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Professonal nurse career essay
The career of a nurse
The career of a nurse
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Job satisfaction and nurses • There can be little doubt that nurses form the fabric of medical care. • They not only play the role of caregiver, but must assume a medley of other roles -including but not limited to technician, waitress and mother. • They are the front line of surveillance and play the prime element in early detection of potentially life-threatening problems. • There are no qualms about the fact that nursing as a profession is truly respected. • Day in and day out, nurses not only take care of a patient's basic needs, they act as the constant pillar of support during difficult times, both physically and emotionally. • In spite of nursing playing an extremely important they may be the most dissatisfied • professionals in the …show more content…
• Job dissatisfaction has been identified as the main factor for nurses leaving the profession earlier than anticipated. • Approximately 80-85% of hospitals have reported a shortage of nurses. • By 2020 there will be a 20% shortage in the number of nurses needed in the U.S. • Hospitals fail to meet the expectations of their employees far more frequently than the employers in other industries. • Administrators should pay special attention to their most critical personnel and devise tailored solutions for retaining these individuals. • Healthcare providers are having trouble recruiting and retaining their nursing staff which creates significant cost for hospitals. • Direct turnover costs are only the tip of the iceberg. In addition, the hidden cost of lost productivity for departing employees. • Staff turnover not only incurs large costs of hiring & training new employees, but also adversely affects the quality of patient care. • Inadequate staffing and heavy workloads for nurses impact patient safety. Nurse shortage is the leading cause for medical errors. • Patients face a 7% greater likelihood of death for every patient above four assigned to a particular …show more content…
• Hospitals are "being run like a business" with "issues of patient care" of secondary importance." Emotional support, education, encouragement and counseling are integral to the everyday nursing practice. • However, these practices are not easily quantified and considered by managers as unjustified cost for the patients, who are also viewed as consumers. • Therefore, only clinical responsibilities, such as medication administration, dressing changes, Foley catheter insertions, and anything that involves tangible supplies, are quantified and incorporated into the organizational budget and plan of care for the consumers. • If the funds now spent fighting or losing battle to replace disheartened nurses were instead devoted to improving job conditions, it is possible that the nursing shortage could be largely solved and the nations' hospitals might still end up with significant savings. • The perception is that physicians and hospital administrators often treat nurses as workers, not as clinicians and
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
The problem is caused by finances. Hospitals claim they face declining reimbursements, and have chosen to cut nursing staff to lower their expenses.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
Nurse managers need to take measures to improve the autonomy of their staff nurses, practice good communications skills, improving the work environment, and listening to the voices of nurses (Renter & Allen, 2014). Applying the goal attainment theory is a useful way to improve job dissatisfaction of nurses and this will help to decrease the nursing
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
... & Abrahamson, K. (2009). A critical examination of the U.S. nursing shortage: contributing factors, public policy implications. Nursing Forum, 44(4), 235-244. doi:10.1111/j.1744-6198.2009.00149.x
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
In addition to concerns about the adequacy of the supply of nurses the financial impact of high turnover was startling. According to Jones (2005) Using the updated Nursing Turnover Cost Calculation Methodology, the per RN true cost of nurse turnover is calculated to be 1.2–1.3 times the RN annual salary. That estimate is derived from a retrospective, descriptive study of external RN turnover cost data at an acute care hospital with over 600 beds. The findings indicate that the three highest cost categories were vacancy, orientation and training and newly hired RN productivity. (as cited in Kooker & Kamikawa, C. 2011). For example, At the Queen’s Medical Center, the annual salary of an experienced RN is currently $91,520. Therefore, using the
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Poor staffing stresses every nurse and makes them despite what they once loved to do. Nurses are overworked and because of that they may not provide adequate patient care.
Turnover rate involving nurses is at an all-time high. Hood (2014) states, “According to a poll conducted by the American Nurses Association (ANA, 2013) with 16,295 nurse participants, 118,130 nurses believed that inadequate staffing compromised the quality of nursing care services. When the question was asked if they were currently considering leaving their position, 8,734 responded affirmatively, and 3,773 reported that inadequate staffing was the reason for leaving” (p. 490). These statistics are caused by nurses feeling the wrath of working shorthanded, and stressed out from pulling extra shifts.
Registered Nurse turnover is a continuous problem in the nursing profession. Turnover in this context is simply defined as “someone leaving a job” (Kovner, Brewer, Fatehi, & Jun, 2014). Some aspects of nurse turnover can be viewed as positive, however, most circumstances of turnover are seen negatively and can be referred to as functional versus dysfunctional. The difference between the two is a “functional turnover, a poorly functioning employee leaves, as opposed to a dysfunctional turnover, when well-performing employees leave” (“One in Five nurses leave First job within a year,” 2014). The nursing profession’s recommendation for improvement focuses on dysfunctional turnover of Registered Nurses. Nurses choose to leave their jobs to explore
Bedside nurses want to change staffing levels to assure that they have enough time to both keep up with the constantly evolving health care and to provide safe patient care. Yet, healthcare employers consider that reducing nurse patient ratio is an unnecessary expense that has not been proven to improve quality of patient care (Unruh, 2008). Employers emphasize that raising nursing staffing level is not cost-effective. In fact, in accordance with ANA’s report (2013), a study, in the Journal of Health Care Finance, confirmed that reducing patient-nurse ratios increased hospital costs, but did not lower their profitability. Higher hospital costs were attributed to wages and benefits allocated to newly hired nurses. Yet, according to Cimiotti et.al (20112), it is more costly for hospitals to not invest money on nursing.
Singh and Loncar utilized information from two hundred registered nurses who are union members to gain insight upon the changes nursing and hospital management should make to reduce turnover among the nursing staff and gain the maximum benefit from their employee investment. Employees who become disproportionally dissatisfied with their employment fail to strive for the best possible output and instead perform to the bare minimum of standards. This may cause failure to meet service standards, leading to customer dissatisfaction.