Nursing Shortage and Substance Abuse Risk

The Shortage Of Nurses In The Nursing Field
The largest and one of the most important areas in the healthcare field is our nurses, yet everyday
many are subjected to unfair working conditions such as excessive working hours, low wages, and
lack of support from within an organization. This ultimately results in many of those in the nursing
field seeking employment in other organizations, or switching career fields all together. This can
result in a lack of nurses, which not only puts the patient at risk, it can also reflect negatively on an
organization as a whole.
The New York Times (2015), states, "Without nurses, the largest group of health care professionals
in this country, there simply is no quality health care system." (Nurse Staffing and Patient Safety,
2015) Many of us agree with the statement, as nurses are fundamental to the health and safety for all
of us at some time in our lives. Knowing several nurses, the question was raised as to what they felt
was the largest contributor to the nursing shortage.
The following statement comes from a personal interview with Cheryl E. Kitchen (2016)
"Universities do not prepare nurses to nurse, they prepare us to manage. Historically, nurses learnt in
the clinical area, they were hands on with patients. Now we sit in classrooms and learn about
theories and planning and legal issues because we live in a society of blame and claim. There 's no
respect for nurses any more they days where patients listened and trusted nurses are gone. Social
media and Google are the new
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Identification Of Project Area / Issue
Identification of project area/issue
Judith (2005) describes that the issue of nurse shortage have negative influence on the field of health
care in numerous countries, including UK. A critical shortage of registered nurses exists in the UK
and has been a continuous issue for the past decade. For example London still have more than eight
thousands of posts vacant for graduated nursing students, which means London hospital, was faced
with serious nursing shortage. NHS claims that they are working hard to increase the amounts of
nursing staff to solve the problem of staffing shortage. David (2015) researched that nurse vacancy
rates are running at 7% in the NHS during past two years. Therefore, NHS employed a lot of
International nurses to work in UK hospitals and health care agency (Campbell, 2014). The NHS
(2014) data showed that one in five new nurses come from oversea in UK hospitals, it is a big
increase employed from outside the UK. Ball (2012) explained that nursing shortage is not a simple
problem and the government should be more attention on this phenomenon.
The purpose of NHS is improving the people's health status in the UK, one of the important
elements to success is enough nursing to take care patients. According to Royal College of Nursing
(2014), NHS has been recruited overseas nurses to solve the problem of nurse shortage, which aims
to stratify patient's nursing needs, and provide health care for the society. In other words, NHS relies
on oversea nurses to

Organizational Analysis Essay
Introduction An organizational analysis is an important tool to become familiar with how medical
businesses and organizations are able to meet standards of care, provide services for the community
and provide employment to health care providers. There are many different aspects to evaluate in an
organizational analysis. This paper will describe these many aspects and apply the categories to the
University Medical Center (UMC) as the organization being analyzed. Mission, Vision and
Philosophy One of the first steps in developing an organization is to develop the vision, mission and
philosophy of the organization. Vision statements are used to define the goals of an organization.
The mission statement of an organization is a brief ... Show more content on Helpwriting.net ...
Stakeholders Organizations have stakeholders that affect the productivity and outcomes of the
organization. There are internal stakeholders and external stakeholders. The internal stakeholders at
UMC include the departments that ensure that the facility is running efficiently. A limited list of
departments includes environmental services, nursing, physicians, and nutritional services. The
external stakeholders at UMC include Lincoln Memorial University School of Nursing, University
Graduate School of Medicine, University School of Pharmacy, Helen Ross McNabb, and a large
variety of other healthcare related businesses as well as the Knoxville area businesses. UMC
considers all stakeholders when making decisions about how to improve or change services that are
provided. Organizational Culture Organizational culture includes an organization's values, language,
traditions, customs and specific issues that are so foundational that they cannot or will not be
changed. UMC's organizational culture is immediately experienced when entering the facility. The
internal stakeholders display pride in their work, display the values of integrity, excellence,
compassion and collaboration. This was demonstrated by welcoming visitors to the hospital, being
greeted with smiles, volunteering to assist anyone and working together as a team to ensure patient
and visitor well–being. During meetings,

Case Study : My Medical Surgical / Oncology Unit
Strategy to Change
Nursing workload is an ongoing concern, one that influences the safety of both the patient and the
nurse. Thus, attention is now focused more than ever on establishing a minimum nurse–to–patient
ratio and acuity tools that evaluate nursing care requirements. S.B. 228 and H.B. 4311 will greatly
impact the present and future of nursing in the United States if enacted. I believe it will help address
many of the problems I see affecting nursing workload and the nursing shortage today. This
legislation has a comprehensive plan that will mandate unit specific staffing–minimums, unit
specific acuity tools, and will take into account situation–level workload. This legislation not only
creates more reasonable workloads, it also reduces stress levels resulting in more nurses remaining
in the profession and new individuals being attracted to nursing. With the goal to improve patient
safety and nursing satisfaction, nurses need to get involved, take action, and support this legislation.
My Strategy to Change: A Patient Acuity Tool (PAT)
On my medical–surgical/oncology unit we have 32 patients with highly complex needs. Patient
severity of illness often dictates nursing care needs; however, studies show that most often acuity
refers to nursing intensity in terms of the amount of time required to provide patient care (Brennan
& Daly, 2008). Therefore, I believe that patient acuity is a concept that is very important to patient
safety. My unit's patient

Nursing Shortage in the United States
It is no secret that the United States is currently experiencing a shortage of nurses . "The U.S.
Department of Labor, Bureau of Labor Statistics ( 2009 ) estimated that more than one million new
and replacement nurses will be needed by 2018 to meet the increased demands of the health care
workforce" (). The stressful conditions under which nurses work, due in part to the nursing shortage,
are among the risk factors that contribute to nurses' abuse of illicit drugs and alcohol. Nurses are
unique in that they work in an environment where they not only have access to controlled
substances, but also are exposed to critically ill patients, traumatic situations, death and dying, the
stress of which can increase the risk of substance abuse. (Epstein, Burns, & Conlon, 2010).
Unfortunately, it is the patient that suffers the most. Substance abuse continues to be a serious health
care concern with millions of American 18 and older using illegal drugs. Substance abuse occurs
across all generations, cultures, and occupations, including nursing. "About 1 in 10, or 10–15% of
all nurses, may be impaired or in recovery from alcohol or drug addiction" (Thomas & Siela, 2011).
When a nurse is impaired they will not be able to function at their normal capacity, and are not able
to provide quality patient care. They may not be able to think as quickly, and have a delayed
reaction time.
Although addiction is considered a disease the nurse still remains responsible for any

