Nurse short-staffing negatively impacts nurses, patients, and the quality of patient care. For nurses, short-staffing leads to burnout, job dissatisfaction, and mental health issues which also negatively impact their personal lives. It causes 31.5% of nurses to intend to leave their current role or the nursing profession altogether. For patients, short-staffing results in missed care, longer hospital stays, higher mortality rates, and more medical errors and infections. Ensuring adequate nurse staffing levels is important to support nurses professionally and personally as well as improve patient outcomes.
NURS6247 Phoenix Nurse Burnout Issue in Healthcare.docxstirlingvwriters
Nurse burnout is a significant issue that negatively impacts both nurses and patients. It occurs when nurses experience physical, emotional, and psychological stress or strain from their work. This can lead to feelings of detachment, lack of motivation, and diminished emotions. Left unaddressed, nurse burnout can become a permanent problem. It is linked to poorer patient outcomes, higher medical errors, and decreased patient and nurse satisfaction. The document discusses the need for healthcare organizations to recognize nurse burnout using tools like the Maslach Burnout Inventory and implement interventions to address its causes and prevent its effects on nurses and quality of care.
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
This document provides an overview of a research study that examines the relationship between nurse job satisfaction, nurse-patient ratios, and nurse fatigue. It includes an introduction that outlines the background, problem statement, purpose, significance and research questions. It also presents hypotheses and a brief literature review. The methodology chapter describes the research design, sample, instruments and data analysis plan. Results, discussion and conclusions chapters are also outlined. The document provides a framework to guide the proposed empirical study on the key factors relating to nurse fatigue.
Nurse burnout is a significant issue that negatively impacts patient care and safety. It occurs when nurses experience chronic physical, emotional, and mental strain due to long work hours and an inability to manage stress. Burnout leads to emotional exhaustion, detachment, and low motivation among nurses. If left unaddressed, it can become a permanent problem and reduce the quality of care patients receive. Healthcare organizations should prioritize preventing nurse burnout to improve patient and nurse satisfaction as well as overall healthcare outcomes and costs. Regularly evaluating nurse burnout levels using tools like the Maslach Burnout Inventory can help organizations identify at-risk nurses and implement intervention programs to address the root causes of burnout.
Running head NURSING RESEARCH PROJECT .docxjeanettehully
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 2
Phase 1 Paper Assignment
Karen Lezcano
Florida National University
February 1st, 2020
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place taking ...
The Impact of Burnout syndrome on Nurse Workers .docxrtodd33
The Impact of Burnout syndrome on Nurse Workers !1
The Impact of Burnout Syndrome on Psychosocial Wellbeing, Expected Outcomes, Self-efficacy,
Turnover, and Interest in Career of Nurse Workers.
Olajumoke Omiyale
Aspen University
Author Note
Essentials of Nursing Research N494
Dr. Keshea Britton
Date of Submission February 11, 2020
Burnout Among Nurses !2
Background
Burnout is a very common condition across the world and especially in the nursing
career. It's the reduction in the energy and zeal of nurses manifesting in form of being
emotionally exhausted, lacking motivation, feeling frustrated, fatigued, and low reaction time
which reduces individuals' output and work efficacy in general. Burnout has been strongly
attributed to the deficit in the number of healthcare professionals, a concern that goes way to be a
matter of global importance. The rapidly changing healthcare landscape that brings a paradigm
shift to increased demand for healthcare services in the world population has come with its
challenges. Although experts associate the change to improvement in the quality of life for which
people become capable of seeking healthcare services, the move has placed a lot of pressure on
not only the healthcare systems but particularly on the workforce (Mudallal, Othman, & Al
Hassan, 2017). However, governments have not moved at a similar pace to address these
pressures, leaving the mantle on the health institutions and professionals. To be specific, nurses,
as well as other healthcare providers, are left with a large number of patients to takes care of, a
number that keeps on increasing day after day, keeping them on the run all the time. The absolute
result of this healthcare environment is burning or wearing out, which without doubt minimizes
the efficacy of the nurse’s output.
The working environment for which the nurse staff doesn't match the care demand
culminated by poor leadership creates unattractive working conditions. Indeed, WHO reports
indicate that shortages of nurses would nationally and internally interfere with the efforts to
health and well being of the world population. Where staff shortage exists, human resources are
Burnout Among Nurses !3
overstretched, working conditions become poor and unbearable, work becomes increasingly
hazardous to the health of the nurse- they get no rest, become stressed, productivity decrease
with the poor patient outcome which add up to the trauma of the workers. They end up losing
interest in their job, become highly dissatisfied, burnout and increase the chances of quitting the
job. In return, the turnover of nurses affects the quality of healthcare services offered because of
a lack of expertise and increasing the workload burden on the remaining staff (Sobral, et. al,
2018). .
The Impact of Burnout syndrome on Nurse Workers !1
The Impact of Burnout Syndrome on Psychosocial Wellbeing, Expected Outcomes, Self-efficacy,
Turnover, and Interest in Career of Nurse Workers.
Olajumoke Omiyale
Aspen University
Author Note
Essentials of Nursing Research N494
Dr. Keshea Britton
Date of Submission February 11, 2020
Burnout Among Nurses !2
Background
Burnout is a very common condition across the world and especially in the nursing
career. It's the reduction in the energy and zeal of nurses manifesting in form of being
emotionally exhausted, lacking motivation, feeling frustrated, fatigued, and low reaction time
which reduces individuals' output and work efficacy in general. Burnout has been strongly
attributed to the deficit in the number of healthcare professionals, a concern that goes way to be a
matter of global importance. The rapidly changing healthcare landscape that brings a paradigm
shift to increased demand for healthcare services in the world population has come with its
challenges. Although experts associate the change to improvement in the quality of life for which
people become capable of seeking healthcare services, the move has placed a lot of pressure on
not only the healthcare systems but particularly on the workforce (Mudallal, Othman, & Al
Hassan, 2017). However, governments have not moved at a similar pace to address these
pressures, leaving the mantle on the health institutions and professionals. To be specific, nurses,
as well as other healthcare providers, are left with a large number of patients to takes care of, a
number that keeps on increasing day after day, keeping them on the run all the time. The absolute
result of this healthcare environment is burning or wearing out, which without doubt minimizes
the efficacy of the nurse’s output.
The working environment for which the nurse staff doesn't match the care demand
culminated by poor leadership creates unattractive working conditions. Indeed, WHO reports
indicate that shortages of nurses would nationally and internally interfere with the efforts to
health and well being of the world population. Where staff shortage exists, human resources are
Burnout Among Nurses !3
overstretched, working conditions become poor and unbearable, work becomes increasingly
hazardous to the health of the nurse- they get no rest, become stressed, productivity decrease
with the poor patient outcome which add up to the trauma of the workers. They end up losing
interest in their job, become highly dissatisfied, burnout and increase the chances of quitting the
job. In return, the turnover of nurses affects the quality of healthcare services offered because of
a lack of expertise and increasing the workload burden on the remaining staff (Sobral, et. al,
2018). .
Study on Coping Strategies and Factors Associated with Stress, Among Nurses W...ijtsrd
- The document discusses a study on coping strategies and stress factors among nurses working in intensive care units in New Delhi, India.
- The major coping strategies used by nurses were positive reappraisal, accepting responsibility, and escape-avoidance. Confronting coping was the least used.
- Factors like positive support from colleagues and supervisors, and a healthy work environment, were found to reduce stress levels among ICU nurses.
Emergency Department Nurses Face COVID 19 Discussion.docxwrite5
- Emergency department nurses are facing burnout due to being assigned as the sole "COVID nurses" in their hospitals. They experience overwhelming workloads with constant donning and doffing of PPE and processing potential COVID patients.
- Burnout is a major issue exacerbating the existing nursing shortage. Hospitals are offering substantial bonuses and incentives to attract travel nurses, especially those with critical care experience, in high-demand areas.
- Factors contributing to the nursing shortage include an aging workforce with many nurses nearing retirement, lack of nursing school faculty contributing to limited seating in programs, and burnout from understaffing leading to job dissatisfaction.
