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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: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
Get Book Here
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: Suzanne Gordon
Publisher: Cornell University Press
ISBN: 0801464935
Category : Medical
Languages : en
Pages : 288
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Book Description
Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs. Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients-leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation. With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
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: 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: Sumi George
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
Inadequate nurse staffing is a worldwide problem in the health care field, because its influence in safe and better delivery of patient care, patients improved satisfaction as well as nurses work satisfaction. Insufficient staffing is not safe for patient's life and the heavy assignments are the main cause for poor patient care and safety of the patient. Lesser mortality rate and reduced hospital stay related to better staffing. Data's and researches showed that heavy workload for staff is always affecting the safety of patients and quality of nursing care. Researches showed that better staffing always make better outcome for patient's health condition. This paper will describe the PICOT question 0−́for hospitalized patient does lower patient to nurse ratio compared to higher patient to nurse ratio improves patient and nurses satisfaction during their hospitalization? According to a study done in Journal of the American Medical Association each additional patient assigned to a nurse are connected with 7% increase in the likelihood of dying and failure to rescue rates, it also associated with 23% of higher rate of burnout and 15% increased job dissatisfaction (Knudson, 2013). This essay explains the results of better nurse staffing and patient ratio, and its outcomes like improved quality of patient care, improved nurse's satisfaction are some of them. There are many researches and evidence based theories that support this topic, that better staffing improves quality of patient care and improved nurses and patient satisfaction. According to a study conducted in a Chinese hospital shows that better staffing improves nurse's self-confidence, patients care and reduced number of fatal events. This also improves patient's safety and nurses burnouts. (Zhu and others, 2012).
Author: Seth Ronning
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 0
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Book Description
The business of nursing is to provide care for those who are ill or injured and require enhanced levels of care that require great attention and detail to the patients in their charge. To be able to provide high quality and safe patient care nurses need a work environment that fosters the ability to do so. The effect that a nurses' workload can have on the patient outcomes and the nurses own outcomes are significant. Numerous studies show a significant association with nurse to patient staff ratios and patient outcomes including mortality rates. 'Surgical patients had higher risk adjusted mortality and nurses had higher burnout than those nurses with less of a work load' (Purcell, Kutash, and Cobb 2011, pages 715). There is no consistency from state to state within the United States regarding the methods used to create nursing assignments within the hospital settings, more specifically within Medical/Surgical units. California is the only state with a legally mandated nurse to patient ratio, and this mandate has been related to significantly lower adverse patient outcomes (Aiken and others 2010), including a 25'26% decrease in mortality rates (Twigg, Duffield, Rapley, and Finn 2010). Utilizing the current research that shows the positive effects that the California staffing mandate has had on patient and nurse outcomes in addition to the vast amounts of research the display a strong relationship between nurse to patient ratios and patient and nurse outcomes, a suggestion to create legislation to mandate a nurse to patient ratio on Medical/Surgical units and even hospital wide is suggested for the national level and more specifically within the state of Oregon. Multiple articles were reviewed for the purposes of this paper and the findings of the research conducted that a mandated nurse to patient ratio would effectively improve patient and nurse outcomes in terms of decreased mortality rates and other adverse outcomes for patients and decreased burn out and improved job satisfaction for nurses. It is further suggested that the legislation for a staffing mandate follow the mandate outlined in the California staffing model.
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:
Publisher: American Nurses Association
ISBN:
Category : Medical
Languages : en
Pages : 60
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Book Description
Author: Kerm Henriksen
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 526
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Book Description
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Author: United States. General Accounting Office
Publisher: DIANE Publishing
ISBN:
Category : Medicare
Languages : en
Pages : 44
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Book Description
