Once in a while overtime may be beneficial, but logbooks indicate that it is been used too frequently in hospitals and other nursing facilities. In fact, a study has shown that of 5317 work shifts, 40% exceeded 12 hours (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). In some instances, nurses are notified only an hour prior to knowing that they will be staying overtime. Nurses can be subjected to threats of disciplinary action or dismissal from their job if they refuse to stay the extra shift (Widowfield, 2004). This often leaves nurses feeling powerless over their work life as well as their personal life.
This initiative was to see if factors are reliable in increasing compliance rates among all categories of hospital workers. Factors associated with poor hand hygiene compliance include: being a doctor versus being a nurse, surgical unit and intensive care unit (ICU) setting versus medical unit setting, wearing gloves and gown, before patient contact versus after patient contact, performing high-risk activities, weekdays versus weekends, having a high number of opportunities for hand hygiene per hour, and overcrowding or understaffing. The study was conducted in the United States in an urban academic medical & level I trauma center for the intervention time frame of July 2008 to December 2012. There are 1,767 affiliated physicians and 7,400 healthcare workers at the hospital where collected data was analyzed across all inpatient units providing current supportive information on hand hygiene conformity. | Review of Literature | Several reputable
Nurses can end up working long days and nights, overtime work, rotating shifts, and weekend work. This work is often mandatory overtime. Increased workloads and high levels of fatigue have been related to an increased risk of errors. Nurses who notice a lack of control in their work environments have an increased risk of burnout. Individuals seem to be more satisfied with their jobs when they feel that they have some sort of control over how they perform their job.
Scarce Resource Article Hazel Hofer NUR 531 September 16, 2013 Tracey Lane Scarce Resource Article Registered nurses (RNs) are an important part of the health care environment, without them delivering quality healthcare would be very difficult if not impossible. The nursing shortage was originally projected that by 2020 there will be approximately a 36% nursing vacancy rate in the United States (National Center for Health Workforce Analysis, 2013). A more recent article estimates a nursing shortage of approximately 300,000 to 1,000,000 nurses by 2020 with the largest deficits in California, Florida, and Texas (Juraschek, Zhang, Ranganathan, & Lin, 2012). In the 2008 book written by Buerhaus, Staiger, and Auerbach it is estimated
According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily. Senior’s usually lose their primary care physician, who is most familiar with the patient’s medical history and conditions, when they enter a nursing home. As a result of entering a new living environment, elders are given a doctor who has minimal knowledge when it comes to their medical history, and unfortunately physicians in nursing homes have an overload of patients and are constantly in a rush. Under federal law, physicians in nursing facilities are only required to see the resident once every thirty days for the first ninety days after a new patient is admitted to the nursing home. After the
Introduction of Capstone Project Roxane Spinelli Chamberlain College of Nursing Capstone NR660 Dr. Mikel Hand March 6, 2014 Introduction of Capstone Project Nursing is considered to be a challenging profession, due to the nurses working long hours caring for patients that are extremely ill and dying. There have been discussions among the experts on how to reduce job-related burnout and job dissatisfaction, decrease nurse workloads and improve patient safety. They have continued, stating there should be more nurses working in hospitals per patient. This is measured as the nurse-to-patient ratio. This can be described as one nurse taking care of x-amount of patients.
For the past six years the media have been reporting a shortage of registered nurses (RNs) in the United States This shortage is most severe for hospitals, in western and southwestern states, in New England, and for specialized advanced practice nurses. Estimates of average nurse vacancy rates at hospitals range from 10.2 percent to 13 percent, with one in seven hospitals reporting more than 20 percent. (Projected Supply, Demand, and Shortages of Registered Nurses, 2000-2020) At PFCH the Chief Nursing officer has approached the President requesting that some consideration be taken into hiring more nurses. It has been mentioned that the nurses are over worked and it has begun to take a negative effect on patient care and frustration among the
There is expected to be a change in the number of nurses working in hospitals. The reasoning to this is patients are being discharged earlier and more procedures are being done on an outpatient basis, both inside and outside of hospitals. “Some employers report difficulty in attracting and retaining an adequate number of RNs”( “Registered Nurses”). The RN workforce is slowly aging and there continues to be a lack of younger workers to fill these positions. As of right now there are more than 100,000 vacant positions for RNs.
Medium variety of Elm Surgery which are diagnoses, providing the treatment, referring patients to another part of NHS (if require), managing the patients with chronic diseases. Elm Surgery only have so much clinical time, there is always balance to be achieved between the amount of time that Surgery have available to see patients and the amount they want from them. Elm Surgery’s uncertainty makes both planning and control more difficult. Practice managers do not know how many patients will arrive and what the issue will be. It is only possible to predict some of the periods, like Monday mornings or for example Fridays where patients have last chance to visit surgery before the weekend.
Healthcare workers are a key risk group because of the nature of their work. There is no accurate data on infections and ill health but reporting schemes indicate infection rates of about 30 per 100.000 workers per year amongst nurses. (HSE website). The HSE is an agency set up at ‘arm’s-length’ from the Government to improve health and safety at work and help reduce the risk to workers and the public from injuries and ill health caused by work activities. It does not have a primary role in infection control but would become involved in such matters as Legionnaires’ disease for example.