NURS6247 Phoenix Nurse Burnout Issue in Healthcare.docxstirlingvwriters
Nurse burnout is a significant issue that negatively impacts both nurses and patients. It occurs when nurses experience physical, emotional, and psychological stress or strain from their work. This can lead to feelings of detachment, lack of motivation, and diminished emotions. Left unaddressed, nurse burnout can become a permanent problem. It is linked to poorer patient outcomes, higher medical errors, and decreased patient and nurse satisfaction. The document discusses the need for healthcare organizations to recognize nurse burnout using tools like the Maslach Burnout Inventory and implement interventions to address its causes and prevent its effects on nurses and quality of care.
JOB SATISFATION AND NURSE PATIENT RATIO24Table of Contents.docxchristiandean12115
This document provides an overview of a research study that examines the relationship between nurse job satisfaction, nurse-patient ratios, and nurse fatigue. It includes an introduction that outlines the background, problem statement, purpose, significance and research questions. It also presents hypotheses and a brief literature review. The methodology chapter describes the research design, sample, instruments and data analysis plan. Results, discussion and conclusions chapters are also outlined. The document provides a framework to guide the proposed empirical study on the key factors relating to nurse fatigue.
Nurse burnout is a significant issue that negatively impacts patient care and safety. It occurs when nurses experience chronic physical, emotional, and mental strain due to long work hours and an inability to manage stress. Burnout leads to emotional exhaustion, detachment, and low motivation among nurses. If left unaddressed, it can become a permanent problem and reduce the quality of care patients receive. Healthcare organizations should prioritize preventing nurse burnout to improve patient and nurse satisfaction as well as overall healthcare outcomes and costs. Regularly evaluating nurse burnout levels using tools like the Maslach Burnout Inventory can help organizations identify at-risk nurses and implement intervention programs to address the root causes of burnout.
Running head NURSING RESEARCH PROJECT .docxjeanettehully
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 2
Phase 1 Paper Assignment
Karen Lezcano
Florida National University
February 1st, 2020
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place taking ...
The Impact of Burnout syndrome on Nurse Workers .docxrtodd33
The Impact of Burnout syndrome on Nurse Workers !1
The Impact of Burnout Syndrome on Psychosocial Wellbeing, Expected Outcomes, Self-efficacy,
Turnover, and Interest in Career of Nurse Workers.
Olajumoke Omiyale
Aspen University
Author Note
Essentials of Nursing Research N494
Dr. Keshea Britton
Date of Submission February 11, 2020
Burnout Among Nurses !2
Background
Burnout is a very common condition across the world and especially in the nursing
career. It's the reduction in the energy and zeal of nurses manifesting in form of being
emotionally exhausted, lacking motivation, feeling frustrated, fatigued, and low reaction time
which reduces individuals' output and work efficacy in general. Burnout has been strongly
attributed to the deficit in the number of healthcare professionals, a concern that goes way to be a
matter of global importance. The rapidly changing healthcare landscape that brings a paradigm
shift to increased demand for healthcare services in the world population has come with its
challenges. Although experts associate the change to improvement in the quality of life for which
people become capable of seeking healthcare services, the move has placed a lot of pressure on
not only the healthcare systems but particularly on the workforce (Mudallal, Othman, & Al
Hassan, 2017). However, governments have not moved at a similar pace to address these
pressures, leaving the mantle on the health institutions and professionals. To be specific, nurses,
as well as other healthcare providers, are left with a large number of patients to takes care of, a
number that keeps on increasing day after day, keeping them on the run all the time. The absolute
result of this healthcare environment is burning or wearing out, which without doubt minimizes
the efficacy of the nurse’s output.
The working environment for which the nurse staff doesn't match the care demand
culminated by poor leadership creates unattractive working conditions. Indeed, WHO reports
indicate that shortages of nurses would nationally and internally interfere with the efforts to
health and well being of the world population. Where staff shortage exists, human resources are
Burnout Among Nurses !3
overstretched, working conditions become poor and unbearable, work becomes increasingly
hazardous to the health of the nurse- they get no rest, become stressed, productivity decrease
with the poor patient outcome which add up to the trauma of the workers. They end up losing
interest in their job, become highly dissatisfied, burnout and increase the chances of quitting the
job. In return, the turnover of nurses affects the quality of healthcare services offered because of
a lack of expertise and increasing the workload burden on the remaining staff (Sobral, et. al,
2018). .
The Impact of Burnout syndrome on Nurse Workers !1
The Impact of Burnout Syndrome on Psychosocial Wellbeing, Expected Outcomes, Self-efficacy,
Turnover, and Interest in Career of Nurse Workers.
Olajumoke Omiyale
Aspen University
Author Note
Essentials of Nursing Research N494
Dr. Keshea Britton
Date of Submission February 11, 2020
Burnout Among Nurses !2
Background
Burnout is a very common condition across the world and especially in the nursing
career. It's the reduction in the energy and zeal of nurses manifesting in form of being
emotionally exhausted, lacking motivation, feeling frustrated, fatigued, and low reaction time
which reduces individuals' output and work efficacy in general. Burnout has been strongly
attributed to the deficit in the number of healthcare professionals, a concern that goes way to be a
matter of global importance. The rapidly changing healthcare landscape that brings a paradigm
shift to increased demand for healthcare services in the world population has come with its
challenges. Although experts associate the change to improvement in the quality of life for which
people become capable of seeking healthcare services, the move has placed a lot of pressure on
not only the healthcare systems but particularly on the workforce (Mudallal, Othman, & Al
Hassan, 2017). However, governments have not moved at a similar pace to address these
pressures, leaving the mantle on the health institutions and professionals. To be specific, nurses,
as well as other healthcare providers, are left with a large number of patients to takes care of, a
number that keeps on increasing day after day, keeping them on the run all the time. The absolute
result of this healthcare environment is burning or wearing out, which without doubt minimizes
the efficacy of the nurse’s output.
The working environment for which the nurse staff doesn't match the care demand
culminated by poor leadership creates unattractive working conditions. Indeed, WHO reports
indicate that shortages of nurses would nationally and internally interfere with the efforts to
health and well being of the world population. Where staff shortage exists, human resources are
Burnout Among Nurses !3
overstretched, working conditions become poor and unbearable, work becomes increasingly
hazardous to the health of the nurse- they get no rest, become stressed, productivity decrease
with the poor patient outcome which add up to the trauma of the workers. They end up losing
interest in their job, become highly dissatisfied, burnout and increase the chances of quitting the
job. In return, the turnover of nurses affects the quality of healthcare services offered because of
a lack of expertise and increasing the workload burden on the remaining staff (Sobral, et. al,
2018). .
Study on Coping Strategies and Factors Associated with Stress, Among Nurses W...ijtsrd
- The document discusses a study on coping strategies and stress factors among nurses working in intensive care units in New Delhi, India.
- The major coping strategies used by nurses were positive reappraisal, accepting responsibility, and escape-avoidance. Confronting coping was the least used.
- Factors like positive support from colleagues and supervisors, and a healthy work environment, were found to reduce stress levels among ICU nurses.
Emergency Department Nurses Face COVID 19 Discussion.docxwrite5
- Emergency department nurses are facing burnout due to being assigned as the sole "COVID nurses" in their hospitals. They experience overwhelming workloads with constant donning and doffing of PPE and processing potential COVID patients.
- Burnout is a major issue exacerbating the existing nursing shortage. Hospitals are offering substantial bonuses and incentives to attract travel nurses, especially those with critical care experience, in high-demand areas.
- Factors contributing to the nursing shortage include an aging workforce with many nurses nearing retirement, lack of nursing school faculty contributing to limited seating in programs, and burnout from understaffing leading to job dissatisfaction.
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 .
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
Higher patient-to-nurse ratios are associated with increased safety risks for patients and worse outcomes. The research purpose is to determine if there is a correlation between increased patient loads for nurses and a rise in medication errors, treatment errors, falls, cardiac arrests, and deaths over a 6-month to 1-year period. Previous studies have found that hospitals with higher patient ratios have higher mortality rates and inability to rescue patients in a timely manner. Higher patient loads are also linked to increased nurse burnout, job dissatisfaction, and lower quality of patient care.
