Affect on Nurses Readmission is costly, especially as proposed new guidelines could deny reimbursement for readmissions. (Robinson et al., 2012). Due these to Medicare reimbursement reductions, health care facilities are looking for ways to offset the decreased reimbursements. Nursing staff have felt the affects -mass lay-offs -decreased pay and benefitsm -increased patient load -decreased support staff -accountable to help prevent hospital readmissions/ increase quality measures Affect on Nurses Provisions in the ACA include increasing both the workforce numbers and providing support training of healthcare professions (Archer, 2012).Through theses provisions in the Reform Act there are increased opportunities in geriatric healthcare.
Nurse practitioners are advanced-level nurses that are responsible for the care of their patients in a very similar manner to a physician. In fact, most states permit nurse practitioners (NPs) to act completely independently of a physician, however, some states require that NPs work collaboratively with licensed doctors. This is in contrast to lower level nurses, such as registered or licensed vocational nurses, who are often not given the same level of freedom and responsibilities. Should you decide to become a nurse practitioner, you'll likely find that it is a great way to gain the satisfaction that comes with helping people, while at the same time being your own boss. So, how exactly does one achieve this goal?
They may also conduct research, act as consultants or provide education to staff and family members. This nursing career requires a high level of diligence and teamwork. You will work closely with parents, neonatologists and other nurse specialists to achieve optimal results for your tiny patients. There are three levels in the neonatal nursing specialty: • Level I care for healthy infants. The demand for this level of neonatal nursing is decreasing because mothers and newborn babies are now more likely to stay in the same room together after birth.
A clear example of this was highlighted in the transforming community services program. The program was not aimed directly at nursing services in the community, but changes in the way health services are funded. This has impacted on the way and type of care that district nurses deliver and has also given cause for concern for all staff regarding changes that may affect their working terms and conditions. Also, now that community services have moved outside NHS
Informal care is care given to those who know the person personally such as a friend or a family member. It is usually not paid work however some can be paid work. There are some possible benefits to the Ann and also the formal and informal carer when being involved in her care plan. The formal carer are able to meet more needs of Ann as they are more qualified and they know what they are doing. They will also have more medical knowledge on diabetes and they know what Ann will need with in certain situations.
Johns (1995) describes an aesthetic action as concerned with the practitioners response to a particular clinical situation. In this handover the nurse was trying to remember too much information and became confused until she took the time out this could be because she was tired or rushing. The only knowledge I had from a handover was observing this event. I recognised there was a lot of knowledge to be gained from this and so I decided to reflect on the event. In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care.
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
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.
Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. 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.
However, the wellness prevention programs are healthier for patients, the work can become stressful for a nurse at times due to being over worked, or under educated. This can create stress in one’s personal life and the perfect nurse’s images to patients with all the other challenges that are faced. The samples used in the relationships among nurses professional self-concepts, health and lifestyles study were obtained randomly from three Midwestern hospitals in rural areas. The following information concluded the following information for each hospital A, B and C: Registered Nurses (RN) Hospital A - One hundred ten participants Hospital B – Two hundred twenty participants Hospital C - Three hundred fourth nine participants, totaling six