Background
This literature review deals with self-scheduling and retention within the healthcare arena. Scheduling/ staffing has always been an ongoing process and issue involving retention. The connection of retention to self- scheduling reveals many times over that once nurses are satisfied with their schedule they can focus on improving care for their patients. Equally important, the satisfaction of knowing they are able to attend to their family needs and work life as well. Once job satisfaction is in place, a more productive and happier the staff/employee member becomes. In general benefits of job satisfaction covers scheduling, along with their morale and the organizations mission and vision. Empowerment promotes involvement and participation
Overall self-rostering/scheduling improved empowerment, motivation, and scheduling effects of the organization in general (Manojlovich & Laschinger, 2007). Such a literature review evoked variables like ward size, demand either variability or demand in larger units verses the smaller units (Manojlovich & Laschinger, 2007). Scheduling is somewhat tedious not to mention time consuming (Manojlovich & Laschinger, 2007). Over the last decade or so the single manager “scheduling” has moved more toward participative process (self-scheduling) (Manojlovich & Laschinger, 2007). In this literature review involving the United Kingdom (UK) shows an increasing wake of self-scheduling within the health care setting (Manojlovich & Laschinger, 2007). Namely different approaches may be needed, depending on the area of the organization and the needs (Manojlovich & Laschinger, 2007). Critical to the UK health care system is the cost-effectiveness such as the quality, dependability, speed, flexibility, and of course cost (Manojlovich & Laschinger, 2007). A system where there is a balance of staff/employees and no strains are added to the existing staff/employees (Manojlovich & Laschinger, 2007). Without staff/employees domestic or social needs being considerate it adds to the dissatisfaction aspect of a staff/employees over all job
Support of the organization increases the satisfaction potential of job satisfaction, morale, work-life balance, and professionalism as well as financial benefits (Koning, 2014). Self-scheduling allows nursing/nurses to reserve preferences of shift and/or hours in order to take much needed time for vacations, and family matters (Koning, 2014). In review this particular peer review it was noted that the reason for self-scheduling was revealed (Koning,
As the forthcoming nursing shortage threatens the United States, organizations must be knowledgeable in the recruitment and retention of nurses. The challenge facing health care organizations will be to retain sufficient numbers of nurses to provide safe, efficient, quality care to patients. Organizations will look to recruit and attract quality nurses to fill vacancies. As turnover in nursing is a recurring problem, health care organizations will look for strategies to reduce turnover. The rate of turnover for bedside nurses in 2013 ranged from 4.4 to 44.6% (American Nurses Association, 2013). Nurse retention focuses on keeping nurses in the organization and preventing turnover. The purpose of this paper is to discuss the significance of recruitment and retention of nurses, review the literature, and explore how recruitment and retention apply to nursing.
Employee job satisfaction is also an issue faced by Coastal Medical Center’s staff. It is important the employees enjoy their job so that performance will be efficient and of higher quality. When employees are satisfied and happy with their job, performance improves and it becomes apparent to the patients. It was also mentioned that the staff does not have a chance to be heard b...
When the nursing team rounds on their patients hourly it is shown to have a relationship with a decrease call light use, falls, pressure ulcers, decrease in patient anxiety and increase in patient satisfaction rates (Ford, 2010). When hourly rounding does not occur on a hospital and patients cannot predict when the nurse will be available for physical and emotional assistance this can lead to patient consequences. When a patient cannot predict when the nurse will be available to assist or discuss can concerns that patient’s has can lead to an increase the patient’s anxiety level (Mitchell, Lavenberg, Trotta, & Umscheid, 2014). When a patient’s anxiety levels rises, the patient will try to compensate with inappropriate coping mechanisms such as, the patient trying to go to the
... social life issues. Supporting to these Todd et al. (1993) demonstrated that nurses with 8 hour shifts had a high level of satisfaction than nurses worked for 12 hour shifts. However, contradictory results were found in Stone et al.(2006) study. They reported a significant level of nurse’s satisfaction was revealed with 12-hour shifts than those with 8-hour shifts. Furthermore, in 1996 Golec et al. carried out a study to compare the effect of 8 and 12 hour shifts among ICU nurses. The finding revealed that the nurses with 12-hour shifts demonstrate less social and family disruption than 8-hour shifts. Nevertheless, 12-hour shifts reported more health, and wellbeing complains s than 8-hour shifts. In addition, the study indicated that although 12-hour shifts provide more days off, it appears to be insufficient to dispel the adverse effects on health and wellbeing.
...hological preparation. After a nurse is done working their regular shift being forced to work overtime can out them a greater right of medical mistake in part due to fatigue and tiredness consequently putting the patient at high risk of complications.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
However, upon securing a job, they find that things on the ground are not as they had expected them to be and this results in some of them deciding to leave the profession early. Research shows that turnovers within the nursing fraternity target person below the age of 30 (Erickson & Grove, 2011). The high turnover within the nursing fraternity results in a massive nurse shortage. This means that the nurses who decide to stay have to work for many hours resulting in exhaustion. A significant percent of nurses quitting their job sites exhaustion and discouragement as the reason that contributed to their decision. In one of the studies conducted on the issue of nurse turnover, 50% of the nurses leaving the profession argued that they felt saddened and discouraged by what they were unable to do for their patients (Erickson & Grove, 2011). When a nurse witness his/her patients suffering but cannot do anything because of the prevailing conditions he/she feels as if he/she is not realizing the reason that prompted him/her to join the nursing profession. The higher rate of nursing turnover is also affecting the quality of care nurses provide to
middle of paper ... ... qualified nurses diminishes. Based on this study, administrators should recruit nurses who understand that health care is at its best when health care professionals work collaboratively as members of a team, committed to providing the best possible patient care. References Aiken, L.H., Clarke, S.P, Sloane, D.M., Sochalski, J., & Silber, J.H. (2000). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.
Job satisfaction is linked to other positive attributes in the work environment. Many studies conducted prove to show that job satisfaction plays a pertinent role in the outcomes of recruitment and retention in nurse educator shortages (Brittner & O'connor, 2012). Proving that refining job satisfaction will ultimately influence nurse educator retention and attract more educators in the midst of a financial crisis shows that it can discourage this negative perception of a failing nursing structure in
Witkoski Stimpfel, Amy , Douglas M. Sloane, and Linda H. Aiken. "The Loger the shifts for hosital nurses, the higher the levels of burnout and patient disstisfaction." Health Affairs 31.11 (2012): 2501-2509. Proquest. Web. 11 Mar. 2014.
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
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
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
Notably, having higher proportions of nurses working shorter shifts—8–9 hours or 10–11 hours—resulted in decreases in patient dissatisfaction” (Stimpfel et al.). This is essentially saying that the longer the shift length, the more negative outcomes result. This study proves that eight to nine-hour shifts are more effective, and should, in turn, be worked more than longer shifts. This is a problem because hospitals are likely to continue to schedule nurses for twelve hours shifts out of
The behavior I would like to modify is the level of my procrastination. Procrastination was the first thing that came to my mind as something that I wanted to try to change. I push majority of the things I have to do until the day before it is due, making excuses and thinking to myself that it can wait and does not have to be done now, or there are important things to do or that think to myself that I can do something else at the time. My goal is to eliminate or decrease the level of procrastinating.