Nursing Staffing Hours Influence On Nursing

Durning, (2010) tells how nurses are limited in giving quality care due to the number of patients they have on their shift. It also explains the huge difference in the task of caring for a post-partum mother and a patient recovering from a major trauma surgery. When nurses are too busy because they have too many patients to care for, they are more likely to overlook an important change in their patient. This will cause the patient to deteriorate unnecessarily and could potentially result in death (Durning 2010). “Nurses are the main surveillance system in hospitals” (Queensland Nurse, 2010, p.14). If they have too many patients to look after, something is more likely to be missed. There was a study done last year by Nursing Times, that showed the more nurses a hospital had per bed, resulted in fewer patient deaths, and actually lowered the patient’s length of stay (Queensland Nurse, 2010). The state of Victoria in Australia, like California actually has government mandated nurse-to-patient ratios. Since its implementation of the ratios 10 years ago, Victoria’s health system has been made considerably better. There is a safer environment for the patients, the workplace morale is better, and there are less complaints from the public about the quality of care they receive while hospitalized (Holmes, 2010).

This battle analysis methodically examines one of the most famous battles of the American frontier during the country’s growth westward: the Battle of the Little Bighorn, also known as The Greasy Grass to the American Indians. It took place along the Little Bighorn River in what is now the state of Montana. The battle was fought during a sweltering summer day on June 25, 1876 between the United States Army’s Seventh Calvary Regiment led by Lieutenant Colonel George A. Custer and the Sioux and Cheyenne American Indian tribes led by Sitting Bull and Crazy Horse. The significant history leading up to this fantastic battle and all aspects of the opposing forces such as command and control, composition, and strategic and operational tactics

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

Gordon, S., Buchanan, J., & Bretherton, T. (2008). Safety in Numbers: Nurse-to-Patient Ratios and the Future of Health Care (pp. 1-2). Ithaca, NY: Cornell University Press.

A review of the nursing literature demonstrates that supporting nurse staffing ensures quality nursing care for patients and has been an ongoing challenge for nurse managers and administrators. Failure to ensure sufficient numbers and compassionate nurse staff has been demonstrated to negatively impact patient satisfaction and outcomes. The nurse staffing problem is not limited only to ensure adequate numbers of staff that are being lost in the acute care settings due to overwork, burnout, compassion fatigue and injuries; the nurse staffing problem also includes the impact to

The legal research guide provides (1) an overview of the topic of American Nonprofit Law; 2) guidance to the researcher major and secondary sources on Nonprofit Law including statutes, cases, articles, books, government documents, and Internet sites; and 3) annotations to determine the usefulness of the resources for particular issues. This guide is not intended to be comprehensive. Nonprofit Law has been subject to a voluminous amount of scholarly and practical treatment. Also, issues in Nonprofit Law are related or discussed in many other legal areas – including taxation, wills and trusts, and general corporation law.

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.

As a result, overtime can compromise patients ' health or safety. Medical residents cited fatigue as a cause for their serious mistakes in four out of 10 cases (Boodman 2001), and two studies linked infection outbreaks at hospitals to overtime work (Arnow et al. 1982; and Russell et al. 1983). Indeed, the California Nurses Association reports that more nurses are refusing to work in hospitals with unsafe conditions, in which they include being forced to work unplanned overtime. The American Nurses Association (ANA), in a national survey of 7,300 of its members, found, disturbingly, that 56% of nurses believe that the time they have available for care for each patient has decreased, and 75% feel that the quality of patient care at their own facility has decreased in the last two years. The cited inadequate staffing as the chief reason.

