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. To attain this goal, nurses must work in collaboration with other members of the health care team. To improve efficiency, the health care environment must foster the development of collaborative relations among health care professionals. Trust, open communication, commitment, and shared goals must be present to support collaborative relations and effective teamwork.
Patients at risk include those who are in acute or critical conditions and those in the post-operative period, who require more frequent monitoring to detect early changes, prevent complications, and reduce consequences. Patients post-operatively following surgery or a procedure remain at risk for pneumonia, shock, cardiac arrest, respiratory arrest, venous thr... ... middle of paper ... ...anging as new research and methods are discovered to better serve the patients and healthcare professionals (Ignatavicius & Workman, 2013). As nurses use rounding in all their patient care, they will become more skilled with the nursing process, especially with assessments and interventions. Patients are the major users of hospitals and deserve the highest level of care with the best outcomes. With nurse rounding, patient outcomes are improving with a reduction in patient falls and pressure ulcers, use of call light, patient complaints, and most importantly an increase in patient satisfaction (Forde-Johnston, 2014).
Summary Patient safety is at the forefront of care delivery for every health care facility. In economically challenging time, the institutions are striving to protect and ensure patients ‘safety while delivering high-quality care. Patients’ falls are one of the factors that are tremendously jeopardizing patients’ safety and outcomes. The enormous effort and constant practice of effective interventions by nurses are needed to distribute cost-effective fall-prevention programs successfully. Nurses are empowered to promote the widespread adoption of efficient strategies, decrease the incidence of falls, and overall increase the quality of care and outcomes for patients.
Introduction Health care organizations are focused on providing high quality and safe patient care. There are numerous organizational factors that may directly affect patient care and outcomes, but one of great importance is nurse staffing. Low nurse staffing levels are a major problem that I have encountered during both my clinical and management experiences. There is a significant relationship between inadequate staffing levels and adverse patient outcomes; however, as I observed during my experiences, there may be increased awareness about this issue, but it has not been sufficiently addressed. In order to ensure patients’ safety and positive outcomes, as well as to improve nurse satisfaction, it is imperative to effectively address low staffing levels.
Registered nurses have long acknowledged and continue to emphasize that staffing issues is an ongoing concern,one that influences the safety of both the patient and nurse. There is a strong relationship between adequate nurse to patient ratios and safe patient outcomes. Rising patient acuity and shortened hospital stay has contributed to challenges. Finding an optimal nurse-to-patient ratio has been a national challenge . however,rising patient acuity and shortened hospital stay have contributed to recent challenges .Ensuring adequate staffing levels have been shown to reduce medical and medication error s,decrease complication among patients,decrease mortality,improve patient satisfaction,reduce nurse fatigue,decrease nurse burnout and improve nurse job satisfaction.
As the reimbursement system for hospitals today emphasizes quality outcomes, this has an increase in the importance of the nurse’s role in patient care (Frith, Anderson, Tseng, & Fong, 2012). The quality of care is effected when there are higher RN-to-patient ratios. Mortality rates can be decreased by 50% or more when there is a lower RN-to-patient ratio. The morale of nursing staff and the hospital’s reputation are effected when there is a large nurse turnover and poor patient outcomes (Martin, 2015; Knudson, 2013). Having adequate nurse staffing levels saves lives (Martin, 2015).
The rationale for the change Registered nurses are on the front line in all the hospitals for early detection and prompt intervention when patients' conditions deteriorate. So better patient outcomes depend on the number of skilled staff available to take care of the patients. To decrease staff burnout and improve staff satisfaction, adequate staff ratio is needed. Providing consistency of nursing caregivers may significantly improve both health and economic outcomes (Mefford, 2011). When there is an adequate staffing in the unit, it greatly decreases anxiety on the nurses, patients and the families.
Nurses work to improve the health of the nation and provide health promotion through both passive and acti... ... middle of paper ... ...ry prevention strives to assist the patient with maintaining as much of their current level of health as possible (Edelman & Mandle, 2010). As the culture of health care changes " Emphasis is shifting from acute, hospital-based care to preventive, community-based care, which is provided in nontraditional health care settings in the community" (Edelman & Mandle, p. 19). With these changes nurses will find themselves playing a larger role than ever in the health promotion of their patients. Community health programs with a focus on nurse directed patient education will be imperative as we move forward to ensure the needs of the growing patient population will continue to be met. It is an exciting time in health care and the strength of nurses is only beginning to be recognized, there are so many great things to come on well planned nursing intervention at a time.
Leadership in Nursing Defining the Title The nurse manager, or nurse executive, position is the connective fiber that binds the multiple areas of quality patient care together. Nurse management is a blanket term that covers many roles and positions in healthcare leadership. Managing and micromanaging groups of people can be convoluted, but it is essential for the smooth communication that leads to better patient care and decreased incidences of medical errors that negatively impact the patient (Timmins, 2011, p. 30). The nurse executive is still a nurse that is motivated by patient centered care; the difference lies in the level of contact the two nurses have with their patients. Nurse executives are nurses that exert their influence through indirect channels.
Nurse staffing is a structural factor that is closely associated with patient outcomes and other various components in the hospital work environment (Zhu et al., 2012). While the US population ages with people who, with the intervention of modern day medicine, are better able to sustain life with chronic illnesses, higher nurse workloads are needed to fulfill the health care demand, thus increasing incidences of burnout, job dissatisfaction and adverse patient outcomes (Vahey, 2004). Numerous studies conducted on nurse-patient ratios consistently conclude that more positive outcomes occur when a lower number of patients are assigned to one nurse for care. A 2013 study by A. Chapman concluded that in acute hospital settings, nurse-to-patient ratios should be less than 1:7 (given the department) in