Running head ANALYSIS 1ANALYSIS6Pertinent Healthcar.docxhealdkathaleen
Running head: ANALYSIS
1
ANALYSIS
6
Pertinent Healthcare Issue
Student Name
University Name
August 27, 2019
Analysis of a Pertinent Healthcare Issue
This document discusses the critical care burnout for nurses and the correlation between them and bad patient care. A debate will be held on the burnout levels and rationale for nurses at the University of New Mexico Hospital (UNMH). The writer will show how self-care outside your workplace can decrease work tiredness and having adequate stress management organizations in the workplace. Two study papers related to the suggested modifications to reduce the burnout in infants will be analyzed. (Harkin, 2014).
Purpose of the change proposal
Increased workplace stress, lengthy hours and traumatic exposure in patient care are strong in acute care. This kind of setting may lead to enhanced work exhaustion and greater burnout levels on nurses. Employment fatigue is shown in patient care reduced and general compassion decreased (Cocker & Joss, 2016). With a healthy working and household with good self-care and good stress management, work fatigue can be avoided and high quality care is maintained in acute care environments. (Chilcoat, 2016).
University of New Mexico Hospital burnout rates
Care burnout remains one of the leading causes of UNMH turnover levels. In the last five years, the elevated burnout levels at UNMH studied reveal increased burnout. Research has demonstrated that burnout is immediately linked to the absence of social support, inadequacy in controlling schedules or tasks, a messy working situation and a work-life imbalance. UNMH is creating opportunities and programs aimed at reducing burnout prices. (University of New Mexico, 2016).
Nursing intervention
Educating nurses about the significance of beneficial self-care practices in acute care, for example meditation, treatment, physical exercise and spending time on working outdoors in order to enjoy life. In the workplace, the workforce can also interact, discussing severe stressors and communicating therapeutically to one another in order to decrease effective stress on the environment. (Wolf, Perhats, Delao, & Clark, 2017) — Working to offer worker self-programming, prevent compulsory overtime, monitor worker overtime, and create mentorship programs (University of New Mexico, 2016).
Evaluation of the literature
A study of comparative studies (2003) involves three-fold layout research involving quantity and qualitative techniques. This study will address the burnout among nursing workers in accidents and emergency and acute medicine. The aim of this research was to create stress and burnout variables, to determine the behaviors of the impacted nurses and to stress impacts on the care of the patient. Also to determine whether stress and burnout affect people outside of the clinical environment. The findings indicated that networks, interpersonal relationships and teamwork need to be made more effective as robuster means ...
The document discusses the role and responsibilities of registered nurses. It notes that nursing requires an unconditional love for mankind and providing care and attention is not enough to be a nurse. Nurses must have scientific knowledge and fulfill medical procedures like injections and monitoring vitals. They help patients by addressing their health problems and providing qualified care and social support. However, the profession of nursing faces challenges like poor working conditions, lack of respect from physicians and patients, and understaffing which leads to worse health outcomes. To improve the profession, nurses must maintain clinical competence and work collaboratively to enhance patient safety and treatment results through standardized care.
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
Nursing Challenges in Transitional Care Research.pdfbkbk37
The document discusses challenges in transitional care nursing. It identifies that lack of specialized nursing intervention causes issues like high rates of elderly patient readmission and improper care transitions between medical settings. Poor communication during care handoffs and lack of education for caregivers on how to care for patients at home can result in health declines. The problem is significant for nursing as it raises awareness of weaknesses in providing continuity of care during transitions and ensuring quality care movements within hospitals. Specializing in transitional care nursing could help address these challenges.
A Career in Nursing Essay example
Advanced Practice Nursing Essay examples
What Is Nursing? Essay
The nursing process Essay
Essay on Nursing Care Plan
Nursing Exemplar
Burnout is a serious issue that affects many in the medical field, especially nurses. It is characterized by emotional exhaustion, low energy, and frustration. It stems from heavy workloads, understaffing, financial burdens, and inconsistent changes within the profession. Burnout leads to poorer patient outcomes and satisfaction as well as increased medical errors. It also negatively impacts nurses' performance, decision-making, and relationships. If left unaddressed, burnout can result in many medical professionals leaving the field, exacerbating staffing shortages and declining care quality within healthcare systems. Strategies such as improved management, workload distribution, and support for staff well-being are needed to combat the effects of burnout.
A prominent nursing center in the mid-size East South Central city in the South has come under the fire due to a major challenge of shortage in the nursing staff. An increase in the health care expenses led to a temporary reduction in the staff’s earning that led them to decrease in the number of nurses. Decreasing the nursing staff is the only logical way to combat the increased health costs, however, it partly kills the working enthusiasm of the staff.
But, the decreased staff is birthing more problems, as there is an array of patients that come to this center for care and cure and the decreased number of nurses cannot put up with all of them.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
impact of nursing burnout and workload to safety of staff and patientsClinton Kimwei
Nursing burnout and workload can negatively impact patient and staff safety in healthcare facilities. When nurses are overwhelmed or stressed, it can lead to higher rates of medication errors, communication issues between nurses and patients, increased healthcare-associated infections, and more sick leave and absenteeism among nurses. This instability and lack of adequate staffing presents safety risks. The document discusses how administrative planning is needed to ensure appropriate nurse-to-patient ratios and support for nurses to prevent burnout, thereby maintaining safety for both patients and healthcare workers.
Nurse burnout is a widespread issue characterized by emotional exhaustion, lack of motivation, and feelings of frustration. It is caused by sustained work stress like long hours, high-pressure decision making, and caring for patients with poor outcomes. Burnout leads to risks like increased nurse turnover, lower quality patient care, and increased medical errors and mortality. To prevent burnout, nurses should improve schedules, seek support, take breaks, learn coping methods, and consider changing specialties or focus.
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
Tayslen to an external Two barriers advanced nurses.docxwrite5
Two main barriers that advanced practice nurses face are issues with role acceptance and a lack of autonomy. While healthcare recognizes different nursing roles as important, advanced practice nurses are sometimes not acknowledged in the same way as physicians. They also may face frustrations when physicians impose their views and opinions rather than allowing the nurses full autonomy. Effective communication is important for advanced practice nurses to advocate for patients, but they must back up any concerns with factual information for physicians to validate. Seeking guidance can help nurses develop strong communication skills needed to improve patient safety and outcomes.
Nurse Staffing And Quality Of Careللطالب عامر آل الريTsega Tilahun
This document discusses a study on the relationship between nurse staffing levels and quality of patient care. The study will be conducted at King Khaled Hospital University in Riyadh, Saudi Arabia, surveying 1,300 nurses. Previous research has found mixed results on the impact of nurse staffing levels, with some studies finding higher nurse levels associated with better outcomes. The methodology will use a descriptive correlational design to collect daily staffing data and patient outcomes over time to analyze the relationship between staffing levels and quality indicators.
Discussion 1How Competing Needs May Impact the Development of VinaOconner450
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Explain your current understanding of effective assessment practic.docxkendalfarrier
Explain your current understanding of effective assessment practices including the difference between summative and formative assessment and including the concepts of reliability, validity, and fairness.
Write about your belief in the worth of large-scale standardized tests and distinguish between norm-referenced and criterion-referenced varieties. How would you compare them with performance assessments (PBA or PBL) and formal observations?
Explain your understanding of appropriate and inappropriate test preparation and on your understanding of the practice of "teaching to the test," as well as ways to make it engaging and reduce test anxiety.
In a few sentences, give your understanding of the Response to Intervention progress-monitoring process and how it informs student tier placement.
Describe your beliefs in fair grading practices, including giving extra credit, allowing do-overs, assigning zeros for cheating or work not handed in, and the concept of giving exemplars, drafts, feedback, and student-friendly rubrics.
.
Explain why this would be a more appropriate classification than oth.docxkendalfarrier
Explain why this would be a more appropriate classification than other alternatives that you do not select.
2. Identify two major threats to the prosperity and stability of the developed countries. What, if anything, can those states do to reduce these threats?
3. What are the obstacles to development in many countries of the Global South? What seem to be the most appropriate strategies to overcome those obstacles? Why are such strategies not already successful?
4. Discuss key reasons why the military has often ruled in Global South countries and the conditions under which it come to power.
.
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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 .
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019).
