Download or read book Appropriate Nurse to patient Ratio and the Effect on Patient Care and Nurse Satisfaction written by Claudia A. Talley and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse-to-patient ratio is a commonly argued topic among nurses worldwide. For nurses who work in the emergency department, would a 1:4 nurse-to-patient ratio, verse the current 1:6 nurse-to-patient ratio reduce error and poor patient outcomes while increase the safety of patients and nurse satisfaction during a three month trial period? In a growing emergency department, a new trial assignment protocol will be devised to ensure adequate patient care, increase patient outcomes with increased patient safety as well as increasing nurse satisfaction. In just one of the many examples, research shows an increase of one RN per patient day was associated with a 9% reduction in patient mortality in critical care areas, as there is a consistent relationship between higher ratios and hospital-related death (Shekelle, 2013). The trial will assess the nurses' needs to aid in sufficient patient care, and attempt to secure the safety of patients. The proposal includes an implementation plan involving an additional staff position during the times of higher census and acuity while placing another nurse on-call for further coverage during mass codes, traumas, and to cover nurse absences. Staff will be educated on the process and supportive research. Evaluation will be done with data collection of patient complaints, nurse and patient surveys, and compilations of incident reports, medication errors, and investigation of poor patient outcomes. Results of the study will be presented to staff, administration and stakeholders, to determine whether the trial is effective in decreasing patient risk for adverse outcomes, and increasing nurse satisfaction for permanent protocol initiations.
Download or read book Nurse to patient Ratios and the Impact on Patient Care written by Amanda Martinez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Positive patient outcomes are directly related to quality of care received and there is a vast amount of research that determines the relationship between nurse staffing ratios and patient outcomes. The problem observed in this study is a facility in which there is a high acuity and high nurse-to-patient ratio assignments. The quality of care decreases due to the nurse having so many patients, typically six, and so much to do and assess for each one. Due to the negative patient outcomes and stress of nurses not being able to complete every task, especially not on time. With at least four extensive medication passes per patient and ordered tasks for each patient throughout the day, one can observe how the nurses ability to turn six patients every two hours on the hour, providing them with prompt PRN medications for pain, and performing tasks as proper as they should be performed is hindered. The nurse-to-patient ratio in the acute care setting should be 1:4 (one nurse per four patients), no exceptions. The problem associated with this plan is that the facility does not want to spend the money on hiring and having more nurses per shift. The facility provides staffing according to Hours Per Patient Day or HPPD. The problem with this system is that the HPPD has a set number and only the number of patients determines the staffing, not the acuity level of the patients. The problem needs to be presented to administration and management along the company chain with an exceptional and effective strategy, goal, implementation process, and evaluation process. After one year of implementation, data collected and obtained will be compared with data from one-year prior to determine the difference in results. The results will compare occurrence of wounds, medication errors, hospital-associated infections, falls and injuries, all associated costs with each as well as patient satisfaction surveys and nurse job satisfaction surveys. The results will be disseminated in an effective and appropriate manner.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Download or read book Safety in Numbers written by Suzanne Gordon and published by Cornell University Press. This book was released on 2012-03-15 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs. Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients-leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation. With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Download or read book Effect of Nurse Patient Ratios on Patient Satisfaction and Outcomes written by Cecile A. Emanuel and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care in the United States as well as other international health care facilities have undergone or are undergoing major reform in the delivery and practice of patient care. Health care facilities are being closely scrutinized and reimbursements are now tied to the quality of services provided Centers for Medicare and Medicaid Services. (2013, April 10). Value based purchasing or value placed on quality of care provided has now become modus operandi for hospitals being compensated. Hospitals and health care providers have delivered patient care reflective upon the ethics and principles that have guided practice over the years. Concerned with the financial impact the quality of care delivered may have on future performance, health care providers are seeking avenues that will impact the best quality of care and perception of health care delivered to patients. One of the largest impacts on patient satisfaction lies with the interaction and care delivered by nurses. The high nurse patient/ ratio invariably affects the time the nurse has to spend in this care delivery which can have a negative impact on patients' safety and their perception of care. This research focuses on the impact the nurse/ patient ratio has on patient satisfaction and outcomes, the nurse satisfaction in the work environment and the effect this all has on the patient survey scores. Patient survey scores, also known as hospital consumer assessment of hehealth careroviders (HCAHPS) are now being used as one of the tools tied to reimbursements of health care facilities by the Centers for Medicaid and Medicare Services and other organizations responsible for financial compensations in other countries. An analysis of available research on the current nurse/patient staffing ratio being used in most hospitals identifies three areas that should be of concern to hospital administrators and senior leaders: poor patient outcomes, lower patient and nurse satisfaction and lower scores on national patient surveys.
