NCBI discovered that there are several important consequences of high nursing workload. Research shows that a heavy workload on nurses adversely affects patient safety, and sets a negative effect on nursing satisfaction and, as a result, contributes to high turnover and the nursing shortage. In addition to the higher patient acuity, work system factors and expectations also contribute to the nurses’ workload. Nurses are expected to perform nonprofessional tasks such as delivering and retrieving food trays; housekeeping duties; transporting patients; and ordering, coordinating, or performing support services. This is important because this evidence proves that high nursing workload can affect the patients and nurses are doing things that they shouldn't be doing.
Over the years of nursing it has become more involved, more intense, increased responsibilities and attention to tedious details. With all this, the nursing profession is suffering. In burnt out nurses and compassion fatigue, the strategies to help compared to ignoring the situation affects staff and patients health. The hospital setting is where a possibility of burnt out nurses and compassion fatigue are mainly is found but can help in any setting that have nurses and patients. Both issues contribute to the other and many factors worsen the impact.
Journal of Clinical Nursing, 19, 1812-1826. Westbrook, J.I., Duffield, C., Li, L., & Creswick, N.J. (2011). How much time do nurses have for patients? : a longitudinal study quantifying hospital nurses’ patterns of task time distribution and interactions with health care professionals. BMC Health Services Research, 11(319), 1-12 Wright, S., & McSherry, W. (2013, August 9).
With a large population of nurses approaching retirement and a growing economy that historically supports higher turnover rates, hospitals cannot afford to not invest in a nurse retention strategy, since a high nurse turnover results in nurse burnout and job dissatisfaction which in turn results in more turnover, forever feeding the cycle. Literature Review: Extensive research on impacts and determinants of nursing turnover has been done for decades resulting in numerous causative theories,... ... middle of paper ... ...n, D., Barton, D., Davis, C., and G. Rook. 2012. Tripping over the welcome mat: Why new nurses don’t stay and what the evidence says we can do about it. American Nurse Today.
With the ongoing changes in the healthcare field, nursing workforce retention presents itself as one of the greatest challenges facing healthcare systems today. According to the American Nursing Association, nursing turnover is a multi-faceted issue which impacts the financial stability of the facility, the quality of patient care and has a direct affect on the other members of the nursing staff (ANA, 2014). The cost to replace a nurse in a healthcare facility ranges between $62,100 to $67,100 (ANA, 2014). The rising problem with nursing retention will intensify the nursing shortage, which has been projected to affect the entire nation, not just isolated areas of the country, gradually increasing in its scope from 2009 to 2030 (Rosseter, 2014). The nursing shortage is directly related to the increased rate of the population growth, the decrease in enrollment of new nursing students, the aging population as well as the problem of nursing retention (STTI, 2014).
A nurse’s job is very stressful and can cause nurses to become fatigue, and dislike their current jobs; nurses are prone to making mistakes and medical errors (ANA, 2014). Nursing shortage and nursing turnover can deeply affect the future care of a patient and the concord in the healthcare system. Healthcare facilities take awareness of the situation among nurses and chose to carry out the situation in specific ways. Contributing Factors to Nursing Shortage Nursing shortage is a crisis in hospitals nationwide. The main contributing factors on the current shortage are the steep population growth resulting in a growing need for health care services, a diminishing pipeline of new nursing students, and an aging nursing workforce (Honor Society of Nursing, 2013).
Research question Does chronic understaffing issues in emergency department(ED) increase nurses’ stress and affects overall health which make nurses lead to quit profession earlier? What steps can be taken to reduce understaffing issue EDs? The shortage of nursing staff is a national and international issue. Moreover, Oulton (2006) clearly explains that today’s global nursing shortage is having an adverse impact on health systems around the world. However, the shortage of nurses in EDs has become a critical challenge now a day due to stress, lack of staff motivation and retention within the profession especially in EDs (Asiret, Kapucu, Kose, Kurt, & Ersoy, 2017).
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,
This paper examines the nursing shortage in the health care industry, the use of collaborative team approach in care delivery using a study that aims specifically to this problem and offer recommendations for employee retention. 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).
This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care. Historic Development and Current State of Health Care Delivery There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction.