We hear nurse’s talk about how rewarding their profession is but what they seldom talk about is how it can be very challenging as well. There seems to be many issues existing in the nursing profession. One of the most affective issues in nursing is the decreasing number of staff nurses. With inadequate staffing, nurses are demanded to have more responsibilities thus causing more stress on the nurse. This increase in responsibility causes nurses to neglect many aspects of their patients’ care. Patient care is suffering from the shortage of nurses as there is an increase in adverse patient outcomes due to the shortage. Also, there is evidence that there is a positive relationship between the number of staff and the effectiveness of their teamwork. The more staff available the more likely nurses will work together as a team. A new act is being implemented to help with the nursing shortage. This act is called the National Nursing Shortage Reform and Patient Advocacy Act. The purpose of this paper is to discuss the issue of nursing shortage and how the National Nursing Shortage Reform and Patient Advocacy Act is an example of evidence-based practice.
The Problems with Nursing Shortage
One important result that is occurring because of the lack of staff is the neglecting of tasks and more responsibility. Nurses are reporting that a lot of nursing tasks that are applicable to patient safety and good nursing are being left out. Nurses discussed how patient and family preparation for
The problem of inadequate nurse staffs is associated with disadvantages both to the patients and the nurses. The benefits to the patients include reduced mortality rates, improved health, disease prevention, proper patient care among other benefits. On the other hand understaffing has contributed to poor nurse outcomes like job dissatisfaction, fatigue, high workloads, turnovers, and others (Burnes Bolton et al., 2007). The staffing policy will help in solving all the benefits. The national and the local government should fully support this policy as it will health the government’s agenda of providing quality and affordable care. The plan addresses a neglected area that negatively affects the provision of quality healthcare. Although the policy is associated with some costs like salaries and wages its, the benefits outweighs the costs. This study recognizes that personnel is an essential element that cannot be ignored in the health care. Quality health depends on the availability of adequate staffs. Thus, the adequate nurse-staffing policy will help in solving the problems affecting quality health
Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.
Nursing shortage has been a global problem that need to be eradicated in order to promote patient care and improve care outcomes. Nursing shortage in America has caused a lot of negative impact on the nurses, patients and nursing profession. It has caused a lot of dissatisfaction on the part of the nurses and the patients (Nardi & Gyurko, 2013). Nurses are prone to injuries, stress and burn-out as a result of nursing shortages. They engaged in working long hours to compensate their coworkers and ensure completion of assigned jobs. They end up breaking down emotionally, physically and psychologically due to poor work-environment and
According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In
Nurse-to-patient ratios is not a new topic of debate for all of us who deliver care to patients every day. Only lately it has been a big issue that have caught the attention of many. Demands by the medical community for changes concerning staffing, asking for the government interventions in minimum staffing laws. Registered nurses have long acknowledged and continue to emphasize that staffing issues are an ongoing concern, one that influences the safety of both the patient and the nurse. (ANA, 2015) .nowadays hospitals are running for profit and the emphasis is not put on job burnout, stress, and endangerment of patients. Nursing shortages is a very pertinent problem, it will be optimum to have laws in place to help with the issue, however meanwhile leadership and management methods to the matter can help to mend the nursing situation and avoid many of the damaging effects of unfitting nurse-to-patient ratios.
With a shortage of nurses, the care and safety of patients may become compromised. The nurses themselves may be having feelings of dissatisfaction, overwhelm and distress. Nurses who may become overwhelmed with the high number of patients may become frustrated and burnt out. And inadequate staff of nurses may lead to a negative impact on the patient’s outcome. The quality of care the patients may receive in facilities with low staffing may be poor.
The shortage of nurses in the United States has been discussed often and has been fully reported in the media over the past several decades. There have been reports of shortages so critical that they actually have become "…a national security concern" (Nelson, 2002). Moreover, the reasons for the shortages and potential solutions for this crisis are extremely well covered in the scholarly literature. In this paper, an article in the peer-reviewed Health Marketing Quarterly points to how the nursing shortage can be addressed using marketing strategies. In addition, other scholarly articles will be reviewed in order to address the challenges and consequences that could result if this crisis is not addressed immediately.
