The Joint Commission (2012) defines risk management in healthcare as “the clinical and administrative acts undertaken to identify and evaluate the risk of injury to staff, patients and visitors and the risk to loss of the organization itself”. Studies have shown that the litigation against nursing homes is on the rise; thus making risk management very important in day to day care. Malpractice insurance premiums for nursing homes are also on the rise; this contributes to bankruptcy and forces many facilities to operate without malpractice coverage (Weinburg M.D & Levine, 2008). This threatens quality of care and access to healthcare for ill elderly people that need round the clock care. Effective risk management in a nursing home requires one to accurately
This new phenomenon has been labeled complexity compression. Background of study The association between the nurse staffing levels and the patient outcomes has been extensively studied over the past decade or so. The question being asked by researchers is: does an increased staffing level lead to more positive patient outcomes? This study was conducted by interviewing nurses and not patients. There is a direct link between the amounts of stressors that nurses “juggle” and how the effect of those stressors tend to affect their patient outcomes, either positively or negatively.
Transitioning from the role of senior nursing student to registered nurse, with new workplace expectations and professional accountability has become a reality shock for most NGN. This paper examines the importance of adequate orientation time to help facilitate the transition from NGN to the registered nurse role, and how it benefits not only the NGN but also health care organizations hiring NGN. Preparation for transitioning from NGN to competent RN should begin during the last year of nursing school. According to Hatler, Stoffers, Kelly, Redding and Carr (2011) Nursing school faculty need to develop ways to more accurately shape students expectations and skill regarding their abilities and to provide time and guidance for discussion and reflection related to the often overwhelming aspects of actually working as a nurse. Experiences in the workplace often prompt different priorities
Advanced Nursing Roles Advanced practice nursing can be described as the future of nursing practice. Nurses who are trained to take on advanced nursing roles bring their creativity, intuition, and dedication to affect and change the healthcare system (Blais & Hayes, 2011). The number and demand of advanced practice nurses dramatically increased in the last decade. Despite the need for the higher level of nursing practice, there are many challenges that advanced practice nurses face every day. The purpose of this paper is to discuss opportunities, challenges, and practice requirements that Adult Gerontological Acute Care Nurse Practitioner has to overcome in order to address the needs and demands of the healthcare system in the state of New Mexico.
Cultural Diversity in Child Bearing Practices around the World Nursing 8/1/2013 Abstract Much is written on best practices of evidence based birthing statistics and outcomes. They are very important public health issues, due to the still high mortality rates for both mother and child in different parts of the world. Never the less, the efficacy of different childbearing practices will not be compared in this short paper. The goal is to look at the very real belief systems of very real people who are giving birth and cross our paths as nurses every day. How does a nurse’s understanding of a patients culture help positive outcomes?
And nurses can find travel jobs and jobs with the cruise lines. One thing the public does know about nurses is that inadequate nurse staffing in hospitals may be jeopardizing the quality of patient care (Cho, 2001). Evidence suggests That there are shortages of nurses willing, or available, to fill vacant positions in the hospitals, nursing homes and home care (Nurse Week, 2001). Although there have been nursing shortages in the past, the current shortage is different in that it is driven by the demand for growing healthcare needs and the aging of the “baby boomer” nursing work force and nurse educators. Because of the central role nursing plays in quality patient care in the community, hospitals, and nursing homes across the nation a nursing shortage is clear everyone’s problem.
Nursing is a profession where nurses have to perform accurate clinical assessments and be able to pick up subtle changes in patients and respond appropriately. Patient safety and health depends on the nurse’s response. Rogers (2008) reports that about 75% of hospital staff nurses work twelve hour shifts. As a group, we created a PICO (patient population, intervention of interest, comparison, and outcome) question to guide our search to determine if an association exists between errors and shift hours. Our PICO question is: “In patient care settings, what is the effect of nurses who work twelve hour shifts on patient care and job performance compared to nurses who work eight hour shifts?"
Mortality rates were high at the turn of the century. Problems with meningitis, tuberculosis, scarlet fever and other communicable diseases were addressed. The graduate nurse program had begun to develop in hospitals and education facilities to better prepare nurses for these illnesses and more. (Chinn, P 1994) Body A woman in medical care (beyond serving as a midwife, sitter or cleaner) was brought about by the likes of Florence Nightingale. These women showed a previously male dominated profession the essential role of nursing in order to lessen the patient mortality rate, which resulted from lack of hygiene and nutrition.
Nurses can also build partnerships with doctors and collaborate with health care workers, to help improve the health care system in the United States. The IOM sees the nurse as a great leader, but they are not being used to their full potential due to challenges like policy regulation, high turnover of nurses, the aging workforce and the difficulty to find a job coming out of school. The ANA in a press release, agreed with the IOM report and acknowledged the need for nurses to step up and meet the challenges of the changing and advancements in the health care system, (McNamara, 2010). IOM Recommendations The Institute of Medicine report recommended that leaders in nursing should work together to help improve the number of nurses with a BSN degrees from 50 percent to 80 percent by the year 2020.
Once in employment many IRNs experience difficulties due to differences in language and culture in their new country of practice. Barriers to effective communication have implications for all nurses but particularly those functioning in a second language and culture. This article suggests strategies for IRNs, UK-educated nurses, managers and policy makers to improve the experience of IRNs and to ensure patients receive the best possible care. Full Text * TranslateFull text * Turn off search term navigation * Jump to first hit Headnote Summary Internationally recruited nurses (IRNs) provide valuable resources to address existing and predicted nurse shortages. Once in employment many IRNs experience difficulties due to differences in language and culture in their new country of practice.