Short staff in nursing is a never-ending concern that can be found in any hospital level, may it be in a community hospital or in a teaching medical center. In University of Chicago’s transplant unit, the burden of work load is felt by the staff nurses. This unit re-opened about a year and a half ago with most of its staff consisting of new graduate nurses. The care delivery design of this unit is promoting primary care delivery, where registered nurses directly provide all levels of care, from toileting needs to passing medications (Duffield, Roche, Diers, Catling-Paull, & Blay, 2010, p. 2243)
A stipulation at University of Chicago is that new nurses are required to participate in a residency program during their first year as a health care provider. A graduate requirement is to present an evidenced based research to the upper level management. A group of nurses from this unit took this opportunity to explore the effectiveness of primary care nursing in terms of patient care and nurse satisfaction. The conclusion was that nurse driven quality data does show improved scores when primary care has been implemented, meanwhile, having low staff satisfaction. This is evident in U of C’s transplant unit as nurses feel a higher level of stress and the inability to speak up.
As a result of the evidenced based project, the unit’s patient care manager h...
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... due to self-interest (Pence, 2014, p. 15). In this situation, it is to this nurse’s self –interest to remain silent about the lack of human resources. Despite having heavy patient assignments, one has a job at this medical center, where competitive benefits are offered, such as 100% tuition fee reimbursement for a Master level education. Other competitive hospitals do not offer this advantage.
Working in an environment where short staffing appears to be a continuous problem warrants an intervention. Yet, being the person to bring up concerns to the union or even the higher level nursing leaders has a negative connotation. Despite knowing the nurses’ ethical duties, this nurse does not want to lose the employment due to the benefits that are offered. An ideal solution at this moment is to remain in this hospital, but find another opportunity at another unit.
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