The United States healthcare industry faces many challenges everyday, such as the rising cost of care, medical errors, access and quality problems etc. Within the next few years, the United States will experience a shortage of Register Nurses (RNs). “Registered Nurses are considered one of the largest health professions in the health care industry. The Nurses duty is to provide direct patient care and can be done in a hospital, public health facility, nursing home and many other different settings. Other services included are patient education on disease prevention, administering treatments and promoting a healthy lifestyle.” ("The Future of the Nursing Workforce: National- and State- Level Projections 2012-2025”) The shortage will occur due to Baby Boomers aging and the demand for health care will dramatically rise. With the baby boomers aging, Registered Nurses are at the top of the list for demand in health care. Unfortunately the supply and demand does not meet. “According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, RNs will increase of about 526,800 within that time frame but will still have job openings of 1.05 million by 2020)”("Nursing Shortage") Indicating that there is no growth between 2012- 2022. There are multiple factors to this shortage and one of them is that nursing schools across the nation are struggling to increase the capacity of students to meet the rising demand. Considering the fact
Significance: Because nursing is the largest health care profession and nurses provide most of the patient care, and as an acute nurse, I can relate to how unsafe nurse staffing/low nurse-to-patient ratios can have negative impact on patient satisfaction and outcome, can lead to medical and/or medication errors and nurse burnout. It can also bring about anxiety and frustration, which can also clouds the nurses’ critical thinking. Most patients might not know the work load on a particular nurse and can assume that her nurse is just not efficient. Doctors also can become very impatient with their nurses because orders are not being followed through that can delay treatments to their patients. There is also delays in attending to call lights resulting in very unhappy patients who needed help.
Over the past number of years there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is due to the uprising acuity of patient care and a decrease in there overall hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Not only has the safety and quality of patient care suffered, the working conditions in hospitals
The American healthcare system is severely impacted by the shortage of nursing personnel. According to the American Nurses Association (2014), the nursing shortage has compromised patient safety, patient care and patient health outcomes. The nursing shortage can also cause medical errors, result in fatigue, injury and job dissatisfaction. The nursing shortage has been influenced by several factors. The purpose of this paper is to discuss the factors that influence nursing shortage in the U.S, present two strategies to address the issue and my personal recommendation.
Nurses make up the largest clinical group in a hospital setting making them prone to cost containment by reducing their numbers. Appropriate staffing optimizes care and there is a need to create dynamics that provide proper staffing solutions. This way the health care sector will adapt to the evolving nature and need for populations that are constantly rising and in need of care. This is essential in preventing harm, providing appropriate care as needed, and saving lives. Legislations such as The Registered Nurse Staffing Act have been enacted to make sure that hospitals have adequate numbers of licensed registered nurses that provide effective medical care required by patients. Nurses have a responsibility in maintain, defining, and implementing standards of their professional practice (American Nurse Association, 2012). They should embrace mechanisms that provide adequate and flexible staffing to protect themselves and their patients from inappropriate delegation of tasks and
The broad research problem leading to this study is the belief that nursing shortage in facilities leads to patient safety issues. The review of available literature on this topic shows strong evidence that lower nurse staffing levels in hospitals are associated with worse patient outcomes. Some of these outcomes include very high patient to nurse ratio, fatigue for nurses leading to costly medical mistakes, social environment, nursing staff attrition from the most affected facilities. The study specifically attempts to find a way to understand how nurse
Have you ever thought about the role a nurse has between his or her client? A nurse’s role is more than just helping clients when they are not feeling well. In 2007 there were a reportedly 12 million nurse’s employed (Bureau of Labor Statistics, 2009). That is a large amount of nurse’s that are employed in the world. A nurse protects, promotes, optimizes health and ability, prevents illness or injury, alleviates suffering through treatment and diagnosis of human response, and advocates in the care of individuals, families, communities, and populations (Amercian Nurses Association, 2012). A nurse stands for many good qualities but, why is there a big shortage of nurses?
One of the many goals of the nursing profession is to provide high-quality, safe patient care. There are many responsibilities that come with a nursing career and when the nurse to patient ratio increases, there is a possibility that it may hinder the safe care that patients deserve, and this may result in negative patient outcomes and level of satisfaction. Staffing is one of the many issues that healthcare facilities face. In many facilities, there never seems to be enough nurses per shift to provide high quality, thorough patient care which often leads to burnt out staff, and frustrated patients and families. This review discusses the findings of quantitative studies and one systematic review that involves patient outcomes in relation to nurse staffing.