Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
turnover in nursing introduction
why patient comfort is important in nursing
policy and procedure on hourly rounding
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: turnover in nursing introduction
As in business, the companies try to produce the goods and services by the taste and preferences of people. The health care institutions must attempt to align the medical practices with the requirements and needs of the patients. This is essential, not to make profits but to enhance the quality of attention and medical services. It is obvious that people visit the health care institutions because they trust them, but some of them leave the building with satisfaction (McCartney, 2009). It is necessary that these health care organizations ensure that these patients feel satisfied, which could be guaranteed through hourly rounding in an adequate manner.
Review of Literature Beachem, J., & Litton, K. (2013). Take a Deep Breath: Understanding Pulmonary
…show more content…
The article provides adequate information on the morbidity and shows how hourly rounding will help the professionals to fulfill the needs and requirements of patients regularly. Supports the hourly rounding as it would assist the health are organizations to overcome the fear of mistakes and to review all four P consistently.
McCartney, P. (2009). Hourly Rounds: An Evidence-based Practice. The American Journal of Nursing, 34(5), 327-330. The article adequately informs about the depth of issue as increasing number of patients ' complaints reflect the bad reputation of a health care industry. Inclusive of well-structured statistical information and comparison tables demonstrating the ineffective and inadequate practices of professionals. Provides the information about the rate at which professionals are associated with unethical practices at a work place, including phone calls and smoking. Highly supports hourly rounding as it will enhance the level of determination and commitment to health care professionals and nurses.
Prestia, A., & Dyess, S. (2012). Care Partners: Maximizing Caring Relationships Between Nursing Assistants and Patients. Journal of Nursing Administration, 42(3),
…show more content…
Provides adequate information on the rate at which health care institutions are performing hourly rounding. Supports the proposed change as it offers several reasons why hourly rounding is important, including the enhancement of compliance and alleviation in the patients ' complaints.
Therese, M., & Thomas, T. (2010). Nursing Assistant walking Report at Change of Shift. Journal of Nursing Care Quality, (http://journals.lww.com/jncqjournal/Fulltext/2010/07000/Nursing_Assistant_Walkin Chicago25(3), 261-265). It adequately provides background information on the nature of issue reflecting the lack of assistance and support to nurses. Significantly supports the proposed change as it will help in managerial activities. Shows how the implementation of hourly rounding will enhance the quality of health care services, which too in low costs.
Tipton, P. (2008). Recruitment and Retention Report: Rounding to Increase Retention. Journal fo Nursing Management, 39(5),
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
...t them attain the services easily and at lower costs. In addition, these hospitals have the potential of managing effectively their cash flow. A fixed and proper payment system to the workers of the small health centers can m motivates them to avail quality services to the medical beneficiaries. Small hospitals can be able to have bonus payment in case they provide care in areas short of professional health. Hence, small hospital can implicate appropriately their method of payment. Conversely, there might be a risk possibility when it comes to accessing low amount due to the nature of the illness of the patients, the involvement of high cost of treatment amongst many other factors. In the vent that the overall health care costs are more than earlier anticipated, the hospital and the doctor shall receive less profits. This can have a negative impact on the hospital.
Without participating in a longitudinal study, it is difficult to truly assess the efficacy in mandating nurse staffing ratios. It is difficult to measure the benefits of mandated staffing due to numerous confounding variables. These confounding variables include the resources available at specific hospitals in addition to the populations that they serve. Hospital volume, RN job satisfaction and the relationship between physicians and nurses have also been shown to affect patient outcomes (Duval et al., 2007).
