Hospitals nationwide are experiencing nurse shortage and increased workloads because of shorter hospital stays, fewer support resources and higher acuity in patients (Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D., 2004). Higher nurse workloads are directly associated with job burnout and job dissatisfaction which in turn causes more voluntary nurse turnover and relates to the increased nursing shortage. According to the Missouri Hospital Association the turnover rate of nurses has increased by fourteen percent in the last five years (Browning M., 2012). Nursing shortage is a real threat to the patient population. According to the Quality Health Outcomes Model by the American Academy of Nursing by Donabedian, effects of the healthcare interventions are characterized by the environment the staff works in (Vahey et al., 2004). Donabedian describes that quality metrics can be divided into three broad categories, structural, process, and clinical. Structural measures the setting in which the health is carried out such as the level of education the nurse receives before entering the work field, staffing adequacy, and nurse autonomy. Process measures the care the patient actually receives such as monitoring quality care measures like a decrease in catheter-associated urinary tract infections (CAUTI’s), continuity of care, patient-centeredness, and nurse surveillance on particular units. Clinical measures the clinical outcomes such as mortality rates and
Inconsistent nurse-patient ratios are a concern in hospitals across the nation because they limit nurse’s ability to provide safe patient care. Healthcare professionals such as nurses and physicians agree that current nurse staffing systems are inadequate and unreliable and not only affect patient health outcomes, but also create job dissatisfaction among medical staff (Avalere Health, 2015). A 2002 study led by RN and PhD Linda Aiken suggests that "forty percent of hospitals nurses have burnout levels that exceed the norms for healthcare workers" (Aiken, Clarke, Sloane, Sochalski & Silber, 2002). These data represents the constant struggle of nurses when trying to provide high quality care in a hospital setting.
Studies have traced trends in hospital patient care both nationwide and internationally. Through this research there has been a correlation between poor staffing of hospital nurses with the increased occurrence of adverse patient outcomes along with nursing burn out. In a recent study by the Agency for Healthcare Research and Quality (AHRQ), am agency aimed at improving patient safety, linked hospitals with low nurse staffing levels to higher rates of poor patient outcomes with illnesses such as pneumonia, cardiac arrest and UTIs. Factors found that contribute to this include the growing acuity of patients, and the lack of qualified Registered Nurses who are qualified to take on available positions.
Nurses make up the single largest health profession in the U.S. Nurses perform many different patient care task and deliver critical health care services in many different settings, including hospitals, nursing homes, ambulatory care clinics, hospice, home health care and public health facilities. The distinction among the different types of nursing reflects education, role and medical background. Registered nurses have different levels of educational degrees. Every graduate nurse must pass the national exam, The NCLEX-RN, before they are licensed to practice. Registered nurses provide direct care services at many different levels, such as designing a plan of care for individual patients, educating patients on disease process and prevention, administering treatment and promoting health for patients, families and communities
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster
The nursing shortage in healthcare has been a highlighted issue for many years. With the ever-growing health care system, hospitals and healthcare facilities often find themselves searching for ways to acquire new nurses and retain their very own. Throughout the years, the number one solution to this problem remains the same: decreasing nurse turnover, and increasing nurse retention. This paper discusses the causes of high nurse turnover rate, the negative effects on health care, and ways to improve the turnover rate.
31,000 were prelicensure applicants” (as cited in Ganley & Sheets, 2009, p. 401). As more
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
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 reasons for nurse burnout is inadequate staffing. Inadequate nurse staffing effects many individuals. Most importantly, patients, nurses as well as hospital administrators. According to Department of Professional Employee [DPE], (2016), staffing issues affect nurses as it leads to nurse burnouts and affects nurse’s health, increasing their risks for hypertension, cardiovascular disease and depression. Understaffing also leads to expensive human resources problems that can affect hospital administrator’s budgets. The harsh demands of nursing are forcing nurses to consider alternative careers. Studies have shown the overall turnover cost per registered nurse is $65,000 (DPE, 2016).
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care
Previous research has shown that those hospitals with high levels of nurses experiencing burnout have a lower score for patient satisfaction. In studies performed by Russell (2016) and Stimpfel et al. (2012), there is corresponding data to reveal that those nurses who are burned out do not
It is likely that most people have heard about the nursing shortage for years now, and perhaps they believe it’s been fixed. However, the nursing profession is experiencing a reoccurring deficiency. According to Brian Hansen, (2002), there was a nation wide shortage in 2001 of 126,000 full-time registered nurses, but the shortage will surge to 808,000 by 2020 if something isn't done. This pattern is a persisting cycle of high vacancies followed by layoffs and a high over supply of registered nurses. Various factors contribute to the lack of nurses within the health care facilities, but today’s shortages are a little different. Many feel that this scarcity is severe and long-drawn-out. The four major issues contributing to
Barry Hill (2017) performed studies related to the quality of care that patients receive and what factors are associated with those perceptions. One area that was noted to be of importance and directly related to quality of care provided to patients is staff dissatisfaction and burnout. This study also found that longer shifts contributed to increased amounts of emotional exhaustion leading to decreased quality of care for patients. Addressing staffing needs early and intervening can decrease the amount of nurse burnout and dissatisfaction that is often seen. This study has shown that hiring additional competent nurses reduces medication errors, falls, infections, wounds, and decreases hospital litigation costs, while improving staff morale, patient experience and care, and cost-effectiveness for the hospital.
Nurse staffing and how it relates to the quality of patient care has been an important issue in the field of nursing for quite some time. This topic has been particularly popular recently due to the fact that there is an increasing age among those who make up the Baby Boomer era in the United States. There will be a greater need for nurse staffing to increase to help accommodate the higher demand of care. Although nursing is “the top occupation in terms of job growth,” there are still nursing shortages among various hospitals across America today. The shortage in nurses heavily weighs on the overall quality of care that each individual patient receives during their hospital stay (Rosseter, 2014).
The workload is the amount of work to be done by a particular person, especially in a specified period (Carayon, 2015). For example, the amount of work done by a nurse in a single shift. Massive amounts of workloads result in stress to the employee (Nilsson & Furåker, 2012). Heavy workload for nurses is a major concern to many hospitals and care facilities (Fisher, 2014). Nurses are thereby experiencing heavy workloads as a result of inadequate nurses in the industry, increased overtime and decreased hiring, growing demand for nurses and reduced inpatient length of stay in hospitals (Harold, 2017). This reduction implies that it is only those patients that are in critical conditions are left in the hospital suggesting that they demand more attention and hence more work for the employed nurses (Carayon, 2015).