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Author: Rebecca Effah
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
High patient nurse ratio has been an issue with a lot of hospitals in the country. It has a lot of negative effects on patients and nurses. When nurses are faced with this issue, it results in burnout, frustration, high turnover and overall job dissatisfaction. It also has a lot of negative effects on patients as well. High patient nurse ratio results in increase falls, failure to rescue, and inadequate patient teaching among others. This capstone project looked at how hiring nurses especially graduate nurses can help with the nursing deficit that results in high nurse patient ratio and how this can help improve patient satisfaction, quality outcomes as well as nurse job satisfaction. Causes of high nurse patient ratio, its impact on the care given to patients and how it can be prevented were also analyzed. This capstone project also looked at how this proposal will be implemented evaluated and disseminated.
Author: Rebecca Effah
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
High patient nurse ratio has been an issue with a lot of hospitals in the country. It has a lot of negative effects on patients and nurses. When nurses are faced with this issue, it results in burnout, frustration, high turnover and overall job dissatisfaction. It also has a lot of negative effects on patients as well. High patient nurse ratio results in increase falls, failure to rescue, and inadequate patient teaching among others. This capstone project looked at how hiring nurses especially graduate nurses can help with the nursing deficit that results in high nurse patient ratio and how this can help improve patient satisfaction, quality outcomes as well as nurse job satisfaction. Causes of high nurse patient ratio, its impact on the care given to patients and how it can be prevented were also analyzed. This capstone project also looked at how this proposal will be implemented evaluated and disseminated.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309187362
Category : Medical
Languages : en
Pages : 485
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Book Description
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Tamika Harrison
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
The health care system is continuously changing and there is a new emphasis on quality of care and patient satisfaction, which are beginning to determine reimbursement amounts. With that said, the controversial topic of patient ratios per nurse has been talked about for years. Inadequate staffing of nurses or a high patient-to-nurse ratio will negatively influence patient care, outcomes and their satisfaction. High patient ratios will also lead up to nurse burnout and increased turnover rates. In the hospital acute care settings globally, nurses are caring for an average of eight patients to a minimum of two (Hinno, Partanen, and Vehvilainen-Julkunen, 2012). These high ratios are not conducive to give patients the care they deserve or the nurses their satisfaction of knowing they provided optimal care. So, the question of this study ask 0−́In adult hospitalized patients, does a lower patient-to-nurse ratio of 5:1 or less produce a better quality of care to patients compared to a higher patient-to-nurse ratio of 6:1 or greater?0+́ A literature review of 15 research articles was performed regarding the issue of high patient- to nurse ratios and the outcomes resulted from the studies. Because staffing and ratio issues are a concern in organizations, a proposal was set forth in an attempt to correct the problem at hand. California was one of the first states to implement mandated low patient-to- nurse ratios, which studies have shown increased patient satisfaction, improved patient outcomes, decreased nurse burnout and improved nurse retention and satisfaction (Aiken, Sloane, Cimiotti, Clarke, Flynn, Seago, Spetz and Smith, 2010). Mandated staffing ratios, as California has set in place and the implementation of an evidenced based staffing methodology are proposed solutions set forth by this writer. Implementation of this proposed solution will involve careful assessment, planning and communication efforts. To gain approval, the proposal will be submitted to administration with the current policy and the proposed policy for changes. Evaluation of the projects effectiveness, will be by the use of online surveys and graphs that show positive gain in patient and nurse outcomes as a result of a lower patient to nurse ratio. Educational tools will also be incorporated in the form of a power point presentation and surveys to assess for staff readiness for the new staffing changes. To inform others regarding the new staffing ratio changes, this writer will list the information of the organizations information page 0−́The Bridge0+́. The dissemination process will be ongoing until completion of the proposal. Staffing issues have the attention of many researchers; these researchers are looking for avenues to resolve these issues and assist in making the patients and the nurses satisfied and happy. The end of this article will have a complete literature review of fifteen studies and their results pertaining to nurse patient ratios.
