This has caused much frustration for many nurses as they have never had formal delegation training. Many nurses fear that if the task is not done by them, it may not be done correctly or perhaps not even get done at all. “Effective delegation is based on ones state nurse practice act and an understanding of the concepts of responsibility, authority, and accountability.” (Weydt, 2010, p. 1). There are four major steps in the delegation process, which closely mirrors the nursing process. This process is an ongoing cyclical process which repeats itself as necessary.
Infants because of their dependence and need of care suffer from being left alone or with insufficient caregivers. They often go to bed hungry and wake up to little or no food resulting in health complications. Many of these children have mental disorders and delays due to lack of nutrition leaving them hurt for life. Proper nutrition and socialization is vital for proper development of infants and toddlers. Many families in the United States suffer from lack of job stability.
Should the null hypothesis be rejected for the difference between the two groups in change in mobility scores over 12 weeks? Provide a rationale for your answer. The null hypothesis is: Women with OA receiving guided imagery with PMR will not have reduction in mobility difficulty than those in the control group after 12 weeks . Since the α for the study is 0.05 and the p value is 0.005, p value is less than the α (p 0.005 < α 0.05) therefore the null hypothesis will be rejected, meaning that a significant difference does exists between the control group and the intervention or experimental group. In other words the study showed a reduction in mobility difficulty of women with OA who received the treatment of GI and PMR F(1, 22) 9.619, p 0.005 3.
Several factors have contributed to Registered Nurses (RNs) leaving clinical nursing practice. These includes job dissatisfaction, increase in age of working nurses, verbal and physical abuse from managers, physicians and co-workers, lack of support from members of staff, fatigue and exhaustion due to work overload, and retention and recruitment. This situation can be improved by ensuring adequate nurse to patient ratios by reducing work load, promoting respects of nurses, giving rewards and recognizing nurses for a job well done, empowering nurses and nursing management, and increasing recreational activities for nurses to reduce fatigue and burnout. Purpose and Research Questions The study was conducted to identify the factors why RNs are leaving clinical nursing practice, what their expectation from the Nursing Management, job satisfaction and factors influencing retention of nurses. The research question for this study was “What is the experience of RNs who leave clinical nursing?
The article explained that the nursing needs are even higher because of the shorter hospital stays. Since patients are being treated while acutely ill and then being discharged as quickly as possible, the nurse is taking care of sicker patients with a faster turn over than ever before. The article suggested passing legislation to provide nursing intensity billing (Welton, 2007). This type of billing would put an end to the “room and board” billing that includes everything from electricity and personal care items to nursing under one charge. I honestly can’t believe that nurses are lumped into the same charge as shampoo.
Healthcare organizations are finding it difficult to provide quality healthcare services in a timely manner due to the nursing staff shortages. Healthcare facilities are attempting to develop solutions to solve this shortage problem, but the current solutions are resulting in short term negative impacts. This warrants the need to continue to look for innovative ways to offset the additional costs as well as the reduction in quality that is being felt. NURSING STAFF SHORTAGES Nursing Staff Shortages: Why is There a Problem and What Can be Done to Solve It? A large problem in today’s healthcare environment is a shortage of nurses to fill positions.
There is a variety of recommendations being examined as we speak. This paper will discuss ways of reducing nursing shortage in the United States and focuses mainly on three key issues of reducing the shortage. The issues are financial assistance programs for nursing students, creating a retention atmosphere and strengthening communications. Currently, some issues for nursing shortages are the same all over the world and some women are finding more fulfilling and better paying careers. Important distinctions from previous shortages include aging of nurses and the universal nature of the shortage.
Due to the prevalent nursing shortage, nurses take on more responsibilities, caring for more patients at a time, causing the nurse to feel tired and overwhelmed. As a result, the nurse feels less able to assist colleagues and effectively cooperate in this stressful environment (Kalisch & Lee, 2011). Through studies, it has been shown that large, complex hospitals tend to suffer from this problem the most. One possible solution offered is to create “smaller working units within the larger hospitals (hospitals within hospitals)” (Kalisch & Lee, 2011, p. 87). Another problem blocking effective teamwork is lateral and vertical violence among nurses.
Falls are important to be monitored due to rising cost of care for patients who have fallen, and this will help decrease the chance of harm to patients. The dashboard monitored total of patient falls per 1000 patient days per quarter. There were 4 quarters monitored during this time frame with a goal of 3.14 falls per 1000 patient days. The reported falls ranged from 0 to 9.19. The decline of falls in the third quarter of 2009 in which the goal was reached with 0 falls; however, the other three quarters the goal was not met because there was 5.97 to 9.19 reported falls.
Policy problem and goal: The quality of health care provided by nurses at hospital facilities has always been a point of controversial discussion in the United States (US), and even more so with the decline in the availability of qualified nurses and an increase in nurses that are overworked. The US, often referred to as a mecca for its world class hospitals and patient care facilities, is facing the worst shortage of qualified nurses in its history. Most hospitals in the nation are running on reduced nursing staff and often have to overwork their nursing staff to meet the demands of patient care. Research has shown that by reducing the number of nurses, patient outcomes deteriorate and length of stay increases (Garretson, 2004). Reducing nurse staffing can lead to overworked nurses, low staff morale, less patient satisfaction, and errors and more malpractice suits, which can raise the costs much more than hiring more nurses (Garretson).