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.
Safe staffing patterns are always important for safe working environments to deliver excellent patient care. Staffing and scheduling means providing an adequate staff mix to meet the needs of the patients (Grohar-Murray & Langan, 2011). Nurse manager should know how to schedule and skill mix to provide adequate staffing and better patient care. Skill mix offers information about the appropriate utilization of nurses in terms of workload shared among RNs, LPNs and NAs (CHIN, 2013). 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.
Leaders can better understand the nurse’s frustration about the staffing ratio. Sometimes having four patients feels like six because of the acuity level. When faced with a situation like not having enough staff to work a shift, leaders are quick to call in an extra nurse to come and work. Reducing the work load and proving effective quality care to the patients is what a leader usually has in mind. Leaders are not thinking about the hospital budget and deficits.
If the care relationship is positive, then the patient will allow others to help them in many ways. This is related to the care in nursing, because patients rely on the nurses in the hospitals to take care of them. If it is a positive relationship, they are more likely to let the nurses help. If the relationships are negative, they may lead to a struggle in obtaining care, couples with increased suffering. This supports the idea that the nurse-patient is central to nursing and perhaps the most effective way nurses can influence patient health outcomes.
Increasing Patient Satisfaction Through Nurse Rounding Nurse rounding is important to hospital-based practice because it directly impacts patient satisfaction (Blakley, Kroth, & Gregson, 2011). It serves as a method to improve quality of care by allowing nurses to routinely visit their patients and provide for any needs while also anticipating any safety concerns. Patients’ overall perceptions of hospital experiences are heavily dependent on how successful nurses are in satisfying the basic needs (Blakley et al., 2011). Rounding permits nurse-patient interaction and communication periodically, allowing observation and exchange of relevant information and also implementation of proper interventions. Nurses must practice rounding competently with compassion.
Rightfully so, every nurse should be competent in their skills. Assessing the competence of practicing nurses is crucially important in identifying areas for professional development, educational needs, and ensuring that competencies are put to the best possible use in patient care (Meretoja, Isoaho, & Leino-Kilpi, 2004). Tools to help these nurses be competent should be easy to learn, time saving, and efficient to the staff involved. Instruments to assess nurse competence should be relatively easy to use for self-assessment and for managers to use in annual review processes (Meretoja et al., 2004). The 73-item Nurse Competence Scale instrument, was a tool that was developed and tested for validity and reliability (Meretoja et al., 2004).The tool that may be most reliable in evaluation of skills, critical thinking, and clinical reasoning for multiple areas is the Nurse Competence Scale (Meretoja et al.,
Under the symbol the word altruism is written. Altruism is defined as concern for the welfare of others rather than one’s own (Johnson, Haigh, & Yates-Bolton, 2007). Examples of altruism in professional nursing may be willing to change shifts, always being kind to patients, going out of your way to help a patient, etc. In our symbol, the patients were in first place and the hospital in second place, both ahead of the nurses. Our symbol also places nurses in third place because it is important that nurses are altruistic for him or herself to prevent stress or burnout at work.
How do you think your education as a RN has influenced you as a nurse or as an individual? Education for registered nurses provides significant benefits to the nursing career and therefore, it is imperative. As a registered nurse, education has influenced my practice at the hospital considerably. One of the major areas influenced by education is caring for patients. As a nurse, caring for patients is one of their primary responsibilities.
The Critical Relationship between Nurse Staffing and Hospital-Acquired Infections The field of nursing is an ‘in-demand’ profession that strives for excellence in patient care and positive outcomes. A nurse’s care is always patient-focused with the goal of helping patients reach maximum medical improvement. The job of a nurse can be physically, mentally, and emotionally challenging at times. This can lead to occupational burnout which has been linked to suboptimal medical care (Cimiotti, Aiken, Sloane, and Wu, 2012). The impact of sub par health care, results in a higher number of hospital-acquired infections (HAIs) and poor patient outcomes.
To accomplish these the nurse needs to possess time management skills, be able to prioritize work considering multidisciplinary teams, be able to delegate, encourage team work, be able to assist staff when needed, and have positive communicat... ... middle of paper ... ...lusion management and leadership skills aids nurses greatly in managing staff and patients. Nurses feel the shift leader role is a highly responsible role for the care of patients and strict control is a major factor in the role (Goldblatt, Granot, Admi & Drach-Zahavy, 2008). Given the complexities of a hospital ward, key to running it efficiently and successfully is good leadership qualities. This skill seems to be more effective with staff morale, time management efficiency and the overall well running of the ward. Leadership is a key skill to a more fruitful balanced ward where patients wellbeing is at the centre (Borbasi and Gaston, 2002).