As the baby boomer population gets older and 32 million Americans gain access to healthcare under the Affordable Healthcare Act, the demand for nurses has significantly increased. Healthcare jobs are among the fastest growing jobs in America, with a predicted increase of 526,800 registered nurses by 2022. The demand for nurses is quickly growing and it has been chronicled through the years. While this is good news for anyone looking to start a career in healthcare, nurses are suffering from heavier workloads, and that can directly affect patient care.
10 facts every primary care physician should know to survive 2013 !ango mark
Primary care physicians are fast becoming endangered species. In a climate that is not conducive to their economic survival, every practice should have a few tricks up its sleeve to survive !
Managing doctors: doctors managing - Professor Huw DaviesNuffield Trust
At the Nuffield Trust Health Policy Summit, Professor Huw Davies takes a closer look at the parlous relationship between managers and clinicians. He discusses recent research which follows up on a survey from the early 2000s.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
As the baby boomer population gets older and 32 million Americans gain access to healthcare under the Affordable Healthcare Act, the demand for nurses has significantly increased. Healthcare jobs are among the fastest growing jobs in America, with a predicted increase of 526,800 registered nurses by 2022. The demand for nurses is quickly growing and it has been chronicled through the years. While this is good news for anyone looking to start a career in healthcare, nurses are suffering from heavier workloads, and that can directly affect patient care.
10 facts every primary care physician should know to survive 2013 !ango mark
Primary care physicians are fast becoming endangered species. In a climate that is not conducive to their economic survival, every practice should have a few tricks up its sleeve to survive !
Managing doctors: doctors managing - Professor Huw DaviesNuffield Trust
At the Nuffield Trust Health Policy Summit, Professor Huw Davies takes a closer look at the parlous relationship between managers and clinicians. He discusses recent research which follows up on a survey from the early 2000s.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
What thanksgiving means for patients and providers?Jessica Parker
Thanksgiving is a federal holiday in the United States, celebrated on the fourth Thursday of November celebrating the harvest and other blessings of the past year. The word thanksgiving means giving of thanks to God, especially in a religious ceremony.
Reshaping the healthcare workforce - Candace imisonNuffield Trust
For the Nuffield Trust Health Policy Summit 2016, Candace Imison talks about what steps would be necessary to develop and reshape the health care workforce.
The Medical School Startup: Reshaping Medical Education (Maurizio Trevisan)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Keeping the Pediatric Population Healthy (David Bailey)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Stepping up Pediatric Patient Safety (Chris Dickinson)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
What thanksgiving means for patients and providers?Jessica Parker
Thanksgiving is a federal holiday in the United States, celebrated on the fourth Thursday of November celebrating the harvest and other blessings of the past year. The word thanksgiving means giving of thanks to God, especially in a religious ceremony.
Reshaping the healthcare workforce - Candace imisonNuffield Trust
For the Nuffield Trust Health Policy Summit 2016, Candace Imison talks about what steps would be necessary to develop and reshape the health care workforce.
The Medical School Startup: Reshaping Medical Education (Maurizio Trevisan)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Keeping the Pediatric Population Healthy (David Bailey)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Stepping up Pediatric Patient Safety (Chris Dickinson)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
A Career in Nursing Essay example
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The three primary goals of healthcare organisations today are:
• improve the experience of care
• improve the health of the population and
• reduce per capita costs of delivery.
This requires healthcare organisations to engage and impact the health of one person at a time. This can only be achieved with the right people, processes and information systems in place.
