(American Nurses Association, 2015). In Mr. J’s scenario nursing sensitive indicators were ignored which lead to negative outcomes of family dissatisfaction. When proper education of use of restraints and increasing mobility are in place the patient will heal faster with less negative outcomes. In order to increase quality care for patients and increase patient and family satisfaction a hospital can gather information from each nursing unit for sensitive indicators that lead to patient outcomes. One area of concern is the ratio of RN’s per patient and also this a correlation between patient care and job satisfaction.
Husbands were now unemployed and many of the RN-wives who had previously stayed home as housewives and mothers returned to the nursing field. Through the 1980's, it was harder for new Diploma grads to find work, caught between the older nurses and the BSNs. But many of the older nurses were unprepared for all the changes nursing had undergone while they had been at home. Many older nurses stopped working again, although many stayed. At the same time, with the push toward BSN, about 1983-1985 was when many traditional hospital based schools partnered with a nearby college or university to create the first fast-track from Diploma to BSN.
Nurses are overworked and understaffed because the government has made cut-backs to the very system that was designed to protect the health of every citizen. Doctors cannot be trained quickly enough to accommodate the population,
Task D Stafford Hospital A report on the failings, poor management and standards of care. Over the years there have been a number of failings resulting in a great number of deaths, this resulted in the public becoming extremely concerned due to the amount of relatives that have died due to the abuse and neglect of the staff at Staffordshire hospital. Numerous reports were made by relatives all of which were ignored, one particular relative demanded a meeting with the head of staff after writing numerous reports on their findings of the failings outlining the bad practice and poor standards of care of a particular department and was given a meeting which lasted no more than 10 minutes. During this meeting the person was made to feel that they were a nuisance and the report they made was untrue. Patients also made formal complaints, due to contracting C-diff, E-coli, Mrsa and severe pressure sores.
“I always ask them why they don’t follow up as instructed and the answer is always the same” says Payne, “They simply can’t get an appointment and when they show up at the clinic in person they are turned away”. Payne mimics the thoughts of Douglass regarding inadequate staffing and shorter clinic hours due to budget cuts and believes that these issues are a grim reality at all three clinics serving the Los Angeles area near LAC/USC. The Urgent Care Clinic operated within the LAC/USC ED itself is also unable to meet the needs of these patients even though it operates at full capacity. Payne confirms that, “Primary care is completely inaccessible for these underserved patients”. She is aware of a new “call back nurse” position being developed in the ED at LAC/USC to provide phone instructions for patients needing to return to the facility for tests and procedures.
In an effort to realign the hospital staff; administration decided that it was costing the organization a lot of money to employ a high flux of Registered Nurses (RNs) at the Extended Care Facility (another 24-hour Skilled Nursing Services and Rehabilitation inpatient services provided by Hilo Medical Center). Leadership decided to weed out the number of RNs in the ECF and have more LPNs work in the ECF instead. LPNs were targeted due to what management thought as LPNs were limited in their scope of practice in the acute care setting, so the management decided that they would not be needed on the Acute Care Units any longer. All LPNs employed in the hospital would be transferred in doing duties in the ECD. The only downfall on leadership for the Medical Unit was getting backfill for the LPNs that were being transferred off the floor.
MHA 624 Week 6 Final Paper Click Link Below To Buy: http://hwcampus.com/shop/mha-624-week-6-final-paper/ Executive Summary Ashford General Hospital has been face with a nursing shortage due to retirement, low retention rates, nurses feeling exhausted and overworked. This nursing shortage is not only affecting Ashford General Hospital, it is also affecting many hospitals within the United States. Nursing shortages has not only affected the safety of the nurses that are being overworked, the shortage has also affected patient satisfaction which could potentially cause a financial burden for the organization as well as human resource issues. In order to doctor this nursing shortage and possible future crisis, a proposal for change has
Crops could not be harvested because there were not enough workers and even state and local health departments shut down as a result. These shutdowns had devastating impacts towards the economy in 1918. (Nations archives and records administration, 2013) (Incorporated,
This can be attributed to increase demands on nurses to produce more because there overworked coworkers have increased use of sick leave related to burnout. Patients and family members are beginning to realize the inadequate quality of health care services administered as the nurse is often very tired as the nurse to patient ratio surpassed safe patient care levels. The supply curve emphasizes change, allowing the health care industry to focus on a range of solutions indication how they will fix the shortage as the demand increases (Getzen, 2007). “The major factors and trends behind the growth in RN demand include: population growth, aging of the population, increased per capita demand for health care, and trends in health care financing,” (Bureau of Health Professions, 2004,
A third contributing factor is very interrelated to nursing education is that nursing education has shifted from hospital-based diploma programs to university and college programs. This shift created the need for hospitals to increase the percentage of paid nursing staff to keep up with the demand of related to the void of care provided by nursing students (Fox & Abrahamson, 2009). A fourth factor contributing to the current nursing shortage is the economic stress that nursing turnover creates in the healthcare setting. The nursing profession can be stressful mentally, physically, and emotionally creating an argument that nurses are not adequately compensated for their working environment. With other less stressful professional occupations available to a profession that is primarily female individuals are leaving the profession (Fox & Abrahamson, 2009).