Integrating Technology in the Language Arts Classroom Essay
Integrating Technology in the Language Arts Classroom
School leaders today are under extreme pressure to improve student achievement levels. Yet, in the
face of tight budgets, threats to cut extra–curricular activities, and an extensive shortage of
textbooks in the schools, exactly what are teachers supposed to do to ensure that "no child is really
left behind." Despite what looks like a dead end, there is hope. By integrating the usage of
technology in the Language Arts classroom, students are presented with a wide range of
opportunities for improving in writing, literacy, and cultural awareness.
According to the article, "Are we there yet?" a survey issued by the National School Boards
Foundation says that many schools ... Show more content on Helpwriting.net ...
There is still both enthusiasm for and doubts about the usage of educational technology in the
classroom. However, the integration of technology in reading instruction has kept up with the
movements and changes in the field of the reading and writing curriculum. While faced with many
book shortages, this article also gives ideas for strengthening the skill of students in writing and
reading instruction. It suggests that students participate in "invisible writing" as a sort of pre–writing
activity. Through this, students will turn the monitor of the computer off for approximately one to
three minutes, so that they cannot see what they are typing. Students have reported that this exercise
has helped them develop fluency, has freed them from continuously checking their mistakes and
losing their train of thought, and has also increased their interest in viewing what they had to say.
Thus, students will have learned how to produce more thoughtfully enriched texts that teachers can
build on through other types of instruction.
In addition to this, in the face of textbooks shortages, teachers have at hand a source for retrieving
other forms of literature. On–line are numerous programs that encourage students to read along with
it, while it reads aloud. There are also programs that allow students to retrieve definitions and
illustrations of the words, and thus promoting students to interactions in literacy.
Lastly, in the article,

Preliminary Economics Skills Shortage Essay
The skills shortage issue in the Australian labour market is very apparent. In any case, the reasons as
to why this is occurring always relates to factors of change. These factors of change include; the
general economic conditions, conditions in the firms industry, changes in technology, the ageing
population, the demand for labour, and the education, skills and experience of workers. The
government investigates ways in which they can protect the Australian economy and the Australian
workforce. This is done by the analysis of policies that could be put in place. The Budget Speech
announced by Wayne Swan includes government policies that can address the issue of the skills
shortage in the Australian labour market. Jobs and Skills Expos are ... Show more content on
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The Unions are furious about this, saying that Australian workers should be a priority. The
Australian Council of Trade Unions (ACTU) and the Australian Workers Union (AWU) will
continue to push the government to have jobs for local workers advertised before bringing in foreign
workers. The known skills shortage within the resource sector has been rising gradually desperate
with 33,000 workers needed in Western Australia alone in the following year. The required
education involved in particular to jobs restricts the supply of labour. Wayne Swan announced in the
budget speech 2010–2011, a new Skills for Sustainable Growth Strategy. $661 million has been
organised to be invested into the workforce and the education training systems to make them more
responsive and flexible to the economic needs of the workforce. The government has responded to
the skills shortage problem in the Australian labour market by introducing a strategy that will bring
about 70,000 new training places for workers over the next 4 years. The provision of moral support
for 22,500 young apprentices is also an attractive strategy to new workers. There will be easier
accessibility to quality training to strengthen the connection between business and training needs.
There will also be easier access to training in core foundation skills like numeracy and literacy.
Another way the Australian government has addressed this issue is

The's Theory Of Structural Empowerment
With the global nursing shortage, organizations are looking for strategies to retain nurses. One
strategy for nurse retention is, encouraging nurses to get certified, according to research studies. The
population affected by nurse certification is the nurse, the patient, and the organization.
Organizations need to invest into getting nurses certified in their specialty area. Research proves that
certified nurses' self–perception is a sense of empowerment. The Iowa Model of Evidence–Based
Practice will be utilized to guide the change to practice. A literature search was conducted using one
of the world's largest database search engines, the Academic Search Complete (EBSCO). The search
resulted in over 300 journal articles, which were then evaluated and categorized using the evidence
hierarchy rating system. The theoretical framework was the Kanter's theory of structural
empowerment. Fostering the nurses' self–perception of empowerment, which comes with being
certified is a mediator of personal growth; increased competence and confidence; enhanced
knowledge and self–esteem; and ultimately retention. Specialty nurse certification proves the nurse
continued commitment to education and practice, which are ongoing instead of episodic, and thus
more consistent with the changes in healthcare. With the rising cuts in healthcare a constraint
organization may face with the implementation of a plan to encourage nurses to get certified is
funding.
Nurse Certification
The goal

The Case Study by Bally and Nemeck
Though Bally and Nemcek are both concerned about high attrition rates in registered nurses and
seek ways to increase retention rates and decrease the rate of turnovers, the factors which they
consider critical in addressing the shortage of nurses by increasing rates of retention are vastly
different. Nemcek is concerned with the internal emotional states and experiences of registered
nurses and the impact that has on the nurse's experiences with respect to job satisfaction and life
satisfaction–two factors which are already closely related. Bally on the other hand approaches the
problem of nurse shortages by exploring the importance and consequences of environments which
have strong mentoring cultures on job performance and satisfaction. Particularly, she focuses the
role of nurse leaders in fostering such a mentoring environment.
Nemcek is concerned with identifying the indicators which lead to healthy, satisfied, and competent
nurses. She surveys the variables which lead to poor or great job and life satisfaction outcomes as a
means to create hospital policies which will minimize the high rate of burn out, turnover, and
retirement in registered nurses (Nemcek, 2007). More specifically, she is interested in what calls
'self–nurturance' and 'satisfaction with life' in the lives of working nurses and its relationship to
career satisfaction.
Nemcek establishes that the concept and practice of self–nurturance, which goes back to the late
1980s, is a positively correlated

The Nursing Shortage
Issue
The nursing shortage is an issue that affects the quality of care that is given to a patient. We always
hear about job dissatisfaction or nursing schools not accepting students be a factor of the nursing
shortage, but there is a bigger factor and that is the baby boomer nurses who are on the verge of
retirement. These baby boomer nurses will retire in the next couple of years and this will leave a big
gap in the nursing workforce. This will cause the next big nursing shortage. According to the
American Association of College of Nursing (AACN) in 2013, 55% of the registered nurses (RNs)
are age 50 or older. The Health Resource and Services Administration expects for more than 1
million RNs to reach retirement age within the next 10 to 15 years (AACN, 2014b). Nursing is a
graying population, meaning that the workforce is retiring at a rate faster than it can be replaced.
Organizations need to find solutions that would limit the impact of the baby boomers retiring.
I chose this issue because I only knew a few things about the nursing shortage like job
dissatisfaction being a contributor. I wanted to go in depth and found out that the next nursing
shortage will be far worse than the previous nursing shortages because of the retiring baby boomers.
Hospitals and other health providers will not just be losing nurses, but clinical and institutional
knowledge as well. They will be losing years of experience that many of these baby boomers have.
Manager roles will have