4
CHANGE PROPOSALPRESENTATIONFORFACULTY REVIEW
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Name
Name of the institution
Date
Running head: ASSIGNMENT TITLE HERE
1Running head: CHANGE PROPOSAL PRESENTATION FOR FACULTY REVIEW
Intervention
The capstone change proposal is effects of disproportionate nurse to patient staffing ratios on the quality of patient care. Patients can be exposed to several safety issues if proper care is not given to them. These problems include falls, hospital-acquired infection due to poor hand hygiene by the healthcare workers, medication administration errors, poor health education to the patients, and negligence in attending to the spiritual needs of the patients. Interventions includes presenting the safety concerns to the management team of the facility to enable them to hire more nurses to deliver adequate care to the patients. In-service training of the nurses on fall prevention, proper application of fall precautions and identification of patients who are at risk of falls are another important intervention. Proper hand hygiene is an intervention that will prevent hospital-acquired infections and nurses should form the culture of doing it (Sands, & Aunger, 2020). Medication errors can lead to complications or death of patients. Nurses should check the medications properly and identify the patients before administration of the medications.
Evidence Based Literature
The articles reviewed have different research aims and questions, but they are all centered into the idea of the effects of nurse-to-patient ratios on patient outcomes. The research questions of these articles are divided into three categories: definition of nursing staffing, effects of nursing-to-patient ratio on patient outcomes and nursing characteristics that hinders the delivery of care. The study by (Cho et al., 2020), defines the term nursing staffing in terms of the nursing care needs of the patients.
Nurses are essential in the provision of quality care in acute units, and their staffing levels have an impact on patient outcomes. (Cho et al., 2015), examine the link between nursing staffing and patient outcomes, specifically the mortality rate. Comparing to (Driscoll et al., 2018) and (Shin et al., 2018), the articles examine the effects of nursing staffing ratios on the patient outcomes in acute specialist units. Besides, (Needleman, 2016) reviews the studies that examine the effects of nursing skill mix on the patient outcomes such as patient ratings of hospitals, mortality, adverse health outcomes, and nurse burnout and dissatisfaction.
Some of the factors such as nursing skills, staffing methods, and working environment affects the nursing staffing ratio, which hinders the quality of care. The article by (Bridges et al., 2019), explores the relationship between nursing staffing skills and the quality and quantity of their interactions with patients in hospital wards. (Olley et al., 2019) ...
Higher patient-to-nurse ratios are associated with increased safety risks for patients and worse outcomes. The research purpose is to determine if there is a correlation between increased patient loads for nurses and a rise in medication errors, treatment errors, falls, cardiac arrests, and deaths over a 6-month to 1-year period. Previous studies have found that hospitals with higher patient ratios have higher mortality rates and inability to rescue patients in a timely manner. Higher patient loads are also linked to increased nurse burnout, job dissatisfaction, and lower quality of patient care.
Running head ANALYSIS 1ANALYSIS6Pertinent Healthcar.docxhealdkathaleen
Running head: ANALYSIS
1
ANALYSIS
6
Pertinent Healthcare Issue
Student Name
University Name
August 27, 2019
Analysis of a Pertinent Healthcare Issue
This document discusses the critical care burnout for nurses and the correlation between them and bad patient care. A debate will be held on the burnout levels and rationale for nurses at the University of New Mexico Hospital (UNMH). The writer will show how self-care outside your workplace can decrease work tiredness and having adequate stress management organizations in the workplace. Two study papers related to the suggested modifications to reduce the burnout in infants will be analyzed. (Harkin, 2014).
Purpose of the change proposal
Increased workplace stress, lengthy hours and traumatic exposure in patient care are strong in acute care. This kind of setting may lead to enhanced work exhaustion and greater burnout levels on nurses. Employment fatigue is shown in patient care reduced and general compassion decreased (Cocker & Joss, 2016). With a healthy working and household with good self-care and good stress management, work fatigue can be avoided and high quality care is maintained in acute care environments. (Chilcoat, 2016).
University of New Mexico Hospital burnout rates
Care burnout remains one of the leading causes of UNMH turnover levels. In the last five years, the elevated burnout levels at UNMH studied reveal increased burnout. Research has demonstrated that burnout is immediately linked to the absence of social support, inadequacy in controlling schedules or tasks, a messy working situation and a work-life imbalance. UNMH is creating opportunities and programs aimed at reducing burnout prices. (University of New Mexico, 2016).
Nursing intervention
Educating nurses about the significance of beneficial self-care practices in acute care, for example meditation, treatment, physical exercise and spending time on working outdoors in order to enjoy life. In the workplace, the workforce can also interact, discussing severe stressors and communicating therapeutically to one another in order to decrease effective stress on the environment. (Wolf, Perhats, Delao, & Clark, 2017) — Working to offer worker self-programming, prevent compulsory overtime, monitor worker overtime, and create mentorship programs (University of New Mexico, 2016).
Evaluation of the literature
A study of comparative studies (2003) involves three-fold layout research involving quantity and qualitative techniques. This study will address the burnout among nursing workers in accidents and emergency and acute medicine. The aim of this research was to create stress and burnout variables, to determine the behaviors of the impacted nurses and to stress impacts on the care of the patient. Also to determine whether stress and burnout affect people outside of the clinical environment. The findings indicated that networks, interpersonal relationships and teamwork need to be made more effective as robuster means ...
The document discusses the role and responsibilities of registered nurses. It notes that nursing requires an unconditional love for mankind and providing care and attention is not enough to be a nurse. Nurses must have scientific knowledge and fulfill medical procedures like injections and monitoring vitals. They help patients by addressing their health problems and providing qualified care and social support. However, the profession of nursing faces challenges like poor working conditions, lack of respect from physicians and patients, and understaffing which leads to worse health outcomes. To improve the profession, nurses must maintain clinical competence and work collaboratively to enhance patient safety and treatment results through standardized care.
2Nursing Staff Shortage in HealthcareRuta Arefaine.docxrobert345678
2
Nursing Staff Shortage in Healthcare
Ruta Arefaine
Oak Point University
NUR 4642: Professional Role Transition
Professor Josette Cabatingan-Oribello
Nursing Shortage
The shortage in the nursing profession has been an issue for over several years. Especially following COVID-19 suddenly gotten worse. St. Mary Elizabeth Hospital is no exception to this growing issue. Nurses make up the majority of medical practitioners and are essential to the industry. There remains a demand for more skilled educators in the perioperative environment and less even workforce distribution. Many serious factors cause the lack of nurses. As the age increases, there is a greater necessity for medical coverage. The authenticity is that, instead of taking just one illness, senior adults typically have illnesses and founders that necessitate professional care. Overall, individuals exist lengthier, a growing ultimatum for well-being care. Many chronic illnesses that were previously fatal are now treatable (Mar et al., 2019). The baby boom generation is still at a stage where they might need more medical attention as society ages. Today, more incredible Americans than ever previously time in history are above the age of 65.
According to Haddad et al. (2022, disclosed Nursing employment is anticipated to increase by 6% during the following ten years, according to the Bureau of Labor Statistics Number Of simulations 2021–2031. The number of Nurses working in the profession is expected to rise by 195,400 from 3.1 million in 2021 to 3.3 million in 2031. When nurses retire, they get pension benefits and labor strength leave benefits which are prudently essential in the United States. More than 203,200 positions for Nursing professionals have become vacant in consecutive years. In addition, the nursing staff is shrinking. There are about one million nurse practitioners who are above 50. Thus, it shows that in ten to fifteen years, one in the workforce may be quitting. This figure includes medical faculties, which poses a unique problem since it necessitates training many more nurses with scarce assets. Constraints on admittance and a decline in the nursing practice's number of nurses can generate both results of a nursing faculty shortage.
Fewer students may register, and the curriculum's and the scholar's general superiority of education may worsen due to a condensed and forced facility. Some newly hired nurses find that the profession differs from what they had imagined after starting their jobs. Others might become employed for a while before giving up after getting overworked. The incidence of nurse burnout is tapering off after years of progressively increasing levels. Furthermore, the spectrum of the average income employee turnover, which spans between 8.8% to 37.0%, is determined by nursing discipline and locale (Rosseter, 2014). Enhancing nurses' labor conditions is insufficient. It is also essential to consider the caliber of nursing knowledge prov.
