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nurse burnout case study
nurse burnout case study
nurse burnout case study
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The Management Problem
Nurse management in healthcare organizations can be a difficult task due to the many scenarios that must be addressed for the entire system to run smoothly. There are many parts to the system but none more important than the people that work each shift to give quality patient care: nurses and nursing assistants. A major problem for nurse management occurs when the operation runs on short staffing. Inadequate staffing, whether it occurs due to nurse shortages, hiring freezes, or call-outs, can be a difficult hurdle for nurse managers to overcome due to the increased stress occurring in nurses that must perform with a heavy workload. Possible causes for this problem include difficult working conditions and negative attitudes toward the organization--problems that could be caused by short staffing, in turn creating a snowball effect. The problem occurs on a healthcare unit managed by a nurse supervisor who guides nurses (LPN and RN) and certified nursing assistants (CNA) while completing patient care on a shift by shift bases. The problem is happening due to the ability to call out of work using sick time, the inability for managers to fix the cause of a short staffing problem, or the inability of the organization to recruit new employees and retain current employees.
In an ideal situation there are multiple events that should be happening for a healthy nursing and nurse assistant population, but in short-staffing situations these areas need to be improved. The recruitment process needs to improve efficiency because it is the most important link in a successful healthcare operation which involves finding the most positive, motivated, and talented workers available. Management needs to create a positive, team ...
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...ment. Nurse burnout leading to turnover is a major contributor to the short staffing problem, which is a an issue that can be addressed by nursing management. Management training should be provided to help nurse supervisors deal with issues on a healthcare unit by alleviating nursing and nursing-aide stress through fair and unbiased treatment and creation of a positive team-building atmosphere that employees desire.
Using a management framework to work through management problems is a helpful tool to understand the problem through research and develop a way to solve the problem using research. Working step-by-step through the framework is also a good way to develop original ideas. Formulating new ideas and problem solving using a framework tool outlines information so that it is easy to access and present to other colleagues that might find the information useful.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
o Type of healthcare worker: Nurse practitioner o When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses. o Reasons for creation and growth: In the late 1950s and early 1960s, increased specialization amongst physicians was taking place, which led to many doctors exploring other avenues of medicine, resulting in a large shortage of physicians practicing primary care. This left many rural and inner city areas with very limited access to medical care.
Last, The Magic of Chaos, that’s every as nurse. Around five am my phone rings, Good morning Ms. Bushnell, “I can’t work today”. That’s usually how my day begins eighty percent of the time. Those phone calls would not have been so bad, if I was working with a full deck of cards. My organization is not the only one with this dilemma of being short staffed, this has become the normal for healthcare. For nurses, this can have profound impact on day-to-day work causing burn out. As a leader, I had to accept the reality that being short staffed was not going to change and adapt accordingly. When leaders are innovative, empower others and promote shared decision, individuals are more likely to embrace the change. Keeping a positive attitude, recognizing others for their hard work and letting them know their valued can increase staff performance. The first thing that came to mind for me in this situation was how we can work smarter and not harder. With staff involvement, we re-evaluated our work flow and redefined some of the roles of nurses in our department for better utilization of time and nursing skills. The change was embraced and staff engagement in the new work flows have been
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 ...
Some of the strategies that can help prevent the high burnout rate among nurses include social and psychological support as well as empowerment. The ability of an organization to retain nurses primarily depends on the creation of an environment conductive to professional autonomy (Hatmaker, 2014, p. 227). Organizations should create an open environment where nurses have an avenue for mutual support. Examples of a program that may result in mutual support among nurses include sharing of workload among team members. Additionally, organizations should create time for social interaction among nursing teams. This can be done through social events such as annual retreats. Social events help to address the issue of burnout by building trust and strong bond between nurses (Portnoy, 2011). The other strategy for dealing with the issue of nurse burnout is supervisor support. Healthcare facilities should encourage meetings between the nurses and supervisors to talk about issues affecting their work. Apart from receiving support from their colleagues and supervisors, nurses need to be empowered. One way of empowering them is by providing them with better salaries and remuneration. The other way is by availing to them opportunities for advancing their education, such as by refunding the tuition fee. They should also be provided with an opportunity to climb the profession ladder such as through promotions. Nurses also need psychological empowerment which
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
I am glad that you mentioned safe staffing in your post this week as one way that nurses can help facilitate positive change throughout the community. Not only does safe staffing help to save patient lives it also helps to prevent burnout at the nursing level. According to Peate (2015), nurses face major challenges in order to deliver the best possible care with fewer resources that is not only financial but human as well. This creates an environment of overworked nurses who are more than likely letting their health take a backseat. “Individual nurses are going the extra mile to get the job done, yet the damage to their health is real and is happening nationwide” (Peate, 2015, p. 133). There is one particular vivid memory of an example of short staffing that I personally experienced on my floor and although one of my
I want to be a nurse, specifically a nurse practitioner. I have always been fascinated with the medical field and see a bright future in it for me. I have the opportunity of meeting new people every day with a variety of personalities. There is always something new to discover in this field. A nurse practitioner's job is to be able to diagnose and treat illnesses. They also prescribe medicine and run physical exams. I am highly interested in pursuing the career of a nurse practitioner because the healthcare field is always in need for medical professionals, it pays well, and I am helping people at the same time.
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,
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
To become an excellent HCO, they expect their nurse managers to carry out the practices of servant leadership, because the interface often involves interdisciplinary collaboration, and they want their nurse mangers to be proficient in teamwork, mediation and consensus building. Nurse managers can learn about servant leadership by good practicing with ongoing training, exposure to best practices, and coaching and mentoring from nurse development programs and support senior nursing executives. The American Nurses Association recommends that nurse staffing should be adaptable to the specific needs of each unit, based on factors including patient needs, the nursing staff experience, the staff skills, available technology, and the resources available to nurses.(White,
"They may forget your name, but they will never forget how you made them feel" (Maya Angelou). A nursing assistant can impact a patient’s health by checking and making sure they are getting better each day or by just being there for them. A nursing assistant makes a patient more comfortable and has the time to listen to them and makes a nurse work easier to have enough time to check on every patient in the hospital or in the facility. Preparing themselves with a good education to take care of all those patients that need that love and caring nurse, and being ready for all the job responsibilities that there’s is to work in a facility to make a patient’s life a whole lot of better. The job outlook keeps growing due to the fact
The career i chose is a branch of the medical field. I chose a career in nursing, more specifically the career path of a registered nurse. This career consists of providing care for people of all ages and helping them with managing their conditions. I chose this career because my mother is an rn and my family has a strong presence in the medical field. It is important to understand the education or training requirements, skills, or talents needed, salary, benefits offered, and the duties for a particular career when making this decision.