RTT1 Task 2 Jake McKee Western Governors University RTT1 Task 2 Root Cause Analysis (RCA) that led to sentinel event Root cause in this scenario appears to be a combination of things. Most significantly, staff did not safely adjust to rapidly increasing demands of their patient acuity and census. The infrastructure did not allow simultaneous monitoring of two patients in crisis. The department is at high risk of inundation, being staffed with only one RN and one LPN, one secretary, and one emergency department physician. Secondly, balance in the monitoring of high-risk patients was inadequate.
Once again the shortage in nursing will be a problem that affects this area as well. Quality care is the highest priority to NYM. It is apparent that they do everything they can to make quality care #1. Again comes the issue with the nursing shortage. Having such a strain on nursing makes unhappy nurses and it will show in patient care.
As stated in the research, “it appears that this is a stressful experience for professionals, mainly due to their inability to deal with the families and the lack of availability of technological resources” (Silva, Poles, & Baliza, 2013). When a patient receives end-of-life care at home, it requires much cooperation and dedication from the patient’s family as they tend to be the main
Staffing issues Sandra Terry Drexel University Critical issues facing most hospitals and long term facilities today is staffing correctly on nursing units for the number of patients and acuity of patients. What happens when the nursing units are not staffed adequately from budget cuts, illness or nursing shortage, and what can be done? When units are not properly staffed, there is an increase in mortality nurses run the risk of medication errors, missed charting, decreased patient satisfaction, and the possibility of having a hospital stay longer than necessary. These issues are usually the result of nurses unable to take the time needed to assess their patients. When there are more patients to handle than time allows nurses might take short cuts in their nursing care.
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).
They believe that it would be better if nurses only practice under the guidance and supervision of the doctor. They believe that allowing them to practice independently would be detrimental to their patients (Mills, 2009). They would be prone to some misdiagnosis, failure to attend to less obvious, but potentially life-threatening problems as well as prescriptive errors. In fact, they maintained that many deaths in the hospital would be realized due to errors made in prescriptions. According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases.
Topic Proposal NUR/598 XXXXXXX University of Phoenix Patricia Dehof XXXXXXX Poor job satisfaction is an issue being faced by many health care organizations. Nursing retention and inadequate staffing can occur as a result of job dissatisfaction. This paper presents a proposal to educate physicians and nurses on methods of improving collaboration and relationships. . There are many factors that can cause job dissatisfaction and turnover rates.
A person living with a carer may increase the chances of abuse, the elderly person is reliant on person to care for them and this may cause stress and resentment if the carer is unable to cope and have a poor relationship with the service user. Vulnerable adults in a care home environment are more susceptible due to understaffing or poor staff training. The risk of abuse may increase if a vulnerable person is living or in contact with someone who has a history of violence or sexual abuse, continuing the cycle. An individual who is or feels isolated may be more vulnerable to abuse as they have no support network and have no contact with friends and family. Poor communication between the service user and carer is a factor, he or she may be unable to express their concerns or opinions.
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.
In addition, lack of preparation for palliative care is likely to cause stress and anxiety among nurses providing such care, potentially affecting their own health in the long run (Desbiens, Gagnon, & Fillion, 2012, p. 2114). Palliative care for children and young people (CYP) has been “increasingly recognized as requiring specialist input. Nurses with…the requisite knowledge, skills and experience in …CYP palliative care are often few; have inadequate…service development; educational provision,…resulting in feelings of inadequacy, emotional distancing, and burnout being reported more prevalently among professionals who have been insufficiently prepared, educated or