The Aging Nurses In The Health Care Environment
Changes arising in the healthcare environment such as advances in technology, the retirement of the
aging nurses, economic trends and projected nursing shortages threaten organizations' outcomes in
terms of quality, patient safety, and productivity. Studies revealed that increased work demands lead
to stressful working environments resulting in medical error, job dissatisfaction, poor performance,
low levels of work engagement, and increased turnover rates which can dramatically impact patient
safety and outcomes (Wong & Laschinger, 2012). The healthcare environment is becoming more
challenging leading to stress and inability to cope with job pressures and demands; this can lead to
detrimental consequences such dissatisfaction, job quitting ... Show more content on Helpwriting.net
...
According to Wong and Laschinger (2012) authentic leadership is defined as "a pattern of
transparent and ethical leader behaviour that encourages openness in sharing information needed to
make decisions while accepting input from those who follow" (p. 948). For instance, under the
authentic leadership, nurses are more empowered to be part of the decision –making process and
exerted their autonomy to respond positively to their work using available resources to meet the job
demands. Furthermore, job control and autonomy give staff the ability to control their environments
and deal with job demands and burnout; studies show that staff who have more control over their
work are less likely to experience burnout (Portoghese et al., 2014). It was also shown that staff who
were more autonomic were able to use their personal resources (optimism, self–efficacy, resiliency,
and engagement) to control their surroundings. Therefore, this type of environmental behavior
increases nurses' engagement level which in turn increase their job satisfaction, productivity, and
performance (Wong & Laschinger,

Nurse Patient Ratio Essay
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.
The value of mandated nurse–patient ... Show more content on Helpwriting.net ...
Patients want and expect to receive high quality care. Nurses want to provide the best care possible
to their patients and like everybody else; want a pleasing job environment. Hospitals, on the other
hand, are expected to provide a safe environment to patients, have enough nursing staff and remain
profitable (Keller, Dulle, Kwiecinski, Altimier & Owens, 2013). The ultimate goal is to improve
quality of care and patient safety across the United States; therefore, all the different interests of
these major stakeholders should be taken into

Global Chocolate Shortage Essay
Global chocolate shortages coming, what will need to be done about alternatives and economic
effects?
The situation of global chocolate always causes wide attention since 2007. As could be seen in
figure 1 and 2, it seems that the situation of chocolate shortages is a recent problem. The peak of this
trend showed in November 2014. According to Walters (2015, p.4), chocolate shortage is happened
all over the world. It is believed that this situation might get worse by chocolate makers. It was
predicted that the deficit of chocolate could attain more than a million tons in 2020. The shortages of
global chocolate could causes lager effects in many fields such as social, economic and food
industrial field because chocolate is a very popular food or raw material. In this report, some results
would be enumerated and compared by the empirical evidences to discuss what would need to be
done for facing global chocolate shortages. The discussion consisted by factors of reasons, the
economic effects and some alternatives of chocolate.
Firstly, the major reasons of global chocolate shortages are cocoa shortages and over consumption.
It has a close relationship between them that cocoa bean is a basis of chocolate. Climate changes and
pestilence in Africa which is a chief producer, was culprit. It needs about two to five years to get
new cacao tress to produce new cocoa beans. It even needs to take 10 years to reveal traits worth
preserving (Harris 2014). Walters (2015, p.4) also holds

Overtime And Fatigue
In today's society, overtime is the primary method that healthcare facilities are using to keep up with
the high demand of staffing. Many employers mandate that healthcare workers work extra shifts and
they threaten them with dismissal for insubordination, even to the point of reporting them to the
state board of nursing for job abandonment.
Bae (2013) stated that working overtime is closely associated with the fatigue and sleep deprivation
in nurses. Sleep deprivation causes fatigue. Fatigue is linked to difficulties in behavioral
functioning. It slows reaction time. Overtime can cause injury to nurses.
Overtime is hours worked by an employee beyond a regularly fixed shift. It is determined by what
the usual length of a shift is for an employee. ... Show more content on Helpwriting.net ...
They can depreciate the mettle of providers, causing a job burnout. That will reduce their retention
and make more openings, which forces the rest of the workers to work more overtime. Therefore,
mandated overtime consequently worsens the shortage of staff and contributes to worker
dissatisfaction. Some people, when they are tired, cannot concentrate on having normal
conversations. They can get frustrated with their coworkers and patients, which causes poor
communication. Healthcare workers that work overtime usually get less sleep and are more
vulnerable to diseases and an imbalance of work and family. Providers experiencing fatigue can
experience a decrease in energy and attention, slower reaction times, and are more likely to make
medical errors. Nayab (2011) stated that the U.S. Department of Health and Human services
reported that "16 out of the 22 major studies addressing general health effects associate overtime
with poorer perceived general health, increased injury rates, more illnesses, and increased mortality"
(para.

Floating As A Reality : Helping The Nursing Staff Keep...
Bates, K. J. (2013). Floating as a reality: helping the nursing staff keep their heads above water.
MedSurg Nursing, (3). 197.
This article analyzes the problems that nurses' face when they have to leave their typical work
environment to float to another unit. While float nurses are a great help, the change that they have to
deal with can be very stressful, especially when the nurse does not have much experience. The
author explained that nurses that float to another units experience fretfulness, their productivity
decreased considerably, and they have poor time management since they spend a considerable
amount of their time trying to familiarize themselves with the new environment. This article is
unique because it provides information that can help float nurses be more productive when floating
to another unit. The author encouraged float nurses to be up to date with their skills, to know their
limits, and to speak up when they do not feel safe accepting an assignment. Although this article
went into depth in explaining how challenging floating to another unit can be, the author did not
mention what nurses can do when they do not feel competent enough to be floated to another floor.
Larson, N., Sendelbach, S., Missal, B., Fliss, J., & Gaillard, P. (2012). Staffing Patterns of
Scheduled Unit Staff Nurses vs. Float Pool Nurses: A Pilot Study.MEDSURG Nursing, 21(1), 27.
This article focuses on float nurses and patient assignment. In this paper, the authors explained the

Shortage Of Nurses And Healthcare Workers
I believe that there is a shortage of nurses in the United States and in other counties throughout the
world. There is a big shortage of nurses and healthcare workers in the nursing home where I worked
at. To solve the problem of the nursing shortage, management hired travel nurses to come into the
facility to work. I think travel nurses can be helpful in some ways and hurtful in other ways. Staff at
the nursing home gave the travel nurses a hard time because they were getting paid more money for
the same job. Another problem with the travel nurses was that they rarely showed up to work and
called off often. I think that one way to keep travel nurses from calling off or not showing up is to
have them sign a contract. Although, most traveling nurses sign a contract, my facility did not have
signed contract nurses come in.
I am currently a travel nurse and I had to sign a six month contract and will be penalized if I don't
complete it. There is also a nursing shortage at the current job that I am contracted through, even
though they contract nurses from several different agencies. The facility is currently adding 50 more
patient beds, which will make the shortage even worse. I think the health care field is getting more
patients that are more difficult to take care of, which causes more staff to be needed. I think the
nursing shortage is only going to get worse because the baby boomer generation is starting to age
and will require more nursing care.