Patients in a hospital and/or healthcare facilities have to be cared for all day and all night, everyday of the week by nurses. The usual way to fulfill this need is to divide up the day into three 8-hour shifts. Different shifts have been put into place to help improve nurse satisfaction, decrease the nursing shortage and save the hospital money. The 24-hour day is made up of two 12-hour shifts; 12 hours in the day and 12 hours at night. There has been quite an ongoing debate over the years regarding this issue of nurses working over 8 hours in a single day. Many people, such as hospital nursing administrators, have reason to believe that working long hour shifts causes more errors in

Nurse staffing have an effect on a variety of areas within nursing. Quality of care is usually affected. Hospitals with low staffing tend to have higher incidence of poor patient outcomes. Martin, (2015) wrote an article on how insufficient nursing staff increases workload and job dissatisfaction, which in effect decreases total patient care over all. When nurse staffing is inadequate, the ability to practice ethically becomes questionable. Time worked, overtime, and total hours per week have significant effect on errors. When nurses works long hours, the more likely errors will be made. He also argued that inadequate staffing not only affects their patients but also their loved ones, future and current nursing staff, and the hospitals in which they are employed. An unrealistic workload may result in chronic fatigue, poor sleep patterns, and absenteeism thus affecting the patients they take care of.

What happens when a little girl is raised without her father? When little girls are raised without their fathers it causes them to lose self-respect, feel undeserving, lose hope, and leads them into a state of depression. Iyanla Vanzant participated in a show for Oprah’s Lifeclass. During the show she speaks on what happens when girls are raised without their fathers and she calls these type of girls “daddyless daughters.” According to Iyanla, “the role of a father is to teach his daughter how to be in a nonsexual, intimate relationship with a man.” With this being said a girl first relationship should be with her father because he becomes her first love and sets the standards for a man. She should be his princess and he should be her prince. He should teach and show her how she should be treated as a woman as she grows older. A mother can only tell a young girl the right way she should be treated as a woman but cannot show her unlike a father could. What will happen if daddy leaves? According to Iyanla in an explanation says that “the daughter will lack the healthy model and seeks to fill that void in many ways.” The void for young girls is a way for them to escape reality of something they have been dealing with their whole lives and that’s not having a father to guide them. One of these voids leads them to settle for anything less of what they deserve when searching for a partner. They tend to allow things in a relationship like cheating and disrespect constantly because they don’t know that a man who loves you and values you wouldn’t deceive you in any type of way. Not only do they allow cheating and lying but they go back to the same person over and over again or they find the same qualities in a different guy. Iyanla states. “If you want so much to be with the wrong one, imagine how good it will feel when the right one shows up.” Not only does growing up without a father affect young girls but young males as well. Dr. Steve Perry had a voice in Oprah’s “Lifeclass Discussion” on the fatherless son’s issue. Dr. Steve Perry agreed with the idea that it’s very important for daughters to have a strong father figure. He believes that a father sets the

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.

Neither staff member identified the downward trending of the patients available vital signs and did not evaluate consciousness of the patient. Failure to assess appropriately and recognize deterioration of the patient resulted in a prolonged period of time in which the patient was not adequately oxygenated. Research has shown that short staffing, with decreased nurse to patient ratio, has been found to be associated with increased mortality (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Joint Commission on Accreditation of Healthcare Organizations, 2005; Needleman, Buerhaus, PKankratz, Leibson, Stevens, & Harris, 2011). This reinforces the need to match staffing with patient census, acuity, and need for nursing care.

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.

There are many different variations of healthcare professionals that assist people in regaining and maintaining a healthy lifestyle. The career field of licensed nursing is often considered to be one of the most vital professions within the medical community. Registered nurses work to prevent and heal various different types of injuries, diseases, and illnesses. They are also responsible for administering a variety of patient services, consisting of individual patient care, analyzing and monitoring patient medical reports, and also possessing the ability to operate technical medical equipment. As well as, be able provide comfort and emotional support for both physically, and mentally ill patients. All Registered Nurses are responsible for providing patients with quality health care, in compliance with professional standards set forth by the American Nurses Association. As the field continues to rapidly evolve, an increase in responsibility is placed upon registered nurses to maintain a professional standard of care. With the increase in responsibility, the role of registered nurses consistently changes to accommodate individual patient needs. As a result, the rise in responsibility placed on registered nurses correlates to a higher probability of malpractice and negligence occurring within the community. The consequences of malpractice and negligence can