J.G. and Mrs. D.J. with the following questions concerning the issues of staffing and nursing shortage. How long has the organization tried to address the issue of staffing and nursing shortage? “Nursing shortage has always been an issue for the Lexington Medical Center. I have been employed here for almost five years and there continues to be a struggle with staffing the unit. We have to utilize agency nurses to fill in the needs on the unit” (J. Gudvangen, personal communication, April 30, 2016). What measures have been taken to address the issue of staffing shortage? “There are incentives being offered to attract new employees to work at the facility. A sign on bonus is offered to the nursing staff for up to fifteen thousand dollars, depending on what area of nursing you specialize in. Also during the peak season when the census is really high in the hospital, a bonus incentive program is offered for medical staff in a twelve weeks span. If the employee works a certain amount of extra hours, in addition to their regular schedule, at the end of the twelve weeks a bonus is paid to the employee. The bonus can range from twenty-five hundred dollars to twelve thousand dollars. This is used a method to attract the staff to work extra hours during the busiest time of the season" (J. Gudvangen, personal communication, April 30, 2016). What future steps have been planned to address the issue of staffing shortage? “The hospital is
Fisher, L. T. (2007). The body/work nexus: The work of nursing assistants in nursing homes. (Order No. 3261253, University of California, San Francisco). ProQuest Dissertations and Theses, , 132-n/a. Retrieved from http://search.proquest.com/docview/304880603?accountid=34899. (304880603).
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).
Hourly rounding has been proven to be effective in many hospitals throughout the United States. With many hospitals, trying to improve their patient satisfaction scores implementing an hourly rounding program seems like the right way to go. Patient satisfaction will go up when the patient feels like they are being cared for. Checking on a patient once every hour will make them feel like there is concern for their well-being, which would help them ease their anxiety. In turn hourly rounding will reduce stress for nurses making for happier nurses who are more satisfied with their work and are capable of taking care of patients better. Hourly rounding is a positive situation for both the nursing staff and the patient and should be implemented as part of standard care in every hospital.
A clinical area of concern in the nursing discipline on 8 West orthopedics at Mount Carmel West is hourly patient rounding. Currently the nursing staff on 8 West does not do patient hourly rounding when providing patient care even thou the nursing manger on the unit tried to implement hourly rounding several times. There are numerous research studies done on hourly rounding and research has proven that hourly rounding has improved patient outcomes and improved quality care nurses give to their patients. Hourly rounding can help address a potential patient problem before the problem occurs (Ford, 2010).
Errors are three times more likely to happen on 12 hour shifts than 8 hour shifts. A 2008 study by Pam Anderson and Tina Townsend, proved that fatigue, stress and understaffing contributes to the high percent of medical errors. Anderson and Townsend explore various studies that suggest 12 hour shifts contribute negatively to the medication error rate. In these studies comparing performance of 12 hour shifts, older nurses had difficulty adjusting the circadian rhymes and trouble maintaining work performance during their
Still today, nurse staffing is a crucial health policy issue. Since the 1980s, the nursing profession has taken on more prominence in America with a large focus on research studies. In fact, U.S. Public Law 99-158, Health Research Extension Act of 1985, authorized the National Center for Nursing Research (NCNR) at National Institutes of Health (NIH) (Health Research Extension Act of 1985, 1985). With U.S. Public Law 103-43, NIH Revitalization Act of 1993, the NCNR was formally changed to the National Institute of Nursing Research (NINR) (NIH Revitalization Act of 1993, 1993). The NINR started constructing purposeful research projects, which produced a positive correlation between the number of staff and quality of care. However, the 1996 Institute of Medicine (IOM) report expressed, at that time, no significance between nurse staffing and clients’ outcomes in acute-care hospitals (Institute of Medicine Staff, Davis, Sloan, & Wunderlich, 1996, p. 9).
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
reimbursement determinations. As a result, the camaraderie among physicians has developed into a more aggressive approach to impede competition (Shi & Singh, 2012). Little information is shared with patients in regards to procedures or disease control. The subjects are forced to rely on the internet for enlightenment on the scope of their illnesses (Shi & Singh, 2012). Furthermore, the U.S. health care system fails to provide adequate knowledge on billing strategies for operations and other medical practices. The cost in a free system is based on supply and demand and is known in advance of hospital admission (Shi & Singh, 2012). The need for new technology is another characteristic that is of interest when considering the health care system. Technology is often v...
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.