The Forecasting Model: Predicting The Demand Of Nursing Care
The submarket I have selected to research is nursing services. The current market environment
demand for nurses is in a constant state of fluctuation due to changes daily in the world of health
care delivery. Nursing services differs from non–health care markets because nurses are the front
lines of healthcare. The health care organization would have a very difficulty time operating without
nursing services. Entertainment good and services on the other hand are in great demand but
certainly everyone could function without them. The supply of nursing services being available to
health care markets is affected by several different factors. The first is the ability to predict the
overall growth of the economy. The second is technologic delivery ... Show more content on
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The uncertainty in the health care marketplace and opportunities for expanded nursing services
make it hard to predict and assess correctly the nursing need. In 1998, Young developed and
presented, The Forecasting Model of Nursing Workforce. This model was created to provide
government leaders with information to make decisions regarding the impending nursing shortage.
This model was intended to help policy makers predict the need for education and employment of
nurses. The forecasting model was developed based on supply and demand theories. It assumed that
the demand for nurses and their services is similar to the demand for other goods available in the
marketplace. The model assumed that predicting the demand for nurses can be done (Dumpe,
Herman &Young, 1998). I would expect the demand for the nursing services sub market to be
inelastic. Inelasticity is the economic situation in where the supply and demand for a good or service
do not change even when the price of that good changes. Nursing services is inelastic because
nurses are the frontline of care for the sick. Nursing services are not based on an amount of money
but rather have to be supplied no matter the cost. Dumpe, M. L., Herman, J., & Young, S. W. (1998).
Forecasting the nursing workforce in a dynamic heath care market. Nursing Economics, 16(4),

Impact Of Labour Shortage On Economic Growth Of Australia
The Impact of Labour Shortage on Economic Growth of Australia [Name of the Writer] [Name of
the Institution] Table of Contents IMPACT OF LABOUR SHORTAGE ON ECONOMIC
GROWTH OF AUSTRALIA 3 CHAPTER 1: INTRODUCTION 3 PURPOSE OF THE STUDY 3
CONTEXT OF THE STUDY 3 PROBLEM STATEMENT 4 RESEARCH QUESTIONS 5
CHAPTER 2: LITERATURE REVIEW 5 THE CONCEPT OF SKILLED LABOUR 5 SKILLS
SHORTAGE 6 SKILLS SHORTAGE IN AUSTRALIA 7 CHAPTER 3: RESEARCH
METHODOLOGY 8 DATA COLLECTION AND ANALYSIS METHODS 9 QUANTITATIVE
DATA COLLECTION 9 QUALITATIVE DATA COLLECTION 10 DESCRIPTION OF THE
RESEARCH PROCESS 11 PROJECT PLAN 12 EXPECTED RESEARCH OUTCOMES 12
CONCLUSION 12 REFERENCES 14 The Impact of Labour Shortage on Economic Growth of
Australia CHAPTER 1: INTRODUCTION Purpose of the Study The present study will aim to
address the labour shortage in Australia that ultimately affects the economic growth of the country.
From this perspective, Gavin (2010) points out that "The minerals and energy industry continues to
make a significant contribution to employment and wider economic activity in the communities of
regional Australia, and to governments directly through taxes and royalties. Skilled labour shortages;
however, will continue to have an impact on the nation's future growth and development prospects,
especially in the minerals and energy industry" (p. 1). It would not be wrong to state that the labour
shortages coexist with the "high levels of unemployment," as these shortages are

Learning from Past Mistakes: The Importance of...
Learning from Past Mistakes: The Importance of Experience–Based Education
The standard of education required for entry level practice into nursing has been a topic of debate
for decades. There is no dispute among both the general public and those in the healthcare field that
improving education could only lead to positive results. Controversy arises when dealing with
varying ideas of implementation and standards. It is imperative to realize the importance of
implementing experienced based education and not just academic education alone. In 1965, the
American Nurses Associations (ANA) proposed a baccalaureate degree be required for entry into
practice (Taylor, 2008). By taking a look at the past, the author will reveal the quintessential ...
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In fact, there have been many attempts to evaluate both technical and professional competency
differences between nurses with a BSN or ADN with no conclusive findings to merit a general
consensus that competency is significantly greater in nurses with a BSN (Hess, 1996). Requiring a
BSN would lead to a nursing shortage and prevent students that would have gotten their Associates
Degree in Nursing (ADN) from being excellent nurses. Those that do invest more time and money
by getting their BSN are rewarded by being the preferred candidate and have more opportunities to
further their education and scope of practice.
Another key issue with the ANA's proposal was that it was rushed when it did not need to be.
Proponents were so fixed on implementing change, they neglected critical components necessary for
achieving it. The proposal was controlled and molded by members of Boards of Nursing that already
attained a level of higher education. They created a proposal that would impact the nursing world
without seeking insight from the people with whom the changes would affect most significantly. The
proposal seemed to be a quick fix to increase educational standards for nurses without any
consideration of the nurses.
North Dakota was the first and only state to implement the proposal in 1987. A bill was written to
appeal the proposal every single year starting in 1987 all the way to 2001 (Smith, 2011). The
catalyst that got the proposal rescinded in 2003 was the opposition

Nursing Shortage For The Health Care Delivery System
Nursing Shortage in America In 1960, Virginia Avenel Henderson a nurse and a theorist in the same
time, defined nursing, "the unique function of the nurse is to assist the individual, sick or well, in the
performance of those activities contributing to health or its recovery (or to a peaceful death) that he
would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a
way as to help him gain independence as rapidly as possible". It is a noble function and to be
fulfilled at the highest levels, it takes time, patience and the devotion. When the number of people
given this care is much lower than that of people who must receive the care, then a crisis occurs. The
phenomenon is acute not only in America but all around the world. Even if the nursing is considered
a meaningful work, the country is facing a nursing shortage that grows more with each passing year.
Nursing shortages in America affect all parts of the health care delivery system. The nursing
profession is a challenge. As a nurse, you must remember every day that you can both alleviate
suffering patients by administering treatment prescribed by a doctor and by a good word and a
smile. For a good nurse should not matter how hard the day was, how much trouble it encountered,
but must remember the core values of the profession and why he/she chose this profession. Nurses
play an important role in the healthcare system. This is why they have been correctly referred to as
the heart