Nursing Challenges in Transitional Care Research.pdfbkbk37
The document discusses challenges in transitional care nursing. It identifies that lack of specialized nursing intervention causes issues like high rates of elderly patient readmission and improper care transitions between medical settings. Poor communication during care handoffs and lack of education for caregivers on how to care for patients at home can result in health declines. The problem is significant for nursing as it raises awareness of weaknesses in providing continuity of care during transitions and ensuring quality care movements within hospitals. Specializing in transitional care nursing could help address these challenges.
A Career in Nursing Essay example
Advanced Practice Nursing Essay examples
What Is Nursing? Essay
The nursing process Essay
Essay on Nursing Care Plan
Nursing Exemplar
Burnout is a serious issue that affects many in the medical field, especially nurses. It is characterized by emotional exhaustion, low energy, and frustration. It stems from heavy workloads, understaffing, financial burdens, and inconsistent changes within the profession. Burnout leads to poorer patient outcomes and satisfaction as well as increased medical errors. It also negatively impacts nurses' performance, decision-making, and relationships. If left unaddressed, burnout can result in many medical professionals leaving the field, exacerbating staffing shortages and declining care quality within healthcare systems. Strategies such as improved management, workload distribution, and support for staff well-being are needed to combat the effects of burnout.
A prominent nursing center in the mid-size East South Central city in the South has come under the fire due to a major challenge of shortage in the nursing staff. An increase in the health care expenses led to a temporary reduction in the staff’s earning that led them to decrease in the number of nurses. Decreasing the nursing staff is the only logical way to combat the increased health costs, however, it partly kills the working enthusiasm of the staff.
But, the decreased staff is birthing more problems, as there is an array of patients that come to this center for care and cure and the decreased number of nurses cannot put up with all of them.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
practice issue that would benefit from utilizing a mixed methods.pdfsdfghj21
This document discusses a proposed mixed methods study to examine challenges in transitional care. The study would involve observing the admission and discharge processes of elderly patients between hospitals, nursing homes, and home care. Both qualitative and quantitative data would be collected through participant observation, open-ended conversations with patients and caregivers, and semi-structured interviews with nursing leaders. The mixed methods approach would allow the qualitative data to provide context and explanations for the quantitative results. The goal is to better understand transitional care challenges and improve quality of care.
impact of nursing burnout and workload to safety of staff and patientsClinton Kimwei
Nursing burnout and workload can negatively impact patient and staff safety in healthcare facilities. When nurses are overwhelmed or stressed, it can lead to higher rates of medication errors, communication issues between nurses and patients, increased healthcare-associated infections, and more sick leave and absenteeism among nurses. This instability and lack of adequate staffing presents safety risks. The document discusses how administrative planning is needed to ensure appropriate nurse-to-patient ratios and support for nurses to prevent burnout, thereby maintaining safety for both patients and healthcare workers.
Nurse burnout is a widespread issue characterized by emotional exhaustion, lack of motivation, and feelings of frustration. It is caused by sustained work stress like long hours, high-pressure decision making, and caring for patients with poor outcomes. Burnout leads to risks like increased nurse turnover, lower quality patient care, and increased medical errors and mortality. To prevent burnout, nurses should improve schedules, seek support, take breaks, learn coping methods, and consider changing specialties or focus.
- Nursing informatics is defined as integrating nursing, information, and technology to support health worldwide. A master's-prepared nurse discussed her role in a military hospital, which involves obtaining patient data from various sources and presenting it to help improve care.
- She advised that nursing informatics is a growing field with many opportunities for self-starters interested in technology. Shadowing her showed her taking on roles like mentoring others and evaluating education programs on any given day.
Tayslen to an external Two barriers advanced nurses.docxwrite5
Two main barriers that advanced practice nurses face are issues with role acceptance and a lack of autonomy. While healthcare recognizes different nursing roles as important, advanced practice nurses are sometimes not acknowledged in the same way as physicians. They also may face frustrations when physicians impose their views and opinions rather than allowing the nurses full autonomy. Effective communication is important for advanced practice nurses to advocate for patients, but they must back up any concerns with factual information for physicians to validate. Seeking guidance can help nurses develop strong communication skills needed to improve patient safety and outcomes.
Nurse Staffing And Quality Of Careللطالب عامر آل الريTsega Tilahun
This document discusses a study on the relationship between nurse staffing levels and quality of patient care. The study will be conducted at King Khaled Hospital University in Riyadh, Saudi Arabia, surveying 1,300 nurses. Previous research has found mixed results on the impact of nurse staffing levels, with some studies finding higher nurse levels associated with better outcomes. The methodology will use a descriptive correlational design to collect daily staffing data and patient outcomes over time to analyze the relationship between staffing levels and quality indicators.
Discussion 1How Competing Needs May Impact the Development of VinaOconner450
Discussion 1
How Competing Needs May Impact the Development of a Policy
For my previous discussion post, I discussed how staffing shortages can lead to burnout due to increased workloads and longer hours. Burnout has been shown to significantly increase medication errors, reduce patient outcomes, and reduce productivity which decreases the quality of patient care overall (Bakhamis et al., 2019). Nurses will also become overwhelmed working in stressful environments, creating lower job satisfaction scores and lower nurse retention (Bakhamis et al., 2019). Because of this need to prevent burnout in nurses, the policy would need to be developed to address having an adequate nurse-to-patient ratio while also balancing budget costs. Despite attempts to develop policies to help healthcare organizations, competing needs related to the workforce and lack of resources make it difficult to address the shortage.
Nursing leaders would need to develop a policy that can create a supportive environment for nurses to care for patients safely. The goal would be to improve patient outcomes and improve retention, decreasing burnout. For example, developing a policy to establish set nurse-to-patient ratios depending on the unit. Adequate staffed units have been shown to result in lower mortality rates, shorter hospital stays, and less risk for adverse risks like medication errors (Saville et al., 2019).
Specific Competing Needs that May Impact Nurse Shortages
For adequate staffing, there needs to be a balance between the funds available and the organization’s available budget so that it is sustainable while also providing the best patient outcomes. In other words, there needs to be staff and funding available for this to happen. Within my healthcare organization, we have used travelers to fill in shifts to help supplement staffing. There have been times when the number of travel nurses outnumbers staff nurses on a given shift. While these travelers provide much-needed help, they also have expensive contracts and will work a few months per their contracts. When discussing this dilemma with hospital leadership, we have been told this process is not sustainable in the long run. Instead, the hospital risks losing more money in paying travelers than losing staff nurses. According to Kelly and Porr (2018), this is an example of how the business model of healthcare can negatively impact nurses and their ability to provide safe, high-quality patient care. Over time this can increase nursing stress due to ethical dilemmas, increase burnout, and ultimately worsen staffing anyway (Kelly & Porr, 2018).
Nurses should recognize these issues as serious ethical dilemmas as patients risk subpar care due to increasing healthcare costs. Milliken (2018) suggests nurses develop ethical awareness, by challenging situations and understanding the outcomes of these actions. For example, in my healthcare organization, we have discussed how the lack of staffing can lead to increa ...
Similar to NURSE SHORT-STAFFING3Nurse Short-Staffing Has a Nega.docx (20)
Explain your current understanding of effective assessment practic.docxkendalfarrier
Explain your current understanding of effective assessment practices including the difference between summative and formative assessment and including the concepts of reliability, validity, and fairness.
Write about your belief in the worth of large-scale standardized tests and distinguish between norm-referenced and criterion-referenced varieties. How would you compare them with performance assessments (PBA or PBL) and formal observations?
Explain your understanding of appropriate and inappropriate test preparation and on your understanding of the practice of "teaching to the test," as well as ways to make it engaging and reduce test anxiety.
In a few sentences, give your understanding of the Response to Intervention progress-monitoring process and how it informs student tier placement.
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Explain why this would be a more appropriate classification than oth.docxkendalfarrier
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3. What are the obstacles to development in many countries of the Global South? What seem to be the most appropriate strategies to overcome those obstacles? Why are such strategies not already successful?
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David, F. (2011). 1.
Strategic management: concepts & cases
(Custom Edition ed., pp. 313-314). New York: McGraw-Hill Irwin.
