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Ethics in the nursing field
Essays around nursing ethical dilemmas and professional practice
Ethics in the nursing field
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Nursing and Mandatory Overtime
Nurses have one of the most important roles in society. They provide care to people with many different illnesses and diseases. Nurses do a variety of things like give shots, draw blood, hook patients to IV’s, and all kinds of other things. Their job is to make sure their patients are comfortable and in good hands. The last couple of decades we have hit a shortage of nurses because all of the baby boomers are either retiring or dying. With that being said as the baby boomers are getting older they are getting sicker. The number of patients is increasing as the number of nurses are decreasing. Many hospitals have tried to fix the issue of low nurses by giving them mandatory overtime, so that way all of the patients
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A lot of nurses even volunteer to work overtime or beyond the regular 40-hour full time workers work. However, nurses in states where mandatory overtime is in effect do not have to option to decline the overtime meaning they have to be prepared to work extra at the end of each shift often without any notice in advance. There are only 16 states that regulate mandatory overtime. They either banned it all together, or limited the number of hours each nurse is allowed to work overtime that is mandatory (Bae 61). In a study researching nurse’s hours by both voluntary and mandatory overtime the nurses that worked the longest shifts were the unhappiest with their job (Stimpfel, Sloane, and Aiken). With these types of results, it shows that nurses who voluntarily work do it for other reasons than just to do it. Both nurses who work overtime voluntarily and nurses who are required to work overtime are associated with patient dissatisfaction (Stimpfel, Sloane, Aiken). With these results mandatory overtime should just be banned …show more content…
The Code of Ethics for Nurses advanced by the American Nurse Association includes the statement “the nurse’s primary commitment is to the patient,” which basically means the nurse is supposed to put their needs behind their patients (Stimpfel, Sloane, Aiken). With all of that being said every nurse that works overtime has to put the patience’s best interests into play and either give them proper service, or get a nurse who can give them proper service. It is also the moral responsibility of nurses to avoid a circumstance or “domain of nursing activity” that would cause conflict for the patient (Stimpfel, Sloane, Aiken). Conflict with the patient would include a nurse working overtime whether by voluntarily or by mandate. Even though overtime would benefit the nurse financially and benefit the hospital it would cause patient dissatisfaction which is ultimately the only thing that really matters. One of the main characteristics of the people who go into nursing is their interest in caring for people who are suffering (Bloomfield and Pegram 45). Requiring nurses to work beyond a standard 40-hour week to the extreme that they feel too exhausted to work puts them under a lot of stress because
Imagine a nurse who has to go to work for 12 hours and how much energy he or she puts in? It feels like a never ending story and the character begins to exhaust his or her energy. As much as 12 hours may seem, the 12 hours spent in something one like to do would make it better. It may involve less sleep for someone who works 12 hours. Nurses in the past and today have been working 12 hour shifts or more, which shouldn’t be a big deal now than it actually seems. I think 12 hour shifts are a productive way for more nurses to connect with patients and complete their work effectively. Therefore, nurses should have the right to want to work for 12 hour shifts despite the negative outcomes.
There are several approaches to take in solving the problem of nurse fatigue. Firstly, the nurse has an obligation to not going to work if too tired. Schedules should be designed to help with this where nurses are held accountable to pick days that does not contribute to fatigue. In addition, nurses can work as a team and cover each other effectively for breaks. Nurses should be able to take stress free breaks and not have to worry that their patients will not be taken care of. Lastly nurses should be educated on sleep hygiene and the effect it has on patient
Over the past several years extended work shifts and overtime has increased among nurses in the hospital setting due to the shortage of nurses. Errors significantly increase and patient safety can be compromised when nurses work past a twelve hour shift or more than 40 hours a week. Hazardous conditions are created when the patient acuity is high, combined with nurse shortages, and a rapid rate of admissions and discharges. Many nurses today are not able to take regularly scheduled breaks due to the patient work load. On units where nurses are allowed to self-schedule, sixteen and twenty-four hour shifts are becoming more common, which does not allow for time to recover between shifts. Currently there are no state or federal regulations that restrict nurses from working excessive hours or mandatory overtime to cover vacancies. This practice by nurses is controversial and potentially dangerous to patients (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). Burnout, job dissatisfaction, and stress could be alleviated if the proper staffing levels are in place with regards to patient care. Studies indicate that the higher the nurse-patient ratio, the worse the outcome will be. Nurse Manager’s need to be aware of the adverse reactions that can occur from nurses working overtime and limits should be established (Ford, 2013).
A considerable amount of literature has been published on the impact of working hours (8 vs. 12 hour shifts) on fatigue among the nurses. These studies revealed that twelve-hour shifts increase the risk of fatigue, reduce the level of alertness and performance, and therefore reduce the safety aspect compared to eight-hour shifts (Mitchell and Williamson, 1997; Dorrian et al., 2006; Dembe et al., 2009; Tasto et al., 1978). Mills et al. (1982) found that the risk of fatigues and performance errors are associated with the 12-hour shifts. Beside this, Jostone et al. (2002) revealed that nurses who are working for long hours are providing hasty performance with increased possibility of errors.
