Inadequate nursing staff is detrimental to patient care and safety. A Federal Government study predicts that hospital nursing vacancies will reach 800,000, or 29 percent, by 2020. The number of nurses is expected to grow by only 6 percent by 2020, while demand for nursing care is expected to grow by 40 percent (AHRQ.gov). This is one of the factors that contribute to a decrease in nurse staffing. With low staffing levels, comes an increase in patient falls and in increase in medication errors. For these reasons, action must be taken now to avoid these adverse effects. A solution includes increasing nursing staff. This will provide the opportunity to increase rounding and prevent patient falls. With an increase in staffing, comes an increase in safety of medication distribution to patients. A change in nurse to patient ratio will increase patient safety and patient outcomes and also have an impact on nurse retention. A study was completed on 11 hospitals, over a 10 quarter period and a significant relationship was found between having an inadequate number of registered nurses and an increase in patient falls and reduction in medication errors (Frith & Faye, 2012).
Change Model Overview
The Johns Hopkins Nursing Evidence-Based Practice Process is a critical process, which is a key part of nursing success in the use of evidence-based research. Nurses should be using this model as a guide to facilitate change in a thought provoking, evidence-based way to provide the best of patient care. The first five steps of the Johns Hopkins Nursing Evidence-based Practice Process consist of, recruiting an interprofessional team, developing and ref...
... middle of paper ...
... quarterly town hall meetings directed by the team lead and CNO. In addition, when falls and medication errors happen we will have an individual questionnaire that will be filled out by the nurse. The questions on the form will relate to why they think the fall happened, or what was an initiating factor in the medication error. These findings will be assessed each quarter by the same team.
Step 18: Disseminate Findings
Internally, we will disseminate findings by way of an employee newsletter. In addition, we will have quarterly face to face meetings in the town hall meeting and Power Point presentation. The initial PowerPoint presentation will be completed on May 8, 2016. The outcome will be shared will all nurses, including all employees. Externally, we will provide information in employee newsletter format to other units, in addition to the town hall meeting.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Introduction Nurses are the largest and the most trusted professional group in the health care system. They are highly educated and skilled in their areas of practice. However, today’s nurses are experiencing an ever increasing workload, which negatively impacts their ability to deliver safe patient care (Berry & Curry, 2012). This paper explores four published journals that report on survey results on nursing workload and their direct correlation with patient care outcomes. The purpose of this paper is to address the ongoing nursing workload issues and explore the reasons behind it.... [tags: Nursing, Nurse, Patient, Medicine]
1168 words (3.3 pages)
- After each shift, nurses gather to communicate essential information regarding their assigned patients to the oncoming nurse for the next shift. The handover report is normally given at the busy nursing station. This report allows the oncoming nurse to ask questions and receive feedback regarding the patient’s care. This will provide a continuity of care among nurses who are caring for the patients. With the current process, nurses are not satisfied with the nurse-to nurse report and the amount of time it takes to give report due to the many distractions and interruptions.... [tags: Nursing, Patient, Nurse, Hospital]
2068 words (5.9 pages)
- Katz Index of Independence in Activities of Daily Living is utilized to assess whether or not a patient is able to live alone independently or needs assistance from others. This assessment tool allows the nurse to assign one point based on how many activities, such as “bathing, toileting, dressing, transferring, continence, and feeding,” the patient can do independently, (Tabloski, 2010, p. 14). R.H. was assessed using this assessment tool. He scored a six which indicates that he is fully independent.... [tags: Nursing, Nursing care plan, Patient, Assessment]
1464 words (4.2 pages)
- Patient safety and quality care are not new to healthcare workers. After the introduction of Affordable Care Act into the health care system these words have gained increased importance in healthcare industry because, now the payments and incentives are focusing on value of service and patient outcomes. Nursing care has a major role in value of care and patient outcomes. Safe staffing is a crucial key to safeguard patient safety and optimum care as nurses are in the front line to provide patient care.... [tags: Nursing, Health care, Patient, Nurse]
1004 words (2.9 pages)
- HCAHPS and Nursing Working Environment Patient satisfaction is a key element in improving the quality of health care services. It became the core value of most of health care organizations. Furthermore, patient satisfaction is a critical element for how well patients perform, as well as a clear link between patient outcomes and patient satisfaction scores was identified especially after the public release of data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.... [tags: Nursing, Health care, Patient, Hospital]
897 words (2.6 pages)
- Nurse Staffing Levels: The Effects on Patient Outcomes Nurse staffing is a complex issue. There are many factors which need to be considered when staffing a nursing unit. Evidence shows an association between Registered Nurses (RNs) having decreased workloads and better patient outcomes, including a decrease in patient mortality (Aiken et al., 2011; Needleman et al, 2011; How Lin, 2013; Patrician et al., 2011; Wiltse-Nicely, Sloane, Aiken, 2013). A small percentage of patients expire during their hospitalization as evidence suggests that a portion of these deaths can be attributed to RN staffing levels (Shekelle, 2013).... [tags: Nursing, Nurse, Patient, Nurse education]
1880 words (5.4 pages)
- EP20EO: Clinical Nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level Introduction Nursing at HVSH is involved in the review, action planning, and evaluation of patient safety in a continuous process of improvement regarding patient safety and satisfaction. Guided by patient safety data when in transit, the DMC upgraded the patient tracking system in June of 2012. Initiation of the state of the art Teletracking XT software program allows staff to track the location of patients before, during, and after tests and procedures.... [tags: Patient, Nursing, Nurse, Transport]
1297 words (3.7 pages)
- By understanding nursing sensitive indicators nurses would be more able to utilize these indicators to provide the best possible care for patients. Nurse sensitive indicators are a variety of indicators which are shown to be directly impacted by nursing staff and are different than medical indicators (Sauls, 2013). Such indicators can be utilized by nurses to provide quality care for their patients by helping to guide their care by using evidence-based quality measures which have been standardized with the goal of optimal patient safety and outcomes being the first and foremost on the list.... [tags: Hospital, Patient, Nursing, Nurse]
709 words (2 pages)
- There are many studies referencing nursing burnout as it relates to the national nursing shortage. Two research studies confirm the relationship between burnout and job dissatisfaction linking it to its effect on patient outcomes. One documented study conducted by the RWJ Foundation, titled Nurse Burnout and Patient Satisfaction cited: · 317 shifts were logged over 28 days between 393 RNs · 360 shifts, nurses reported being mandated to work overtime · 143 shifts where they were “coerced” to work voluntary overtime · 199 errors and 213 near errors reported during the data-gathering period · 58 % of the errors and 56% of the near errors involved medication administration · 18% were proced... [tags: Nursing, Nurse, Hospital, Patient]
778 words (2.2 pages)
- Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete conveying all pertinent information about that patient.... [tags: Patient, Nursing, Nurse, Workplace stress]
705 words (2 pages)