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.
This often leaves nurses feeling powerless over their work life as well as their personal life. Mandatory overtime has generated much hostility and resentment between nursing facilities and their employees. But if mandatory overtime is so problematic, why is this practice so commonly used? THE REASONS BEHIND MANDATORY OVERTIME Numerous factors contribute to the increased use of mandatory overtime. Several of those issues began in the 1990s when changes in the health care system were implemented.
Unavailability of quality instructors for the Nursing Degree programs. This has cause the interrupted supply of the Nursing workforce to the hospitals. Also because of this shortage of instructors Essex university is considering to shut down the Nursing Degree course. This will further deteriorate the situation for all the hospitals in the area. Analysis and Findings – 1.
Lack of effective delivery of patients and services: Due to a negative impact on the Porter services of the hospital, delivery of patients and services on time has been affected significantly. This may lead to a delay in any emergency situation and thus a bad reputation of the hospital. This bad reputation can cost a lot and can even affect their current expansion process of the hospital. Unsatisfied employees: Clearly, the staff at Greenlands General Hospital were unhappy with the current scenario. The staff included both Porter’s as well as nurses and doctors.
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).
The lack of education leads to further development of barriers such as a financial barrier and poor lifestyle that makes them unable to provide for themselves and their child. Most jobs that do not require a high school diploma only offer a minimum wage and do not offer adequate benefits to meet all medical needs. “key indicators of health, infant mortality rates and low-birth weight rates, were elevated when infants were born to mothers who were less educated” (Flores et al,1998). Considering that statement I believe that the biggest barrier affecting this vulnerable population’s health is education. Vulnerable mothers that do not finish getting their education become discouraged and loose the motivation and drive to tackle the oncoming challenges that life brings, creating for them another barrier on the micro level; it being a financial barrier.
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
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.
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.
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.