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.
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).
Turnover is high at almost every facility where nurses are employed. Identify and discuss the aspects of nursing make turnover for nurses higher than for many other jobs. The turnover for nurses is higher due to several different aspects within their job duties and responsibilities, and job dissatisfaction is a primary reason that’s been documented for nurse retention problems. Job dissatisfaction may play a crucial role in determining the extent of future nurse shortages, due to surveys that showed a decrease in job satisfaction, and a high portion of respondents have reported increased pressure to accomplish work, the need to work overtime, and stress related illness. A recent Federation of Nurses and Health Professionals survey found that half of the currently employed nurses who were surveyed had considered leaving the patient-care field for reasons other than retirement over the past 2 years, and 56 percent indicated that they wanted a less stressful and physically demanding job (Holl & Hines, 2000).
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.
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.
Long Term Facility 2 The word long-term care may scare many people because as every person knows they will grow elder one day and need assistance in everyday living skills it is hard to think about. There are many for profit long-term facilities, which have not been granted the best names because of the care the patients receive in the facilities from the staff members and living conditions. The non-profit long-term facilities have been shown to be more caring and have better treatment and living conditions. When choosing a facility the mission statement is extremely important to those who are choosing the facility for a loved one. Mission statements are a reflection of a companies past and present successes and core values it explains what
Other researchers have also found that having larger numbers of nursing staff with BSN degreed RN’s resulted in a significant lower readmission rate and decrease in hospital stays. The outcome of the research spell out the money saved that would make up for the expenses of expanding the amount of nurses with BSN-degreed nurses in the
According to Nursing Today approximately 40,000 nurses report a back related injury yearly. Night shift seems to be at a higher demand for assistance with a lower staff patient ratio, therefore more injuries tend to occur then. Being a women and over-weight puts the RN at a higher risk for back injury as well. Lifting and other diseases can cause internal issues for RN'S. Internal risks are dangerous and some can be deadly for all in the medical field including Registered Nurses.
Ways to increase compliance in the elderly. Increasing compliance in the elderly deems a decrease in the amount of hospitalizations and emergent care for these patients. Most elderly patients are diagnosed with multiple medical conditions which require multiple medications (Brandt, Hanna, & Walters, 2013). All these medications cost money as well as a tremendous responsibility to the patient. Money can become a big issue with compliance, but money is not the only reason why elderly are non-compliant with their medications.
Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice. Nurses who lack the experience and knowledge fail their duty, and when it happen not only them but also the hospital in which they work bear the consequences. Because most nurses are employees of hospitals, hospitals are frequently defendant in nursing malpractice cases. Another factor that contributes to nurse malpractice is miscommunication. Even though it is unintentional it can lead to tragedy.