No Wiki, Dictionary.com or Plagiarism
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Document should be:
Be approximately four in length, not including the required cover page and reference page.
Follow APA7 guidelines. Document should include an introduction, a body with fully developed content, and a conclusion.
0 % plagariasm
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Feminist Care Ethics might be seen as a form of Virtue Ethics with the major difference being a disagreement about the nature of human excellence and the virtues necessary for acting ethically. Explain with reference to the readings in our text and my Weekly Comments.
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Both Utilitarianism and Kant's deontological ethics sometimes lead to morally horrendous actions related to the sanctity of human life. Kantian ethics is able to avoid the morally horrendous actions that can be justified using Utilitarianism, while Utilitarianism can avoid the morally horrendous actions that accord with Kantian ethics. Virtue ethics, though, would not have the same sorts of problems addressing issues discussed in the text, such as torturing terrorists if it were necessary to save lives, the Trolley Problem, killing an innocent person to save the lives of others, lying or making a false promise to save the lives of others. Explain with reference to the readings in our text and my Weekly Comments, using specific examples of the types of cases that would provide problems for each of the theories.
Week 2: Ethical Relativism
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APA citation, 3 to 4 References within 5 years.
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Explain what the textbook author says about each theme present. Pr.docxkendalfarrier
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2. Clearly express your opinion or points-of-views about the themes, and what the textbook author says, etc.
3.
In your Precise (Summary) statement include:
a.
What you learned from the content of the project
b.
What information you agreed/disagreed with
c.
What specific leadership and followership ethical lessons you took away from each film
d.
Include whether you enjoyed the presentations or not, and why
e.
Include any other information you may want to share about the Comprehensive Final Project
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Explain what should qualify as global leadership considering the dep.docxkendalfarrier
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Essay 250 words APA
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Explain three forces leading companies to pursue international ope.docxkendalfarrier
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Your response should be at least 200 words in length. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
David, F. (2011). 1.
Strategic management: concepts & cases
(Custom Edition ed., pp. 330-337). New York: McGraw-Hill Irwin.
No Wiki, Dictionary.com or Plagiarism
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it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
NURSE SHORT-STAFFING3Nurse Short-Staffing Has a Nega.docx
1. NURSE SHORT-STAFFING 3
Nurse Short-Staffing Has a Negative Impact On Nurses’
Professional and Personal Lives and Patient Care Outcomes
Melissa Whiting
Indiana State University
English 305T:301 Technical Writing
Professor J D Wireman
November 7, 2022
Table of Contents
1. List of illustrations 2
2. 2. Abstract 2
3. Introduction 2
3.1 Background 2
3.2 Problem/Issue 3
3.3 Purpose 4
3.4 Scope 4
4. Discussion 4
4.1 Forms of Nurse Short-staffing 4
4.2 Negative Impact of Nurse Short-Staffing On Nurses’
Professional and Personal Lives 5
Figure 1 above shows that 31.5 percent of RNs with burnout
report intent to leave their current facilities or nursing field
while only 8 percent of RNs without burnout have intent to
leave. 10
4.3 Negative Impact of Nurse Short-Staffing On Patient Care
Outcomes 10
5. Conclusion 15
6. Recommendations 15
7. References 16
Nurse Short-Staffing Has a Negative Impact On Nurses’
Professional and Personal Lives and Patient Care Outcomes1.
List of illustrations
Table 1 Themes of burnout and job dissatisfaction
Figure 1 Percentage of RNs reporting intent to leave2.
Abstract
Many studies have linked short-staffing with nurses
experiencing different personal and career problems. Hence, the
3. aim of this report is to analyze studies that explore nurse short-
staffing to negative effects on nurses’ professional and personal
lives and patient care outcomes. The findings of the report show
that burnout, demoralization, anxiety, depression, despair, and
intent to leave are some of the main consequences of having
high nurse-to-patient ratios. Furthermore, when nurses are
overstretched at work, their personal lives are also affected.
Overloaded nurses lack time to engage in leisure activities or
interact with friends and family members. The report concluded
that not having enough nurses in a facility affects nurses and
patients negatively. Additionally, the report recommended that
hospital management must hire adequate nurses and ensure units
have a relevant nursing skills mix. 3. Introduction 3.1
Background
Nurses comprise the biggest number of healthcare professionals
and spend the most time with patients. Therefore, patient care
quality heavily relies on the nursing staff. Nursing shortage is
one of the main issues affecting the ability of nurses to provide
quality care. Notably, most states in the US have been facing
increased nurse short-staffing. Among the causes of the nursing
shortage are healthcare institutions’ failure to hire enough
nurses or improve working conditions to retain nursing staff.
Many studies have linked nursing understaffing with poor
patient outcomes and personal and professional problems for
nurses. An observational multicenter study by Haegdorens et
al. (2019) found that low nurse short-staffing increase length of
stay, patient mortality, and avoidable readmissions in surgical
and medical wards. Additionally, infections and medical
complications arise while patient satisfaction decreases when
hospitals have an inadequate number of nurses (Lasater et al.,
2021). These patient safety issues occur because of short-
staffing increasing nursing workload. When facilities freeze
nurse hiring to cut costs, nursing workload elements, including
nursing task volume, nurse-to-patient ratios, non-patient tasks,
and nursing hours per patient, rise. Professionally, overworked
4. nurses make medical errors, fail to prevent infections, and miss
treatments and patient surveillance (Pérez-Francisco et al.,
2020). Furthermore, they experience fatigue, stress, depression,
and anxiety. The professional and personal problems caused by
overworking force some nurses to resign or even leave the
nursing profession. The facilities suffer from worse nurse
understaffing, and the cycle continues. 3.2 Problem/Issue
The current failure of most administrators in healthcare
institutions to hire an adequate number of nurses has created a
high workload and major problems for patients and nursing
staff. To reduce professional and personal issues among nurses
and improve patient care outcomes, facilities need to eliminate
nurse short-staffing. 3.3 Purpose
The purpose of this report is to present the evidence linking
nurse short-staffing to negative effects on nurses’ professional
and personal lives and patient care outcomes. The report will
persuade hospital administrators to increase nursing staffing
levels to achieve appropriate nurse-to-patient ratios.
3.4 Scope
The report will specify the different forms of understaffing. It
will also analyze the personal and professional problems nurses
experience due to understaffing. The report also presents patient
care and safety issues emerging from nurse short-staffing.
4. Discussion 4.1 Forms of Nurse Short-staffing
The most common form of understaffing that researchers have
studied is personnel or manpower understaffing. Andel et al.
(2022) defined manpower nursing understaffing as the lack of
nurses that leads to facility units failing to conduct crucial
healthcare activities. As such, personnel understaffing is
usually described in terms of nurse-to-patient ratios. A hospital
with manpower staffing has more patients than the number of
nurses required to meet safety and quality standards. Many
hospitals have manpower understaffing in almost all their units
and departments. The majority of healthcare facilities, nursing
professional organizations, nurses, and even governments use
nurse-to-patient ratios to determine the level of understaffing in
5. an institution. Manpower understaffing affects the entire nation.
For instance, studies have revealed that by 2030, only 13 out of
the 50 US states will not have nursing shortages (Andel et al.,
2022). Furthermore, every year from 2021 to 2031, there will be
203,200 registered nurse openings, according to the Bureau of
Labor Statistics forecasts. The shortage will occur mostly
because of nurses leaving the profession and reaching
retirement age.
A less studied type of understaffing is expertise understaffing.
Even though nurse expertise short-staffing is common in
healthcare institutions across the country, it has not received as
much focus as manpower understaffing. When a facility unit or
department does not have nurses with the necessary training,
certification, or skills to carry out primary tasks, then it has
expertise understaffing (Andel et al., 2022). Registered nurses
require knowledge to specialize and work in specific hospital
units such as intensive care, oncology, obstetrics and
gynecology, surgery, trauma center, and psychiatry. Depending
on the departments that a hospital has, it might need to have
pediatric, trauma, emergency room, acute care, intensive care
unit, oncology, psychiatric, perinatal, surgical, labor and
delivery nurse, neonatal, and anesthesia nurses. Nonetheless,
most healthcare organizations have departments running without
all the relevant nursing expertise. 4.2 Negative Impact of Nurse
Short-Staffing On Nurses’ Professional and Personal Lives
The researcher conducted an informal interview among 20 co-
workers. The registered nurses were aged 24 to 61 years, 3 were
male, and 17 were female. During the conversations, the
participants discussed the issues they have experienced in their
work and personal lives because of nurse understaffing in their
facility. The main themes included burnout, job dissatisfaction,
reduced teamwork, mental health problems, relationship or
family problems, decreased productivity, and intent to leave.