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DQ 3-1 response 1Working in Oncology care, the Oncology Nursing.docxelinoraudley582231
DQ 3-1 response 1
Working in Oncology care, the Oncology Nursing Society or ONS is a national professional specialty nursing association that I have been an ongoing member of since 2010. As an organization, their mission is “to advance excellence in oncology nursing and quality cancer care” with a vision “to lead the transformation of cancer care” (Oncology Nursing Society, 2017). Innovation, excellence and advocacy is what guides ONS to improve the quality of life and outcomes for patients with cancer and their families as well as improving the nursing profession (Oncology Nursing Society, 2017). They are continually working towards promoting respect and recognition on behalf of patients and the nursing profession. They not only engage in providing education and training for nurses but also engage in international outreach and partnering with other organizations that share common goals to enhance quality of care for people with cancer. They also serve as advocates to promote public health policy. ONS sends members to the Nurse in Washington Internship program annually giving attendees a better understanding of political, legislative and regulatory issues facing nurses ending with a visit to Capitol Hill to influence policy for nurses and the patients they serve (Saria et al., 2014). Cancer care is complex and continuously changing. As a member of the health care team, I feel the values of excellence, innovation and advocacy are reflected in their mission and vision statements. I also feel their mission and vision statements also mirrors the organization I work for. As a health care provider, Aurora Health Care, helps people to live well, providing the best care possible during and after a patient’s hospitalization. They support and encourage their medical/oncology nurses to become oncology and chemotherapy certified. They provide annual mandatory cancer education and offer monthly oncology seminars for all health care providers. The also encourage and support local, state and national seminars as well for their nurses. As a health care provider, they are devoted to providing the most current up to date treatment and promote safety through the encouragement and participation of evidence based initiatives and quality improvement projects.
References
Oncology Nursing Society. (2017). About ONS. Retrieved October 9, 2017, from https://www.ons.org/about
Saria, M. G., Stone, A., Walton, A. L., Brown, G., Norton, V., & Barton-Burke, M. (2014). Voices of oncology nursing society members matter in advocacy and decisions related to U.S. health policy. Clinical Journal of Oncology Nursing, 18(6), 719-721. doi:10.1188/14.cjon.719-721
Response 2
Dignity Health hospitals are committed to furthering the healing ministry of Jesus. They pride themselves on delivering compassionate, high-quality, affordable health services while serving and advocating for the poor and disenfranchised and partnering with others in the community to improve the quality of .
Effect of Nursing Shortage and Turnover on In-Patients
Running Head: PICOT STATEMENT PAPER 1
Effect of Nursing Shortage and Turnover on In-patients
Nursing shortage and turnover is a serious problem experienced in the United States of America (USA) and the world at large. Many states in the USA have inadequate nurses which end up impairing the quality of service given to the patients especially in-patients. The few nurses available cannot completely meet the needs of the patients especially those who critically needs total care and attention. The few nurses available are usually stressed and in a hurry trying to care for a high number of patients which is usually impossible. This situations adds stress to them and increase their chances of quitting the job. Nurses play a pivotal role in caring for these patients especially the ones admitted in long term acute care facilities (LTAC) since they continuously monitor the patients in critical conditions and provide necessary treatments and medicine to save the lives of the patients (Stone et al., 2006). There are various reasons which can be associated with the nurses' shortage and turnover and these include inadequate nursing educators, inequitable distribution of nurses, high turnover rate and aging workforce to name but a few. These problems can be solved by investing in the development of nurses to make them happy and well equipped with the knowledge and skills required to handle their tasks. This can be through training them regularly, giving them a chance to further their education as they work, paying them well and giving them appropriate compensations among other key strategies.
PICOT Statement
Considering the patients in long term care facilities, do effective investment in the development of nurses compared to the current standards of nurse staffing in the USA essential in improving the quality of care of the in-patients?
Clinical problem
The shortage and turnover of nurses is an issue that has raised a lot of concern as far as the health of the patients is concerned. This issue has resulted in long patients stay in hospitals, increased bloodstream infections and increased fatalities. The patients in acute long term care units require total attention and monitoring than any other patients requiring basic care. This is to ensure that their conditions are kept in control. In fact, one nurse should only handle three or four patients maximum because of the criticality of these patients. The inadequate of nurses in the section makes each nurse to handle more than five patients and this decreases the quality of care given to these patients and increases fatalities or longer stays. (Thompson et al., 2013). It is therefore vital for the government and healthcare departments to effectively invest in the development of nurses to increase their number, education, abilities, and motivation. There should .
1. Editorial
www.thelancet.com Vol 383 May 24, 2014 1781
Nursing in the UK: where next?