Staff Training Research Paper
Personnel Shortages
The need for highly trained intelligence personnel has never been more important. A personnel
shortage at the Intelligence Training Branch has a negative impact on the Coast Guard. The effects
of this shortage are resulting in signs of burn out within the staff, the graduates are not receiving the
highest quality of training, and the instructor billets are becoming harder to fill. From a chief's
perspective staff burn out is a high priority issue. With the exception of the School Chiefs and
Deputy School Chief all instructions for both "A" and "C" School come from the same central pool.
IS "A" School is the only school on site designed this way. We are billeted for six petty officers.
However, we currently only have two. That leaves two chiefs and two petty officers to complete 81
training weeks per year. Some of these trainings are road shows and require two people to travel. In
addition to the regular work schedule, the chief's must be duty IS and OOD qualified. The petty
officers must be duty IS qualified. This is currently putting us in a one and four rotation for duty IS.
Unfortunately, this leaves minimal time for leave resulting in staff burn out. Due to the demands of
the training and duty schedule the curriculum is suffering. We are in a state of maintaining and not
making any ... Show more content on Helpwriting.net ...
The staff is showing signs of burn out due to a demanding work and duty schedule. They also do not
get the time to take sufficient leave. The busy training schedule also eliminates time to improve the
curriculum. This results in graduating intelligence professionals that are not as effective as they
should be. Sending them into the fleet does a disservice to them and the Coast Guard. Since it has
been such a rough year the petty officers do not have many positive things to say when prospective
instructors call asking about the billet. As the chief, I know it

The Image Of Nursing
The Image of Nursing Nurses has created a particular image on society and within their profession
realm, that depicts them as quite a unique individual, specializing in delivery of quality,
compassionate and caring care that is so unique in a meaningful way. With the media involved, the
images, both reflect and reinforce the social aspect of nursing throughout the continuum of care.
This essay will seek to explore common and complexed images of nursing and tell a story of how
those images can play a part in the reflecting and the various status of the nursing we know today.
Images left on our patients In the hospital settings, patients see the nurse as that caring person who
sits and hold that baby in a cradling position as if they were ... Show more content on
Helpwriting.net ...
The media did not do any justice in depicting stories about the values of the nurse, yet alone the
integrity, until the CAN ( The Center of nursing advocacy, 2007) decided to enlist a program where
nurses were honored and rewarded for outstanding achievement in care. From the advent of the
introduction of improved curriculum to now include the highest level of achievement for nursing,
the Doctor of Nursing Practice (DNP), where nurses can not only write prescriptions and treat
independently, but can advance to research, enabling better evidence based practices (Andrews l. D.,
2007). The patients appears, from various studies, to be more apt to follow instructions from the
nurse over the doctor, as they see the nurse as giving a more personalized treatment, and a working
relationship, extends far out from being a patient in the hospital, to home care services where they
are happy to receive quality care in the comfort of their own home. The Friendly Face of Nursing
Although, today, there are many male nurses, the overwhelming site of a nurse, is that smiling
female who seems to care so much about your comfort. The friendliness in which she asks "how are
you today Ms Job"? The peace of mind seen on the patient's face, tells that the joy of that closeness
has certainly formed a bond (Johnson & Johnson, 2007). The nurse in the home care setting,
becomes more personalized; the patient sees him/her on

Nursing Shortage And Its Effect On The Nursing Profession
The Nursing Shortage and its Effect on the Nursing Profession
With the ever–changing world of healthcare comes the numerous issues the nursing profession faces
today. Just a few of these issues include economics, politics, epidemics of disease such as Ebola, and
healthcare reform. One of the biggest issues within the nursing profession today is the nursing
shortage. This issue is not only a concern for the nursing professional, but also a concern for the
whole health care system as well as consumers. With the implementation of healthcare reform in the
United States, and having already been implemented in other countries, nurses will be needed more
than ever. Along with nursing shortages comes lager nurse to patient ratios as well as a higher
demand of hours for nurses. How will this effect the profession and the consumers? How do nurses
respond to increased hours? What are some of the problems the nursing shortage brings about? What
can we do to bring in and train new nurses? These are just some of the questions the profession of
nursing faces when considering nursing shortages and how to tackle this ongoing issue. Some say
the shortage is increasing due to the increased age of the nursing population that is close to
retirement. Jurascheck and Ranganathan (2011) says that "with 50% of RNs within 20 years of
retirement, RN populations will require larger inflows to maintain historic linear increases in size"
(p. 246). With so many nurses retiring and more getting close to

Benefits Of Temporary Visa Programs
Over the past few decades, the American workforce has been on the decline. As many of the
previous generations start to retire and leave the workforce so does their skills, something American
companies are having problems replacing. Up till the 1970's the American workforce saw the
number of unskilled workers decline with the number of skilled workers increasing. In the 1970's
however, this trend stagnated and has held constant. With individuals aged 55–59 years getting
ready to retire the American workforce is about to lose a large portion of its skilled workers. This
puts American companies in a very precarious position, how do these companies replace these
workers? Some companies are moving their operations to places where the number of skilled
workers is steadily increasing. Most companies, however, take advantage of temporary visa
programs like H–1B. This visa program allows these companies to bring in skilled workers as non–
immigrants to work in the United States for three years, up to six with a renewal. Currently, the H–
1B program allows for 65,000 foreign workers with an additional 20,000 visas set aside for
individuals pursuing doctorate degrees. Additionally, universities are allowed an unlimited number
of visas for individuals pursuing bachelor's degrees. In order to apply for this visa, a foreign worker
must have already been offered a position and actually it is their employer who applies for the visa.
Due to the number of applicants in recent years the State

Health Care Needs Grow: A Nursing Study
Introduction
Nursing has come a long way since Florence Nightingale laid the foundation of professional nursing
in the 19th century (Hassmiller, 2011). As such, a retrospective view of nursing compared to the
present reveals that nurses play an integral role in coordinating patient care. Thus, our healthcare
system today has been decorated with nurses who are highly educated that seeks to give holistic care
through the use of critical thinking skills; nurses care for patients with diverse complicated diagnosis
who require evidenced based technological care according to Hassmiller (2011). As professionals
who are at the heart of patient care, undeniably, we are faced with the dilemma of present and
projected shortage of nurses. Hence, an aging population, technological advancement, and the
individual mandate to better health care through health ... Show more content on Helpwriting.net ...
NAJ urges government to hire more nurses in 2015. Retrieved from
http://www.rjrnewsonline.com/local/naj–urges–government–to–hire–more–nurses–2015
Robert Wood Johnson Foundation. (2009). New Study Identifies Strategies to Retain Experienced
Nurses As Nursing Shortage Looms and Nation's Health Care Needs Grow. In Robert Wood Johnson
Foundation. Retrieved from http://www.rwjf.org/en/library/articles–and–news/2009/07/new–study–
identifies–strategies–to–retain–experienced–nurses–as–.html
Sapatkin, D. (2012). Penn study examines link between nurse burnout, care. Philly.com. Retrieved
from http://articles.philly.com/2012–07–31/news/32943021_1_infection–data–infection–control–
center–for–health–outcomes
Thaffe, N. (2011). Population Growth Stresses Health System. The Gleaner. Retrieved from
http://jamaica–gleaner.com/gleaner/20111031/lead/lead2.html
Wood, D. (2011). Top Retention Strategies for Keeping the Best Nurses in the Profession. In
NursingZone.Com. Retrieved from