Nursing understaffing increases workload, which raises
burnout significantly among nurses. Burnout occurs when
6. nurses are emotionally, mentally, and physically fatigued from
engaging in more tasks than they can handle based on their
resources, skills, and time (Pérez-Francisco et al., 2020).
Therefore, both manpower and expertise short-staffing are
associated with burnout. Compared to other occupations,
healthcare workers are at increased burnout risk, as they work
with the sick and dying every day. Hence, short-staffing raises
the likelihood of burnout even further. The higher the number of
patients and responsibilities a nurse has, the higher the burnout.
Chronic stress from overworking eventually turns into burnout.
Research shows that around 34.8 percent of American nurses
experience emotional burnout at one point in their careers
(Pérez-Francisco et al., 2020). Burnout contributes to 31.5
percent of nurses leaving the profession (Pérez-Francisco et al.,
2020). Out of the 20 RNs that participated in the informal
interview, 8 reported experiencing burnout within the last year,
and 12 did in the ten years.
Burnout has many symptoms and implications. In their
cross-sectional research, Putra and Setyowatia (2019) found that
29.80, 24.5, and 24.3 percent of nurses with burnout had
emotional exhaustion, personal accomplishment decrease, and
increased depersonalization, respectively. Specifically,
depersonalization occurs when a nurse has negative feelings and
attitudes toward patients because of burnout. One interview
participant said,
‘
Sometimes I’m so overwhelmed by my duties that I
resent my patients. I feel like they are disturbing me when they
need my help.’
Other nurses feel that they are not achieving their personal and
professional goals. A combination of depersonalization and
emotional exhaustion results in some mental health issues.
According to Putra and Setyowatia (2019), 31, 14, and 4 percent
of nurses with emotional fatigue and depersonalization also
have insomnia or anxiety, impaired social functioning, and
depression, respectively. Self-esteem can also reduce due to
7. burnout, as indicated by four percent of nurses (Putra &
Setyowatia, 2019). Besides, burnout is also associated with
physical illnesses, including joint pain, headaches, and
gastrointestinal problems. Nurses might, therefore, request time
off work frequently.
Burned-out nurses are demoralized, dissatisfied with their jobs,
and unable to achieve high job performance. They might ask for
time off frequently. Low nurse staffing is one of the three
major causes of job dissatisfaction. The other two factors are
unfavorable work environment and low benefits. Furthermore,
understaffing, which causes nurses to work overtime often, and
the inability to take breaks was a factor that research subjects
cited as their main source of job dissatisfaction (Senek et al.,
2020). In the US, research revealed that 24 percent of RNs
working in hospitals were dissatisfied with their jobs, 27
percent of nursing home nurses, and 13 percent were working in
other settings (Lasater et al., 2021).
High job dissatisfaction is not an issue in the United States
only. It is also a problem in many European nations. For
example, according to studies, 56 percent of RNs in Greece are
dissatisfied with their jobs because the patient-to-nurse ratio is
at least 10:1 (Senek et al., 2020). Similarly, a patient-to-nurse
ratio of 8 to 1 and above in Ireland and England led to nurse
dissatisfaction rates of 42 and 39 percent, respectively (Senek et
al., 2020). The consequence of dissatisfaction is demoralization
among 63.8 percent of 4770 RNs surveyed by Senek et al.
(2020). Having excessive workloads due to nursing shortage
makes nurses fear making errors and exposing patients to safety
issues. The nurses are anxious about their next shifts because
they are always exhausted and overwhelmed regardless of their
time management skills. Moreover, expertise understaffing
creates unhappiness among nurses. Performing duties that are
beyond one’s daily responsibilities causes discontent. For
example, a nurse in the informal interview that this researcher
conducted:
‘
8. Only three nurses in the facility are trained on wound
VAC procedure. I’m one of those nurses, and I’m pulled out of
my responsibilities thrice weekly to attend to wound VAC
patients. Complications might require the procedure to take at
least an hour. The constant disruptions and work overload have
stopped me from enjoying my job.’
Burnout and job dissatisfaction from short-staffing lead to
problems in nurses’ personal lives. In a cross-sectional survey
study, nurses reported that experiencing demoralization,
despair, and burnout in the workplace had a negative effect on
their personal lives (Senek et al., 2020). Due to understaffing,
nurses are overstretched during all their shifts, and they barely
have breaks to rest, eat, or drink. The nurses become
emotionally and physically sick to the point of developing
illnesses. Furthermore, when a facility is understaffed, the
available nurses must take more overtime shifts. For that
reason, nurses lack time to spend with family and friends or
even engage in hobbies. Apart from that, overworking affects
mood, and some nurses report being moody when interacting
with their friends and relatives. As mentioned earlier, anxiety,
depression, and insomnia are some consequences of burnout.
These mental health disorders not only hinder RNs from
fulfilling their career duties but also their personal
responsibilities. Some nurses even associate their marital
problems with overworking due to short-staffing (Senek et al.,
2020). Being miserable both at work and home only worsens the
emotional, mental, and physical states of overworked nurses.
According to research, 31.5 percent of RNs that leave their
occupation do so because of burnout (Francisco et al., 2020).
Findings by Lasater et al. (2021) are also consistent, with high
nurse-to-patient ratios, long working hours, and burnout being a
major factor that drives nurses out of the profession. In addition
to burnout, other implications of short-staffing, such as job
dissatisfaction, insomnia, anxiety, depression, frustrations, and
strained personal lives, make some nurses resign. Francisco et
9. al. (2020) noted that some nurses start by leaving their units and
facilities before leaving the field. On the other hand, some just
leave the profession after working in the same unit and
organization for years. Notably, when RNs cannot handle the
implications of understaffing, they start planning their exit. For
instance, some participants in a study conducted by Francisco et
al. (2020) disclosed that they are already getting qualifications
in other sectors to prepare to leave nursing. According to the
RNs involved in the research, they cannot continue to work for
an understaffed facility that is making them experience mental,
physical, and family strains (Francisco et al., 2020).
Table 1 presents the themes of burnout and job dissatisfaction
that nurses experience when they are short-staffed.
Table 1
Themes
Findings
Supporting Quotes
Burnout
One of the symptoms of burnout that nurses experience when
they are understaffed is depersonalization
“Sometimes I’m so overwhelmed by my duties that I resent my
patients. I feel like they are disturbing me when they need my
help” (Participant 2, RN).
Job dissatisfaction
Nurses are constantly disrupted when a unit does not have
enough nurses with specific expertise, such as wound VAC
procedure training
“Only three nurses in the facility are trained on wound VAC
procedure. I’m one of those nurses, and I’m pulled out of my
responsibilities thrice weekly to attend to wound VAC patients.
Complications might require the procedure to take at least an
hour. The constant disruptions and work overload have stopped
me from enjoying my job” (Participant 20, RN).
10. Figure 1 shows the percentage of nurses with intent to leave
their current hospital comparing nurses with burnout to those
without burnout.
Figure 1 above shows that 31.5 percent of RNs with burnout
report intent to leave their current facilities or nursing field
while only 8 percent of RNs without burnout have intent to
leave.
4.3 Negative Impact of Nurse Short-Staffing On Patient
Care Outcomes
A high nurse-to-patient ratio and spending lower nursing
hours per patient were found to increase missed care when
researchers studied 4,086 American nurses across ten hospitals
(Griffiths et al., 2018). Notably, nurses missed different forms
of care when they were understaffed and overloaded with
responsibilities. About 76 percent of US nurses missed patient
ambulation (Griffiths et al., 2018). Thus, patient ambulation is
the care element that nurses miss the most due to short staffing.