Since we published The Lancet Commission on Nursing
in 1932, how much has nursing changed? In our
original Commission a strong voice representing the
patient was absent. Today, while nursing’s future
remains unclear and the profession is often perceived
to be in a state of chaos, the patient has emerged as
the central voice. This month has seen the convergence
of National Nurses’ Week, International Nurses’ Day,
and the anniversary of Florence Nightingale’s birthday,
leading to even more media interest and discussion
around the role of the nurse than usual. What is clear is
that there is a need for an overarching vision which is
in the patient’s interest, and enough political support
for the profession to take it through the next decades.
Several major professional reviews have
been undertaken in recent years, including
the Willis Commission on Nursing Education,
Sir Bruce Keogh’s Mortality Review, and the
Prime Minister’s Commission on the Future of Nursing
and Midwifery in England. More are planned in the
next 3 years. All of them outline problems in nursing,
and yet there has been failure to implement and follow
through the recommendations of these reports, often
because of a lack of political will. The public continues
to have a deep-seated perception of the profession as
a service industry, and to align nurses with health-care
assistants rather than with doctors, yet expectations
and demands on individuals are high. Uniformed staff
in hospitals cover a wide range of roles, and the lack of
clarity around the qualifications needed by different
levels of health-care assistants negatively affects the
image of nurses. A minimum level of training needs
to be introduced for all people actively giving patient
care, and graduate nurses need to work alongside team
members with transparency of qualifications equating
to their respective responsibility.
Last week, the Royal College of Physicians published
National Care of the Dying Audit for Hospitals, which
shows that the quality and provision of care
across hospitals in England varies substantially,
and that training and standards are inconsistent.
Although around half of all deaths take place
in hospitals, approaches to end-of-life care are
frequently unsatisfactory. The audit has led to ten
key recommendations, including training in how to
communicate dying to patients and their families and
friends, a need for specialist palliative care services to
be available 7 days a week to support patients, and
a need for collaboration within the multidisciplinary
team to recognise when a patient is dying in order
to provide appropriate care. Although none of these
measures is the sole responsibility of nurses, the audit
highlights the teamwork needed within the ward, and
the crucial and central role of the nurse as carer.
Training reform and education still need further
definition. Myriad choices and specialties exist for
nurses, yet leadership roles are few and far between.
The problem of a rapidly ageing workforce of nurses
needs to be addressed, as do multicultural challenges in
our changing demographic. Last week saw the release
of a National Institute for Health and Care Excellence
draft guideline that hints that a ratio of one nurse to
eight patients is the minimum staffing level needed
to avoid patient risk, although this falls short of
findings published in today’s Lancet. Linda Aiken and
colleagues’ RN4CAST study examines patient mortality
rates in hospitals with varying levels of graduate
nurses providing care. Results of the study show that
in a hospital in which 60% of nurses are graduates
caring for an average of six patients each, mortality
is 30% less than in a hospital where nursing staff is
comprised of only 30% graduates, on average caring
for eight patients each. Poor conditions and decisions
on investment have led to inadequate care, not the
nurses themselves.
Everyone has an opinion of what nursing should be—
personal experience and anecdotes abound. But what
direction should nursing take in the future? Technology
is changing the actual nature of care as remote support
becomes a reality and care is increasingly delivered
outside of hospitals, within communities. As our
ageing population grows, the balance is changing.
The profession needs clear measures in education
and practice to ensure a high-quality and sustainable
future for nursing, while providing appropriate and
safe levels of patient care at all times. We are delighted
to announce that a Lancet Commission on Nursing is
underway for publication in 2016, with the intent of
making a positive contribution to this rapidly shifting
landscape. The Lancet
For TheLancetCommission on
Nursing from 1932 see
http://ac.els-cdn.com/
S0140673600576144/1-s2.0-
S0140673600576144-main.
pdf?_tid=21b76c8a-dcd7-11e3-
888d-00000aab0f01&acdnat=
1400230409_90d83df4fc
62e532d98db07b089747c1
For more on the Royal College of
Physicians’ National Care of the
Dying Audit of Hospitals see
http://www.rcplondon.ac.uk/
resources/national-care-dying-
audit-hospitals
For the draft NICE guideline see
http://www.nice.org.uk/media/
FA9/B9/StaffingForNursing
InAdultInpatientWardsDraft
ForConsultationMay.pdf
ChrisCrisman/Corbis
See Comment page 1789
See Articles page 1824