Despite advances in technology, the changing dynamic of the healthcare e delivery system its core principles are the same. What has changed is the way in which nurses and so city have obtained the necessary resources for patient care, and utilizing them in an effective mane r. In order to effectively treat patients in the manner that is safest and most conducive to patient impair event, nurses must be staffed appropriately in all parts of the nursing care, whether it be in critical c are floors, CICS, or nursing and rehabilitation units.
The issue of nurse staffing and safe nurse patient ratio is not a new one. In the e earlier years of nursing, nurse patient ratios would be upwards of 12 patients. Through legible action, education, and advocacy, ratios have gone down, but there are still many floors that see nurse sees taking care of as many as 68 patients at any given time. As an emergency department nurse I have o n several occasions taken care of as many as 7 patients at one time. The issue of patient to nurse ratio, and adequate nurse staffing is one that affects many aspect of the healthcare system.
The nurse caring for the patients, the patient themselves and receipt of treatment and care, the nurse managers and ability o adequately staff their floors and departments, and lastly the nursing supervisors and Coos who ids pens the necessary resources that must allocated in order to ensure an attain staffing needs. Nurse staffing is not only a key issue for nurses individually, or hospitals, it is a nationwide matter that is being promoted to the forefront of debate by the American Nor sing Association (ANA).
Utilizing research from the bedside annually, the ANA explains that there is a noticeable relationship 2 between adequate impersonating ratios and safe patient outcomes (Wyoming g Nurse Association, 2014). Likewise this issue is not alone in the US, Canada, Australia, and many European countries, nurse researchers, educators, and hospitals are seeing that quality patient car e, reduction of readmission, and diminished commodities and patient injuries are related to e efficient staffing (Anza, Douglas & Bonnier, 2014). It is essential to remember that nursing has a priority in promoting quality car e, and patient safety.
Florence Nightingale herself explained in 1860 that nursing is utilizing the environment of the patient to assist him in his recovery (Nightingale, 1860). This aspect of nursing has not changed, forever the demands have changed, the dynamic and setting of nursing has changed as well. Patients are older, sicker, have many more commodities than before, and the implied notation of technology into the healthcare workforce has only made nursing a more technologically a advanced profession that requires keen insight to multifaceted skills.
All of these issues only makes it the at much easier for patient safety issues to arise. If a nurse is strapped with several sick patients, and no one is able to get to patients in time, then something can happen. If patients are sick, but appear fine, and the nurse is busy tit another critically ill patient, a patient can begin to compromise on their h lath, and alphabetizing issues can occur. These may sound like made up fantasies, or horror stories, but they are firsthand experiences by this author.
Patient staffing as mentioned before is one of the key issues that many organic actions, including the ANA are focusing much attention on. However much of the backlash gaga nest adequate staffing is coming from hospitals, medical centers rehabilitation units and nursing home s. Often the reason explained for lack of efficient staffing is put on funding and lack of resources u to funding. Hospitals across the country are scaling back on many floors with staffing citing lack of sufficient money to pay employees.
This issue, is being perpetuated by the ideas that modern day ins Uranus and single payer subsidiaries such as Medicare or Medicaid are becoming more and more strict in regards to reimbursing 3 hospitals. This is what is at the root of the cause of many medical issues today , including staffing. The current healthcare system is utilizing a paternalistic MBA style of thinking, who ere profits are the end goal. Though many hospitals that have this policy are known for exemplary ca e, their priority is to make the hospital revenue.
Hospitals are claiming that they have limited fund s, and cannot staff as adequately as they like, yet pay millions of dollars in marketing tools, with thee r product being “health” This idea, while commendable in some ways is not effective in my opinion an d providing optimum care, and reducing patient injury, and readmission. Hospitals are even going as far as stating that the previous norms of staffing are not necessary, and that the idea of what floor nurses deem as insufficient staffing is considered adequate, and up to the standards of hospitals and ad insinuators.
A key concern with staffing in health care is the realization Of the cost. Arrears chi is showing that though it may appear that having fewer nurses on staff would be cost beef active, and that more revenue can be produced, in England they are seeing that though cost of sat fifing approximately costs upwards of 4 billion pounds, (over 6 billion dollars), however the National Insist tithe for Health and Care Excellence (NICE), explains that appropriate staffing saved the British he lath system INS, approximately 700 million pounds (1 billion dollars) by reducing, and preventive Eng infections (Clubbable, 2014).
This issue of staffing continues to be of huge concern in the U. S. As well, where e legislation has become a means to promote safe staffing requirements (Line, 2014). In many s tastes, legislation is being passed, promoted, or has already been implemented that is mandating a ARQ reorient for a certain number of nurses on floors, and in departments (Line, 2014). Research is show ins that these laws requiring mandatory staff minimums show that sign efficient relationships bet en clinical workforce availability and patient’s chances of sun. Avail in CICS (West, Barron, Harrison, R afferent, Rowan & Sanderson, 2014). Astray, one of the biggest controversies with nurse staffing is its relation to nu rise satisfaction and retention. As a nurse who has dealt personally with staffing issues I can a test to the stress and anxiety of working on a regular basis with minimal staffing and support. This I deed me to have a period in my career where my morale at work was incredibly low.
This is a concern the at health care administrators must keep in my mind, as research is showing an inverse relate unships between job satisfactions and nurse retention, as well as a positive relationship between joy b satisfaction and adequate staffing (Hair, Salisbury, Johansson & Redundancy, (2014). This s an aspect of staffing that hospital Coos and health care managers who subscribe to a business style e of hospital management need to focus on.
It is essential to retain nurses, as hiring and training new nu ores is neither cheap, quick, or cost effective. It would be in hospitals best interest to keep their staff happy so as to retain more of them. One of the easiest ways to do that is to make sure that staffing is adequate and safe. The most effective way that nurses can make their voices heard regarding sat fifing is to organize together. This can be done at a large scale in one Of two ways.