The Perception of Registered Nurses Regarding the Use of Medication Assistants in Wisconsin Nursing Homes PDF Download
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Author: Kelly J. Dries
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 92
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Book Description
In response to the critical nursing shortage, nursing homes have been forced to find creative ways to fill vacancies, maintain quality care given to residents, and contain the cost of nursing personnel. One answer to the nursing shortage has been the addition of unlicensed assistive personnel (UAP). The purpose of this study was to examine the perceptions of registered nurses (RN) regarding the use of Medication Assistants in Wisconsin nursing homes. A quantitative descriptive research design was used to describe the perceptions of RNs. The convenience sample consisted of 71 RNs from eight nursing homes located in Manitowoc and Sheboygan counties. The results of this study indicate the majority of RNs perceived the Medication Assistants to be highly prepared (73.2%, n=52) to administer non-sterile treatments. Almost half were very comfortable (49.3%, n=35) with having a Medication Assistant work under their RN license. The RNs reported that they had an increase in job satisfaction (54.9%, n=39) and had more time to perform professional nursing activities such as assessments, teaching and evaluation (83.1 %, n=59). Forty-three percent (n=31) of RNs did not receive any training regarding delegating or supervising Medication Assistants. RNs that did receive training reported that the training was adequate to effectively delegate and supervise Medication Assistants. Eighty-four percent (n=60) of RNs who responded to the questionnaire, supervised only one Medication Assistant at a time. Forty-nine percent (n=35) of RN participants perceived that excellent quality of care is delivered by a Medication Assistant. Finally, the majority of nurses (74.6%, n=53) responded they would highly recommend using Medication Assistants in the nursing home setting. Findings suggest that nurses' perceive Medication Assistants to be a viable solution to the nursing shortage experienced by Wisconsin nursing homes.
Author: Kelly J. Dries
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 92
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Book Description
In response to the critical nursing shortage, nursing homes have been forced to find creative ways to fill vacancies, maintain quality care given to residents, and contain the cost of nursing personnel. One answer to the nursing shortage has been the addition of unlicensed assistive personnel (UAP). The purpose of this study was to examine the perceptions of registered nurses (RN) regarding the use of Medication Assistants in Wisconsin nursing homes. A quantitative descriptive research design was used to describe the perceptions of RNs. The convenience sample consisted of 71 RNs from eight nursing homes located in Manitowoc and Sheboygan counties. The results of this study indicate the majority of RNs perceived the Medication Assistants to be highly prepared (73.2%, n=52) to administer non-sterile treatments. Almost half were very comfortable (49.3%, n=35) with having a Medication Assistant work under their RN license. The RNs reported that they had an increase in job satisfaction (54.9%, n=39) and had more time to perform professional nursing activities such as assessments, teaching and evaluation (83.1 %, n=59). Forty-three percent (n=31) of RNs did not receive any training regarding delegating or supervising Medication Assistants. RNs that did receive training reported that the training was adequate to effectively delegate and supervise Medication Assistants. Eighty-four percent (n=60) of RNs who responded to the questionnaire, supervised only one Medication Assistant at a time. Forty-nine percent (n=35) of RN participants perceived that excellent quality of care is delivered by a Medication Assistant. Finally, the majority of nurses (74.6%, n=53) responded they would highly recommend using Medication Assistants in the nursing home setting. Findings suggest that nurses' perceive Medication Assistants to be a viable solution to the nursing shortage experienced by Wisconsin nursing homes.
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.
Author: Amy Tat
Publisher:
ISBN:
Category : Drugs
Languages : en
Pages : 0
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Book Description
"Background: Facility-based long-term care provide a variety of health care services, including medication management. However, medication errors are common and such errors contribute to disability and mortality. Due to an inadequate number of nurses, Washington State passed the Medication Assistant Endorsement law, allowing certified nursing assistants (CNAs) with specialized training as medication assistants (MAs) to administer certain medications under a register nurse’s supervision in assisted living facilities and nursing homes. However, initial medication assistant training is limited. Providing continuing education for CNAs can address gaps in knowledge and skills needed for safe medication administration and help enhance patient safety. Furthermore, training CNAs as MAs allocates more time for licensed nurses to perform roles that require clinical judgment, reduces costs, and offers additional resources to MAs for career advancement. Purpose: The purpose of this project was to develop an education program for certified nursing assistants to improve confidence in knowledge of medication management and skills in safe medication administration at an assisted living facility. Methods: Based on research and staff input, an educational program was developed and disseminated to nursing assistants through an in-person presentation. Quasi-experimental preand post-test measured perception and confidence with a survey questionnaire, and skills related to safe medication administration via observation of nursing assistants at an assisted living facility in Washington State. Descriptive statistics and thematic analysis were conducted to analyze the data. Results: 12 CNAs participated in the study. 11 themes were identified in perceptions on barriers to safe medication administration, with all participants reporting a lack of understanding in administering different forms of medications as a barrier. Statistically significant improvement was found in confidence on knowledge of medication management. Participants also showed increased skills for safe medication administration after education intervention. Conclusion: Addressing medication management challenges in assisted living facilities requires collaboration between nurses and certified nursing assistants. With continuing education and training, a culture of patient safety can be established, resulting in improved safe medication administration practices by certified nursing assistants"--Abstract.
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:
Publisher:
ISBN:
Category :
Languages : en
Pages : 174
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580
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Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
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: United States. National Labor Relations Board
Publisher:
ISBN:
Category : Labor laws and legislation
Languages : en
Pages : 1162
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Book Description
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: 0309132746
Category : Medical
Languages : en
Pages : 344
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Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
