury et al., 2011). Increased turnover is also known to have a direct effect on patients’ safety resulting in medical errors, administration mistakes, and increased infection rates in patients (source). Shortage of nursing staff, resulting from turnover may have significant consequences on patients, even leading to patient injuries and deaths (Stolberg,