Download or read book Mandatory Nurse patient Ratios and the Effect on Patient Outcomes written by Alex J. Weigle and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a long, ongoing debate, discussing the effects of nurse staffing on patient outcomes, the incidence of adverse patient events, and patient satisfaction with care. Nurse staffing issues also effect the nurse's perceived quality of care, the rate of burnout, and job satisfaction. Studies done throughout the world, show a significant association between nurses working with large patient loads, and various adverse events and outcomes for the patient and nurse. To combat this, California Legislators introduced mandatory nurse-patient ratios for each type of unit in the hospital setting. Additional research has been done in the United States and around the world linking positive patient outcomes, decreased incidence of adverse patient events, and increased patient satisfaction when mandatory nurse-patient ratios identical or similar to those in California hospitals are initiated. Mandatory nurse-patient ratios also have been proven to increase nurse job satisfaction and their perceived quality of care. This research study will propose a solution to this nursing issue, and provide an implementation, evaluation, and dissemination plan. Included will also be a review of supporting literature and various tools to be used to educate and collect data from key stakeholders and study participants.
Download or read book Nurse Staffing and Patient Ratio written by Sumi George and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inadequate nurse staffing is a worldwide problem in the health care field, because its influence in safe and better delivery of patient care, patients improved satisfaction as well as nurses work satisfaction. Insufficient staffing is not safe for patient's life and the heavy assignments are the main cause for poor patient care and safety of the patient. Lesser mortality rate and reduced hospital stay related to better staffing. Data's and researches showed that heavy workload for staff is always affecting the safety of patients and quality of nursing care. Researches showed that better staffing always make better outcome for patient's health condition. This paper will describe the PICOT question 0−́for hospitalized patient does lower patient to nurse ratio compared to higher patient to nurse ratio improves patient and nurses satisfaction during their hospitalization? According to a study done in Journal of the American Medical Association each additional patient assigned to a nurse are connected with 7% increase in the likelihood of dying and failure to rescue rates, it also associated with 23% of higher rate of burnout and 15% increased job dissatisfaction (Knudson, 2013). This essay explains the results of better nurse staffing and patient ratio, and its outcomes like improved quality of patient care, improved nurse's satisfaction are some of them. There are many researches and evidence based theories that support this topic, that better staffing improves quality of patient care and improved nurses and patient satisfaction. According to a study conducted in a Chinese hospital shows that better staffing improves nurse's self-confidence, patients care and reduced number of fatal events. This also improves patient's safety and nurses burnouts. (Zhu and others, 2012).
Download or read book Impact of Nurse to patient Ratio s on Patient Outcome written by Chelsea Cameron and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing practice is solely focused on patient outcome and patient safety. In order for patients to receive the highest quality of care, nursing staff must be able to provide these patients with their undivided attention. There is an overwhelming amount of research/data that shows the direct correlation between nurse staffing (id est nurse-to-patient) ratios and positive patient outcomes. This study takes place in Albuquerque, New Mexico at the Presbyterian Hospital, on the unit Adult Progressive Care 1 (APC1). Based on data collected and mere observation, quality of care and patient safety suffer when nursing staff is required to care for many high acuity patients at one time. Nursing staff on APC1 are generally assigned five patients, and more often than not these patients are of high acuity. In the acute care setting, nurse-to-patient ratio's should be 1:4 (one nurse per four patients) due to the following observations: the need for thoroughly and accurately performed and documented patient assessments and rounding, many extensive medication passes (id est scheduled and as needed (PRN) medications), preparation for tests and procedures, patient education (id est plan of care, medication, procedural, and safety), and patient advocacy. With the high nurse-to-patient ratios seen on APC1, one can see that accuracy, proper follow-up and adequate time spent with patients is hindered. Not only do the patients overall outcome suffer, but the job satisfaction of the nurse suffer. APC1, on average, sees nurse turn around every 1 to 3 years. With this type of turn around, Presbyterian cannot accomplish their goal of hiring the nurse for the lifetime of his/her career. This problem needs to be presented with an effective strategy, goal, implementation process, and evaluation process, to the hospitals management team. After successful implementation of the proposed changes, it is the writers hope to disseminate these changes not only hospital wide, but statewide.