It is my position and with no doubt many other nursing positions that Ohio lawmakers need to pass laws to stop this mandatory overtime practice for nurses in the state. Failing to do so, Ohio will continue leaving both the nurses and the patients at risk. The cost of any mistakes or medical errors resulted from nurses’ fatigue and tiredness can be unprecedented. We need action now, to protect the patient as well as our staff nurse in the state of Ohio.
Nurses and others in the medical field are overworked and understaffed because the government has made cutbacks to the health care system. We live in a country where our health care is a privilege to have, but getting ill becomes a problem if there are not adequate facilities and professionals to care for the sick.
...ork shifts depending on their ability. In addition, it is important for nurses to understand that it is their ethical responsibility to only practice when they are fit to do so. Moreover, nurses should take responsibility for self care and take adequate time to rest and recover after shifts. In general, nurses should be aware of their mental and physical capabilities and only work when they are well enough to do so.
I think shortages of nurses can also be a factor in why nurses are overworked and stressed. In most hospitals you can’t even tell if there is a nurse shortage, the nurses run around from patient to patient I’m trying to still provide the same quality care. My aunt is a registered nurse for Northeast medical center and I asked her out of the previously 11 listed reasons nurses are stressed which do you experience the most. She replied, “I have to say that I experience number one which is work overload the most. When I started working as a nurse 37 years ago there were three separate shifts throughout a day and there’s could work instead of the two 7am-7pm. The nursed patient ratio was a lot lower we got to spend time with the patients we had during the day and provide individual attention. You didn’t feel overwhelmed because the hospital had enough nurses. Now they nurses doing e same amount of work as two or three nurses combined, and are still expected to do
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
Nurse staffing ratios are an important aspect of this problem because it determines the outcome of every patient's health from an overnight stay in a hospital. In a study performed by Alexandra Robbins she analyzes in her article “Nurse Staffing and Patient Safety” that low levels of nurse staffing put patient’s life at risk. In addition to this study, Robbins discusses about the extra work nurses are receiving and how it can become dangerous considering it is a “toxic formula” for patients’ health, meaning bad outcomes are bound to occur. In the situation where more patients are assigned to a nurse there is a higher chance of the patients experiencing something wrong with medical procedures during their stay in hospital. In the article “Inadequate Staffing Harms Quality and the Bottom Line” written by Jim Gogek, he mentions a study performed by Linda Aiken, and in her study, she states that, “For every additional patient a nurse cared for patients are at a 7% greater risk of dying within 30 days of admission.” The facts provided by Linda Aiken’s study in Gogek’s article clearly shows the importance of nurse staffing ratios because the last thing hospitals want is for their patients to pass away under their
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
Nursing is a great career choice that can be very rewarding and has many benefits that come with the job. One downside to nursing is the scheduling because it runs on a shift system, it can lead to many problems. Nurses often have to work long hours, that can last sometimes more than twelve hours at a time. Working this long can lead to problems on the job, as well as health problems and trouble sleeping.
Working in a fast-paced environment and being on their feet can really take a toll on a person. In addition they have to be prepared for anything to happen during their shift. A study of overworked and stressed nurses found that nurses are overworked suffered from physical sickness like type two diabetes (Stress and overworked 2006). For most nurses, their work week consists of more than sixty hours. Working that many hours can double their chances of sicknesses. When they compare the working week hours of nurses who worked the normal 21 to 40 hours with those that work more than 40 or 60 hours a week, they found that in comparison the ones who worked 40 hours or more a week increased the risk by almost 50 percent for type 2 diabetes (Stress and overwork 2006). If nurses were to work their normal work hours without mandatory overtime, then their health would improve.
Similar problems to the case presented on South Texas College have tasked policy analyst to question the legitimacy of government intervention on the issue of overtime compensation. Similarly, the perceived market failure surrounding the topic policy analyst have been entrusted to use their technical skills to “predict and access” the consequences of alternative policies related to this issue. The following sections within this document discuss how policy analyst have shaped the formulation of this policy and its effect on public stakeholders.
When hospitals do not have enough staff to care for patients, nurses are required to work overtime and because of that, 50% of nurses quit their job (Martin). This is not healthy for nurses and not safe for patients because if nurses are constantly working overtime, they can become tired and dissatisfied with their job. Moreover, when nurses are dissatisfied with their job because of always working overtime, it lead nurses to quit their job which can become a problem for hospitals because it is hard to keep training new nurses all the time. This can cost money and effort. In addition, it will affect patients because it nurses are tired from working overtime, quality of care for patients can suffer. According to Sung-Heui Bae, author of “Nursing Overtime: Why, How Much, and Under What Working Conditions?”, When a nurse works for over 12 hours or more than 60 hours a week, nurses are more prone to making medical errors which can compromise a patient’s safety (Bae). Like what Fackelmann says, “Overworked nurse may not get to a patient quickly enough to catch a subtle sign of a potentially deadly complication”. This can be one of the reason of 20,000 death of patients each year because of overworked nurses