Additionally, compared to clinical care tasks, planning and
communication including counseling, educating, conversing,
and comforting patients were missed more frequently (Griffiths
et al., 2018). When nurses were assigned a high number of
patients, they also failed to attend interprofessional meetings,
provide mouth care, evaluate patients upon admission, do
documentation, or develop care plans often (Griffiths et al.,
2018). Clinical care was not missed as often as emotional
support care. Nonetheless, Griffiths et al. (2018) pointed out
that overstretched RNs still omitted care in patient monitoring,
drug administration, bathing, feeding, and turning patients.
Various effects of understaffing hinder nurses from
completing psychological support and clinical care duties. A
research study by Lasater et al. (2021) showed that due to
understaffing, nurses were constantly interrupted making them
miss patient care. Others associated missed care with lacking
enough time during their last shift to finish important clinical
11. care. Nurses even lose vital patient care data when handing over
during shift changes due to inadequate time. The failure to
complete care tasks leads to poor quality of care. Short-staffing
is such a significant cause of compromised care that only
approximately 30 percent of nurses in a study said they would
refer their relatives and friends to their facility (Lasater et al.,
2021).
Frequently missed care due to high nurse-to-patient ratios
reduces patient safety significantly. Failure to rescue and
elevated patient mortality rates have been linked to nurse
understaffing in many studies. Specifically, 30-day adjusted
mortality tends to rise when the short-staffing of nurses causes
missed care. According to research, missed care increases by 10
percent when a nurse is assigned one additional patient; thus,
resulting in a 10 percent surge of 30-day adjusted mortality
(Ball et al. 2018). Aside from missed care, nursing overload
often means that nurses do not have adequate time to offer
complete care. Missed clinical care such as necessary treatments
and procedures, patient surveillance, turning patients, poor
handover, feeding, and administering drugs on time reduce
patients’ survival rates, especially those in critical conditions or
who have undergone surgery. Medical errors also occur more
frequently. All these negative consequences of understaffing
lead to more patients dying after surgery or within 30 days of
hospital admission. Pérez-Francisco et al. (2020) also link
patient safety issues including falls, bed sores, and hospital-
acquired infections, which arise from low staffing levels to
higher patient mortality rates.
There is a growing body of evidence indicating the
increase in healthcare-associated infections (HAIs) globally
including in the US and the most common cause is inadequate
nurse staffing (Shang et al., 2019). Although HAIs including
ventilator-associated pneumonia, central line-associated
bloodstream infections, surgical site infections, and catheter-
associated urinary tract infections are preventable, not having
enough nurses in shifts and units increase HAIs by 11 to 15
12. percent (Shang et al., 2019). High nurse-to-patient ratios
overwhelm RNs leaving them with burnout and insufficient time
to prevent infections. Hospitalized and surgical patients need to
be monitored regularly and carefully to prevent and detect any
infections. Some patients cannot turn on their own; thus, they
develop bed sores when the nurses fail to change the patient’s
lying position. Wounds also need frequent cleaning and
bandaging to keep dangerous bacteria away. However,
overstretched and burned-out nurses might forget or lack time to
do the necessary procedures to avoid the main forms of HAIs.
For instance, nurses must change the catheter, check surgical
sites, and provide oral hygiene to patients on ventilators to
prevent related HAIs. HAIs increase comorbidities, medical
bills, psychological problems, loss of employment, and
mortality among patients.
Among other factors, HAIs increase the number of days
that a patient stays in the hospital. McHugh et al. (2021)
conducted an observational study whose results showed that
patients stayed in the hospital for 4.0, 4.1, and 4.5 days when
RNs had fewer than 5, 5 to 6, and more than 6 patients,
respectively. Additionally, for every extra patient assigned to a
nurse, there was a five percent increase in the likelihood that
the length of a patient’s hospital stay would increase by one day
(McHugh et al., 2021). Since nurses spend the most time at the
bedside than all the other healthcare professionals, they are
responsible for monitoring patients to ensure they recover
within the expected time. As a result, having more patients
under their care than the recommended number lowers the
amount of time for patient surveillance. Besides, overloaded
nurses have burnout and reduced concentration.
A combination of patient safety and care issues such as missed
care, medical errors, comorbidities, and HAIs raises patient
length of stays. Patients are required to stay longer in the
hospital to treat new illnesses and infections caused by
decreased patient surveillance. The longer patient length of
stays due to nurse short-staffing has been observed in neonatal
13. intensive care, surgical, and adult medical units. A study across
New York hospitals found that changing the current nurse-to-
patient ratios of 1 to 6.3 to 1 to 4 would lower the lengths of
stay considerably; therefore, cutting down millions of dollars
(McHugh et al., 2021). For instance, hospitals could save at
least 117 million US dollars within a year if a nurse looked
after four patients only (McHugh et al., 2021). Making sure a
hospital unit has enough nurses and expertise saves money for
the facility and the patients due to shorter lengths of stays.
Low nurse staffing levels also increase preventable patient
hospital readmissions. Research shows that 20 percent of
Medicare patients are readmitted less than 30 days after hospital
discharge (McHugh et al., 2021). The readmission rate rises to
34 percent if it is 90 days after discharge (McHugh et al., 2021).
Preventable readmission causes negative financial, physical,
and psychological effects on patients. Although the causes of
patient hospital readmissions are many, nurse short-staffing is a
major factor. Notably, nurses caring for a large number of
patients are unable to complete some important clinical
activities. For example, such nurses fail to monitor patient
changes, educate patients on disease management, and assist in
transitioning the patient to outpatient services. As such, when
patients are discharged from the hospital, their conditions
relapse because the patients do not adhere to medications or
lifestyle changes.
Some of the patients also miss their outpatient care since the
nurses did not have time to provide proper education during
discharge. McHugh et al. (2021) claimed that 30-day
readmission rates for heart failure patients rose by seven
percent when the workload of a nurse increased by one more
patient. Moreover, hospitals with high nursing staff levels
decreased readmission rates for heart failure and pneumonia by
10 percent and by 12 percent for hip and replacement patients
(McHugh et al., 2021). Without a doubt, there is strong
evidence that the level of nursing staffing has a huge impact on
the readmission rates of different medical conditions.
14. Patient dissatisfaction is another issue directly linked to nursing
short-staffing. All the issues that nurses face when they are
overloaded including burnout, demoralization, personal life
problems, and intent to leave reduce patient care and safety. As
such, patients have negative experiences in the hospital, which
makes them dissatisfied with care. Missed care, readmissions,
high mortality rates, healthcare-associated infections, and
failure to rescue are linked to low patient satisfaction according
to various studies (Hong & Cho, 2021). Nurses interact with
patients from the time they are admitted to the hospital to the
time they are discharged. Therefore, the quality of care that
nurses provide greatly influences the type of experience a
patient gets. 5.
Conclusion
This report analyzed the evidence linking nurse short-staffing to
negative effects on nurses’ professional and personal lives and
patient care outcomes. Various studies presented strong
evidence of the effects of nurse short-staffing on nurses and
patients. Burnout symptoms such as emotional exhaustion,
personal accomplishment decrease, and increased
depersonalization are common among overloaded nurses.
Moreover, nurses experience high job dissatisfaction,
demoralization, and despair when they work in understaffed
units. Burnout and other professional problems hinder nurses
from having hobbies or spending time with their family and
friends. Burned-out, dissatisfied, and overstretched nurses are
unable to provide quality and safe care. Hence, patient
mortality, readmission, healthcare-associated infections, missed
care, and patient dissatisfaction rise. Nonetheless, the main
limitation of the report is the failure to discuss studies that
contradicted the presented evidence. 6.
Recommendations
The conclusions of this report propose that healthcare
administrators should consider having low nurse-to-patient
ratios to improve their nurses’ working conditions. High nurse
staffing levels will prevent nurse burnout, job dissatisfaction,
15. low morale, and high turnover. Hospital managers also need to
ensure that nurses are not overworked to prevent patient
mortality, healthcare-associated infections, readmission, missed
care, and patient dissatisfaction. Therefore, hiring enough
nurses and ensuring they have relevant expertise is necessary to
improve patient care and safety and nurses’ well-being.
7.
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17. Percentage of RNs reporting intent to leave. RNs with burnout
vs RNs without burnout
RNs with burnout 31.5 RNs without burnout 8
Burnout/without burnout
Percentage of RNs reporting intent to leave