Description Of The Program Or Service
Executive Summary
Description Of The Program Or Service
In 1999, expert surgical nurse authors at the Association of perioperative Registered Nurses
developed a comprehensive curriculum to assist in the education and transition of nurses entering
the OR for the first time (Beyea, 2002). In 2007, the modules moved from an instructor–led face–
to–face curriculum to an online curriculum entitled Periop 101: A Core Curriculum (AORN, n.d.).
The program contains education modules that help learners master core perioperative competencies
and create a strong perioperative knowledge base. A variety of resources are used for the program
including reading assignments, videos, and critical skills assessment checklists that are present.
Each of the modules also delineates safety implications on that specific area of content. Periop 101
is best utilized when combined with preceptorship and skills labs.
The goal of Periop 101 is directly related to the Institute of Medicine 's 2010 recommendation for a
nurse residency program. It helps hospitals cultivate confident, well–prepared, patient safety
centered nurses. A key component of the curriculum is that it uses AORN 's Perioperative Standards
and Recommended Practices (AORN, 2012) as a major source of information for the novice
perioperative nurse. This feature fosters early use of AORN standards as a key source of direction
for practice. Periop 101, when used as the major component of an OR nurse residency program
supplemented with

The Pros And Cons Of H-1B Visas
H–1B Visas In recent years, much has changed in the science, technology, engineering, and
mathematics (STEM) fields. Three sources entitled, Rising above the Gathering Storm, Innovative
America, and Tapping America's Potential argue that if Americans do not improve in the STEM
field our economy will suffer, so will our exports, and will heavily impact America. If we do not
improve then the standard of living may fall and so will our economy. The three reports talk about
using more innovation and technology, if we do this then our economy will be stable. The
proponents argue that we need to close achievement gaps, improve the quality of teachers, increase
labor supply, improve our international ranking, and issue more H–1B visas. Workers in the STEM
field think that their employers are replacing them because the H–1B foreign workers are cheaper.
Although, critics argue that the STEM movement is sabotaging other countries so, America can be
ahead. But, for the US to be ahead in innovation and STEM education, we need to issue more H–1B
visas. The H–1b program is for guest workers from different countries.
The critics argue that these H–1B visas are "popular" because companies want to obtain workers at a
lower cost than American workers.. Ron HIra, the writer of The H–1B and L–1 Visa Programs: Out
of Control," writes about how H–1B workers are supposed to be helping, but instead they are
making things worse for American workers. "The goals of the H–1B and L1 visa programs

Legal Implications Of In Nursing Essay
Legal Implications of Understaffing in Nursing
Noa Schwartz
Hunter College
Abstract
A shortage of nursing staff in a healthcare center is a great burden for all involved. For the nurse, it
is overwhelming and even potentially dangerous to take on the grand responsibility of many patients
to care for. For the patients, the burden lies in getting the care they deserve. For the hospital it is the
burden of staying afloat financially and utilizing resources to the fullest. This tug–of–war between
nurse, patient, and administration is key to many legal issues in healthcare. Who is responsible if
any part of this relationship goes awry? What are some solutions to help mitigate the burden? Is
there a "magic number" in staffing ratios? Understaffing nurses in healthcare is a gray area, with
definitions that cannot be defined indefinitely. What laws are involved and the debate if it should be
a legal issue at all is up for discussion. This paper will analyze and discuss the topic, elaborating
complications and implications this issue has in nursing.
Legal Implications of Understaffing in Nursing
The harsh reality of understaffing in healthcare centers is a real and prevalent issue. Nurses are
being forced to compromise care due to being given responsibility over too many patients at a time.
The New England Journal of Medicine (Needleman et al., 2002) explains how staffing issues are
linked to adverse patient outcomes. This includes length of stay in

Approaches Of Cost Out Nursing Services And Acuity...
Interventions Two approaches of cost out nursing services and acuity classification system proposed
by Murray (2014) were presumed to be the most applicable after looking at many possible
interventions. Nurse managers who focused on the individual needs and strive to meet those needs
are more likely to retain their staff. A transactional leadership approach will work best under such
circumstances because he or she can survey the nurses' needs for a higher pay then set goals for
them based on the expected performance (Huber, 2014). With appropriate protocols provided, nurses
can demonstrate fiscal responsibility to help reduce costs such as using sterile packages efficiently.
To articulate a definite need for change, Rogers (2003) ... Show more content on Helpwriting.net ...
The second step in Rogers change model was for the nurse manager to persuade his or her nurses to
form an attitude toward the innovation by having them participate in staff meetings. During these
meetings, the nurse manager will discuss what is the expected performance to achieve the higher
salary and other benefits as desired. The nurses will then follow the plan accordingly. Using a
democratic management style, it is important to focus on human relations and teamwork as the key
to success (Huber, 2014). The manager is must strive to involve all the nurses on the unit in any
decision–making process and shares responsibility with the team. However, the nurse manager
should be cautious when using this management style because motivating participation among the
nurses will be a relentless challenge (Huber, 2014). Additionally, the nurse managers and staff
should consider the differences among the four different generational groups in the workplace
(Workman, 2014). Each generation has its preference and perspective that must be taken into
consideration during planning and decision–making processes.
Nurses are obligated to document for each patient her length of stay, hours of care provided, and all
of the interventions mentioned above. Next, the nurse manager can add up how much time and
direct care costs needed to provide for each

How Nurses Administer Medications Safely Or How Existing...
Summary of the Study This research study is about how nurses administer medications safely or
how existing systems facilitate / hinder the medication administration, which has missed the
opportunity for the implementation of practical, effective, and low–cost approach to optimize safety.
The purpose of the study is to pinpoint factors that facilitate and/or hinder successful medication
administration, which targets on three integral parts: nurse practices and workarounds, medication
administration workflow, and nature of interruptions and distractions during medication
administration. In effect, the findings showed three interrelated themes that facilitated successful
medication administration in some situations, but also acted as barriers in others. These interrelated
themes include (1) system configurations and features, (2) Behavior types among nurses, and (3)
patient interactions. Some system configuration and features acted as physical pressure for parts of
the drug round, however, some system effects were partly dependent on nurses ' inherent behavior,
which were grouped as: 'task focus ' and 'patient–interaction focused '. The 'task focus ' is a more
organized workflow with fewer interruptions, while 'patient–interaction focused ' empowers patients
to act as a defense barrier against medication errors by being an active resource of information, a
passive resource of information, and/or a 'double–checker '. Thus, researchers concluded that in
order to reduce