Download or read book Patient to Nurse Ratios and Quality of Care written by Tamika Harrison and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health care system is continuously changing and there is a new emphasis on quality of care and patient satisfaction, which are beginning to determine reimbursement amounts. With that said, the controversial topic of patient ratios per nurse has been talked about for years. Inadequate staffing of nurses or a high patient-to-nurse ratio will negatively influence patient care, outcomes and their satisfaction. High patient ratios will also lead up to nurse burnout and increased turnover rates. In the hospital acute care settings globally, nurses are caring for an average of eight patients to a minimum of two (Hinno, Partanen, and Vehvilainen-Julkunen, 2012). These high ratios are not conducive to give patients the care they deserve or the nurses their satisfaction of knowing they provided optimal care. So, the question of this study ask 0−́In adult hospitalized patients, does a lower patient-to-nurse ratio of 5:1 or less produce a better quality of care to patients compared to a higher patient-to-nurse ratio of 6:1 or greater?0+́ A literature review of 15 research articles was performed regarding the issue of high patient- to nurse ratios and the outcomes resulted from the studies. Because staffing and ratio issues are a concern in organizations, a proposal was set forth in an attempt to correct the problem at hand. California was one of the first states to implement mandated low patient-to- nurse ratios, which studies have shown increased patient satisfaction, improved patient outcomes, decreased nurse burnout and improved nurse retention and satisfaction (Aiken, Sloane, Cimiotti, Clarke, Flynn, Seago, Spetz and Smith, 2010). Mandated staffing ratios, as California has set in place and the implementation of an evidenced based staffing methodology are proposed solutions set forth by this writer. Implementation of this proposed solution will involve careful assessment, planning and communication efforts. To gain approval, the proposal will be submitted to administration with the current policy and the proposed policy for changes. Evaluation of the projects effectiveness, will be by the use of online surveys and graphs that show positive gain in patient and nurse outcomes as a result of a lower patient to nurse ratio. Educational tools will also be incorporated in the form of a power point presentation and surveys to assess for staff readiness for the new staffing changes. To inform others regarding the new staffing ratio changes, this writer will list the information of the organizations information page 0−́The Bridge0+́. The dissemination process will be ongoing until completion of the proposal. Staffing issues have the attention of many researchers; these researchers are looking for avenues to resolve these issues and assist in making the patients and the nurses satisfied and happy. The end of this article will have a complete literature review of fifteen studies and their results pertaining to nurse patient ratios.
Download or read book Nurse staffing Ratios written by Alexis Bullard and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project addresses the PICOT question: In hospitalized patients, how do low nurse-patient ratios compared to high nurse-patient ratios affect patient outcomes during their hospital stay? Research shows high nurse-patient ratios in hospital settings are associated with decreased patient satisfaction, poor outcomes and poor working conditions for nurses. Adverse events, medication errors, patient falls and hospital-acquired infections increase when high nurse-patient ratios are present. This project describes the current problem, offers a proposed nurse staffing solution and recommends an implementation plan for evidence-based solutions nurse staffing. Utilizing the Nursing Intellectual Capital Theory supports the proposed nurse staffing solution to inform investment in human capital increases quality care and good patient outcomes. A dissemination plan and evaluation of the implementation will be included to measure change processes and determine effectiveness of the solution.