Author: Almaz Gebremeskel
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
The improvements of providing adequate staffing and quality patient care have been researched for many years. However, little has been done to solve the growing problem of high patient-to nurse ratios in hospitals. This raised the question: In hospitalized adult patients in acute care facilities, how does decreased patient-to-nurse ratio affect patient outcomes? Fifteen evidence based articles and journals were reviewed and the results were presented. Numerous studies showed direct association between nurse staffing and negative patient outcomes. The evidence proved decreased patient-to-nurse assignments and suitable working environment increased nurses' job satisfaction, lowered turnover, compassion fatigue, and lowered patient morbidity and mortality (Liang, Chen, Lee, and Huang, 2012). This paper presented an overview of the challenges nurses are faced to work with, high patient-to-nurse ratio, showing increased nurse-to patient ratio as a key solution to improve patient outcomes and healthy working environment for nurses. A pilot study will be conducted to compare the outcomes of nurses who were assigned to more patients, compared to nurses assigned to patients based on their acuity levels. Unbiased random selection will be used to pick three participants out of five RNs who work on a 12 hour day shift for the study. Data will be collected at the start and at the end of the 60-day trial period through a tool and questionnaires (Appendix A) from the participant group (A) and controlled group (B). The results from the pilot study will be presented to the key stakeholders for evaluation and approval of the proposed solution.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: Rethimol Ravindran
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 23
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Book Description
Mandatory nurse patient ratios are an issue in most of the hospitals due to financial problems and shortage of nurses. Nurse's work load has been increased due to patient's high acuity and decreased length of stay. Research evidences suggested that regulated nurse staffing influences quality of care, patient outcomes and job satisfactions (AACN, 2003). The purpose of this study is to examine the relationship between nurse staffing and patient outcomes, as well as nurses' job satisfaction at St. Francis hospital in Illinois. Solutions for this problem are implement minimum nurse-to-patient ratio, provide in-services for the nurses to handle patients with high acuity, provide continuity of care and plan the staffing according to the patients' acuity. The ratio should be one to five on medical-surgical unit to secure patient safety and quality of service. In ICU, if the nurse oversees one or two patients, there is significant improvement in patient's outcome and reduction in mortality rat.
Author: Dana Cammiso
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
In the nursing profession there are many issues that can impede patient care. A concerning issue is increased nurse to patient ratio; not only does this effect patient outcomes as well as nurse outcomes. This paper will discuss the topic of nurse to patient ratio and the impact it has on delivery of care. Recent research has shown that an increased nurse to patient ratio impacts patient care and outcomes. Studies have concluded increased nurse to patient ratio can cause mortalities, never events, readmissions, and decreased patient and nurse satisfaction. According to the National Institute of Health Also increasing the nurse's workload by one patient increases the likelihood of patient death by 7 percent (2014). Decreasing nurse to patient ratio will improve patient care as well as prevent complications associated with nurse sensitive outcomes. The Department of Professional Employees reports that increased nurse to patient ratio Besides the occupational hazards caused by understaffing, numerous studies show a correlation between inadequate nurse staffing and poor patient outcomes. High nurse-to-patient ratios are associated with an increase in medical errors, as well as patient infections, bedsores, pneumonia, MRSA, cardiac arrest, and accidental death (2014). An implementation plan was created that will decrease nurse to patient ratio from 6:1 to 4:1 on telemetry units. An evaluation plan was created to educate stakeholders and gather baseline data to measure the effectiveness of implementing this change. This research paper will discuss solution, implementation plan, theory, evaluation plan, disseminating evidence, and a review of literature.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
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Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Author: Peter Buerhaus
Publisher: Jones & Bartlett Publishers
ISBN: 0763756849
Category : Business & Economics
Languages : en
Pages : 329
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Book Description
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