Health Care Policy : Patient Safety
Policy Priority Issue– Safe Staffing
Candice Davis
Chamberlain College of Nursing
NR 506: Health Care Policy
05/21/2017
Patient Safety– Safe Staffing Patient safety is defined as the prevention of harm to patients, and is
the number one priority in healthcare facilities. All healthcare facilities have policies in place to
keep patients as safe as possible. These policies can include anything from preventing infection to
education. Every facility will have different policies in place, thus all patient safety policies will
emphasize a culture of safety in a suitable environment. One policy that is of concern is the
minimum number of nurses staffed on a unit at any given time, or the nurse to patient ratio. Every
state and every ... Show more content on Helpwriting.net ...
The increased workload also gives nurses less time to care for each patient, increasing the risk for
falls and infections. In California, after years of fighting, policymakers passed legislation, assembly
bill 394, decreasing the nurse to patient ratio to 1:5; this is the only state to have such a law. When
this policy went into effect in California stakeholders wanted insight on the impact it would have on
healthcare. There have been numerous studies comparing California hospitals to other hospitals
around the country, gauging the impact nurse to patient ratios have on patient safety; and the
majority of the studies support the idea of a lower ratio with a select few stating there was no
conclusive evidence.
Goals/options
The ultimate goal is to have a policy put in place that will lower the nurse to patient ratio. A policy
change will not happen overnight, so even getting policymakers and politicians, as well as
healthcare administration and nurse mangers, to look into this issue is a step in the right direction. In
order to influence policymaker's nurses can lobby in their respective states. There is also a
nationwide coalition that is fighting for a policy similar to assembly bill 394; all nurses can join this
coalition and support them. National Nurses United have put together a national campaign for safe
RN–to–patient staffing ratios.

Effects Of Canada 's Temporary Foreign Workers Policy
Name:
Date:
Class:
Instructor:
Consequences of Recent Changes to Canada's Temporary Foreign Workers Policy The pace of
immigration in the contemporary scenario has increased significantly. Historically, movement of
people from rural areas to cities and under–privileged nations to rich, affluent countries was a
normal phenomenon. As increasing poverty and unemployment in the modern world have forced
many poor workers in under–privileged and developing countries to search opportunities elsewhere,
the demand in the developed countries like Canada have increased, especially for low–wage, low
skilled, temporary workers. In Canada, the reluctance of many Canadians to accept low wage, low–
skilled, temporary employment has fueled the demand for ... Show more content on Helpwriting.net
...
People migrate in search of better economic prospects and opportunities. Many move to enjoy a
better lifestyle and improve standard of living. A segment migrates from the home country to find a
secure place where they can spend lives peacefully. Recently, the increasing pace of globalization
has prompted migrant workers to move from one country to another. Canada is a preferred country
for immigrants from developing and poor nations. Since founding of the country, Canada has always
allowed rather encouraged migration with the dual objective of expanding country's population and
to ensure an expanding and vibrant economy. Most of the Canadian governments in the past have
pursued polices to accomplish these objectives (Kelley & Trebilcock 36–39) The current criteria for
migration in Canada was established during 1960s called the 'point system'. The system requires
assigning points to interested migrants for their education level, labor experience in specific
occupations where the country faces shortages, and the ability to speak national language, to name
some important features. The potential migrants– if meet the criteria– are allowed for admission to
Canada (Kelley & Trebilcock 36–39). In this way, Canadian government ensures that migrant
workers have necessary language skills and work experience so they can serve in the labor market
without presenting

Nurse Staffing And Patient Safety
The largest and one of the important areas is the healthcare field are our nurses, yet everyday many
are subjected to unfair working conditions such as excessive working hours, low wages, and lack of
support from within an organization. This ultimately results in many of those in the nursing field
seeking employment at other organizations, or switching career fields all together. This can result in
a lack of nurses, which not only puts the patients at risk, it can also reflect negatively on an
organization as a whole.
An article by the New York Times (2015), states, "Without nurses, the largest group of health care
professionals in this country, there simply is no quality health care system." (Nurse Staffing and
Patient Safety, 2015) Many of us agree with the statement, as nurses are fundamental to the health
and safety for all of us at some time in our lives. Knowing several nurses, the question was raised as
to what they felt was the largest contributor to the nursing shortage.
The following statement comes from a personal interview with Cheryl E. Kitchen (2016)
"Universities do not prepare nurses to nurse they prepare us to manage. Historically, nurses learnt in
the clinical area we were hands on with patients. Now we sit in classrooms and learn about theories
and planning and legal issues because we live in a society of blame and claim. There 's no respect
for nurses any more they days where patients listened and trusted nurses are gone. Social media and
Google are the

The Issue Of Mandatory Overtime For Nurses And Why It...
McIntyre's framework is a method of conducting in depth analysis that emphasizes understanding
issues in healthcare as complicated and multifactorial problems, while exploring barriers to
resolving the issue (McIntyre & McDonald, 2014, p. 5). Using this framework, this paper will
provide an in depth analysis of the issue of mandatory overtime for nurses, and why it should not be
eliminated from use by hospital management.
Situating the Topic
Working overtime is a prevalent practice among nurses that hospital management uses to deal with
staff shortages. According to Manitoba Nurses Union (MNU), 34% of Manitoba nurses reported
working overtime (2014, p. 4). Most overtime worked by nurses in Manitoba is voluntary, however,
it is legal to mandate nurses to work overtime if required. Three in 10 overtime shifts worked by
nurses in Manitoba are involuntary (MNU, 2010, p. 6). MNU defines mandatory overtime as a
situation in which the nurse refuses the offered overtime and the employer orders the nurse to
continue working after their assigned shift has ended (p. 7). Mandatory overtime is seen as an
absolute, last possible resort for hospital managers, after all other options and possibilities have been
exhausted (MNU, p. 6).
If the nurse being offered overtime determines they are too exhausted to provide safe, competent,
and compassionate care, the nurse may refuse to work the mandatory overtime (College of
Registered Nurses of Manitoba [CRNM], 2002, p. 1). Other potential