Download or read book Hazards of Nurse to Patient Ratio written by Dana Cammiso and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the nursing profession there are many issues that can impede patient care. A concerning issue is increased nurse to patient ratio; not only does this effect patient outcomes as well as nurse outcomes. This paper will discuss the topic of nurse to patient ratio and the impact it has on delivery of care. Recent research has shown that an increased nurse to patient ratio impacts patient care and outcomes. Studies have concluded increased nurse to patient ratio can cause mortalities, never events, readmissions, and decreased patient and nurse satisfaction. According to the National Institute of Health Also increasing the nurse's workload by one patient increases the likelihood of patient death by 7 percent (2014). Decreasing nurse to patient ratio will improve patient care as well as prevent complications associated with nurse sensitive outcomes. The Department of Professional Employees reports that increased nurse to patient ratio Besides the occupational hazards caused by understaffing, numerous studies show a correlation between inadequate nurse staffing and poor patient outcomes. High nurse-to-patient ratios are associated with an increase in medical errors, as well as patient infections, bedsores, pneumonia, MRSA, cardiac arrest, and accidental death (2014). An implementation plan was created that will decrease nurse to patient ratio from 6:1 to 4:1 on telemetry units. An evaluation plan was created to educate stakeholders and gather baseline data to measure the effectiveness of implementing this change. This research paper will discuss solution, implementation plan, theory, evaluation plan, disseminating evidence, and a review of literature.
Download or read book Principles for Nurse Staffing written by and published by American Nurses Association. This book was released on 1999 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse Staffing and Quality of Patient Care written by U.s. Department of Health and Human Services and published by CreateSpace. This book was released on 2014-07-01 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: A shortage of registered nurses, in combination with increased workload, has the potential to threaten quality of care. Increasing the nurse to patient ratios has been recommended as a means to improve patient safety. However, the cost effectiveness of increasing registered nurse (RN) staffing is controversial. This systematic review analyzes associations between hospital nurse staffing and patient outcomes with consideration of variables that could influence the primary association. The basic research questions were: 1. How is a specific nurse to patient ratio associated with patient outcomes (i.e., mortality; adverse drug events, nurse quality outcomes, length of stay; patient satisfaction with nurse care)? How does this association vary by patient characteristics, nurse characteristics, organizational characteristics, and nursing outcomes? 2. How is a measure of nurse work hours (hours per patient or patient day) associated with the same patient outcomes? 3. What factors influence nurse staffing policies? 4. What nurse staffing strategies are effective for improving the patient outcomes listed in question 1? 5. What gaps in research on nurse staffing and patient outcomes can be identified to address in future studies? Questions 1, 2, and 4 are addressed in the systematic review using meta-analytic approaches. The literature associated with question 3 does not lend itself to meta-analysis. Questions 1 and 2 address the same basic association but employ two different measures of nurse staffing. The nurse to patient ratio relies on a general ratio, which may include all nurses assigned to a unit, including non-clinical time, whereas nurse work hours look specifically at nurses involved in patient care. Even beyond this distinction, the varied ways staffing rates are calculated complicates pooling data.
Download or read book Optimal Nurse Staffing to Improve Quality of Care and Patient Outcomes written by and published by . This book was released on 2015-11-20 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse to patient Ratios written by Rethimol Ravindran and published by . This book was released on 2013 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandatory nurse patient ratios are an issue in most of the hospitals due to financial problems and shortage of nurses. Nurse's work load has been increased due to patient's high acuity and decreased length of stay. Research evidences suggested that regulated nurse staffing influences quality of care, patient outcomes and job satisfactions (AACN, 2003). The purpose of this study is to examine the relationship between nurse staffing and patient outcomes, as well as nurses' job satisfaction at St. Francis hospital in Illinois. Solutions for this problem are implement minimum nurse-to-patient ratio, provide in-services for the nurses to handle patients with high acuity, provide continuity of care and plan the staffing according to the patients' acuity. The ratio should be one to five on medical-surgical unit to secure patient safety and quality of service. In ICU, if the nurse oversees one or two patients, there is significant improvement in patient's outcome and reduction in mortality rat.