With the recent economic the labour market is in labour...
With the recent economic the labour market is in labour shortage status, every industry is searching
for people to work for their company. A company without employees, the operation is unable to run,
as the general said employees are the biggest asset in every company. An employer with a
respectable reputation or brand may not be the smartest choice to hire an ex convict, but from a
business point of view the finance and workplace benefits are worth the risk to employ the single. In
United States, according to the United States Department of Labour Website (www.doleta.gov),
Work Opportunity Tax Credit can be given to employers who select to hire some certain class of
people, such as an ex convict. Based on the research shown, ... Show more content on
Helpwriting.net ...
Mikey was arrested due to his drug deal. Defy Ventures trained him in legal business practices,
business finance and put him through the many character development. Through all this Mikey has
become a successful businessman and gets an offer of $60,000 to expand his business in a gourmet
ice cream company. Another example is from Rodney Nekoba, a manager from D&D Furniture, he
has hired more than 100 ex–convicts over the year. He said: I've never had any problems with their
attitude and the outcome of them doing things to satisfy him. Greg Liu a vice president of Island
Building Materials, their company had a great success in hiring ex–convicts. He said he was
impressed with their work ethic and their commitment on the task they need to complete. A study
has been found by Carnegie Mellon researchers that ex–convicts who committed no crimes in the
first five years after their first arrest, there is a very little or no possibility at all that they will commit
crimes again. The researchers looked through criminal records of 88,000 first–time offenders in
New York in 1980. Most of them committed other crimes within the first five years since they first
got arrested. However, those who did not commit further crimes within the first five years were not
likely to commit crimes ever again. According to John Shegerian, CEO of Electronic Recyclers
International [2011], he had employed 100 of ex–convicts over the 20

A Brief Economic Analysis Of Nursing Shortage
Scientific Paper Summary Snavely, T.M. (2016). Data Watch. A Brief Economic Analysis of the
Looming Nursing Shortage in the United States. Nursing Economic$, 34(2), 98–100. This article is
written by Timothy M. Snavely and is based on the information he gathered about the shortage of
nurses in the United States. The article mentions that if America wants to remain on top of the
medical field throughout the world it needs highly trained and qualified nurses. This article focuses
on the scientific proof that examine the relevant economic issues surrounding the present and future
of the nursing workforce through supply and demand. The history of health care workforce in the
United Stated is in a cyclical pattern of nursing shortages due to fluctuating

Nursing Is An Essential Aspect Of Living Essay
Nursing in Australia Lauren Wilborn University of Louisiana at Lafayette Abstract Nursing is a very
elaborative and essential role in the country of Australia. Their education consists of precise
requirements and standards, which allows for their nurses to become one of the most recognized
roles in healthcare. They uphold many titles ranging from general practice nurses to flight nurses,
with specialized knowledge and education planning to provide for their population. However, they
do face dissatisfactory problems in the workplace, such as a shortage of nurses and the requirements
of continuing practicing education during leave hours. Studies were completed to determine what
was best for the organizations, nurses, and patients. Overall, they determined that overseas–qualified
nurses were essential in meeting the shortages of nurses. They also determined that recreating
another schedule to accommodate nurses for their CPE requirements, and not during leave or family
time, were all steps in the right direction. Nursing in Australia In a world where health is an
essential aspect of living, it is important to note the contribution of specific roles to healthcare. Most
people know that physicians play a huge part in the community's health, but many forget the
significance that nurses have in helping others maintain their health. Nurses go through extensive
training and years of schooling to prepare them for the many diverse patients they will come across.
In particular,

My Role As A Student Nurse
It was half way through my acute care rotation at a large, urban hospital. Over the course of my
placement I had seen a myriad of patients with diverse diagnoses, from tuberculosis to addiction, to
pneumonia to HIV/AIDS. Overall, I was beginning to feel confident in my role as a student nurse. I
was becoming familiar with my tasks and getting to know the unit. On this particular week, I was
assigned to care for Mrs. S, a 54 year old woman with an inoperable glioblastoma admitted to
hospital for the past three weeks with thrombocytopenia. Her prognosis was not good and the
hospital staff was trying to speak to the family about arranging palliative care. As I read through her
chart, I remember thinking that she was the same age as my ... Show more content on
Helpwriting.net ...
I approached my clinical instructor to see if she had seen it. She took me aside and looked me
straight in the eyes and said, "Mrs. S. died last night". Immediately, when I heard the word "died" I
could feel tears well up, but somehow I held it together and continued to work another 8 hours.
However, throughout the day I remember feeling physically and emotionally exhausted and having
trouble focusing. It wasn't until two weeks later, when I was talking to my partner about clinical that
I realized that I had been carrying around the emotional burden of this death for the past few weeks.
As I reflected over the past few weeks, I realized that my tiredness, irritability and tears may have
been attributed to the death of Mrs. S. This event highlighted two important things for me: first, it
revealed how the suffering and trauma we see in clinical can affect our emotional health , and
second, how unprepared I was to deal with the emotional effects of witnessing trauma.
Issue
There are a number of issues in the scenario above, such as arranging palliative care in an acute care
setting, providing adequate pain management or improving nurse–to–nurse communication around
death. However, after careful reflection, I felt that the issue of compassion fatigue resonated the
most for me. As I stand at the precipice of my nursing career, I think that this issue will only become
more relevant. In this essay, I will be exploring the multiple factors that

Navistar Case
Table of Contents
Executive Summary
Part 1 Executive Summary
Issues Identification
Part 2 Issues Identification
Environmental & Root Cause Analysis
Part 3 Environmental & Root Cause Analysis
Alternatives and/or Options
Part 4 Alternatives
Recommendation
Part 5 Recommendations
Implementation
Part 6 Implementation Plan
Monitor & Control
Part 7 Monitor and Control
Part 8 Conclusion
Part 1 Executive Summary
Navistar was a worldwide leader in the manufacturing medium and heavy trucks for 17 consecutive
years in the North America market.
Navistar's premium conventional trucks were produced at the Chatham assembly plant, which had
almost 14 years experience in producing Navistar's premium line since 1983. ... Show more content
on Helpwriting.net ...
The interior trim quality and delivery problem
Nature: Tactical and Strategic Timing: Long term and Short Term
Interior trim was provided for each truck in the form of"kits" that contained a specific group of
sequenced interior trim parts necessary to complete each truck. When "kits" were delivered to
Navistar assembly, problem arose when assemblers attempted to assemble the trim into truck, were
not able to do so because of missing or inappropriate interior trim parts. therefore, the subsequent
consequences of trim parts reordering, additional material handling, post–assembling resulted in the
premium on direct materials, labor costs and the delivery delay of finished truck.
Trimco Industries Issues:

Quality Issues and Quality Control Procedures
Nature: Tactical and Strategic Timing: Long term and Short Term
Trimco provided 420,000 parts during the course of a year, and of these parts, approximately 3,100
were defective, missing or inappropriate for installation. Even because of a lack of centralization
and limited computer system capability, trimco had difficulty monitoring outgoing parts and
sometimes send shipments with inappropriate component trim parts or insufficient

Nursing Shortage and Substance Abuse Risk

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