Download or read book Mandatory Nurse patient Ratios and Nursing Outcomes Related to Patient Falls written by Lillian Kathleen Roberts and published by . This book was released on 2013 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Mandated Nurse Staffing Ratios written by Emerald Bell and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this proposal is to examine the association between patient to nurse staffing ratios and patient outcomes, in hospitalized patients, in the acute care environment. After identifying the patient care issue related to the absence of mandatory nursing staffing ratios, fifteen evidence-based articles were reviewed to determine a solution. The use of mandatory nurse staffing ratios, based on unit specific acuity, was determined to be an evidence-based solution, and an implementation plan was created. The implementation plan integrated the use of mandatory patient to nurse staffing ratios throughout a 339 bed acute care facility over a six month trial period. An evaluation plan was formed to review results of the implementation plan, as well as to provide information to disseminate to key stakeholders, and the greater nursing community. The findings provide evidence that mandated patient to nurse staffing ratios, in comparison with no mandated patient to nurse staffing ratios, result in fewer incidences of inpatient mortality, pressure ulcers, failure to rescue, patient falls, pneumonia, urinary tract infections, and blood stream infections in hospitalized patients, in the acute care setting.
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 Relationship of High Nurse patient Ratios Fall Prevention Interventions and Patient Falls written by Elyse N. Granata and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on multiple quantitative and qualitative research studies, there is a direct correlation between the relationship of high-nurse patient ratios, the implementation of fall prevention interventions and the occurrences of patient falls. With the growth of an aging population comes the increased need for a decrease in nurse-patient ratios. Research has proved that with high nurse patient ratios and improper fall prevention interventions elderly patient falls are more prevalent. With the implementation of lower nurse-patient ratios and proper fall prevention assessment tools, patients will remain safe and patient outcomes will improve. The main objectives are to improve Nursing practice, keep health care costs down, and keep patients safe.
Download or read book Mandatory Nurse to patient Ratios written by Traci Pate and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals are operating on tight budgets and one area where cuts are often made is in payroll expenses. Nurses have reported for years there are too few nurses in hospitals to provide quality patient care. Research evidence supports the assertion inadequate nurse staffing results in poor patient outcomes because of increased medication errors, falls, infections and failure to rescue. Nurses with heavy workloads are more likely to miss changes in their patients' conditions (Shever, 2011). It is also important to note this country is facing a worsening nursing shortage and retention of our current nursing professionals and attracting new students is imperative. California was the first state to implement minimum nurse staffing requirements. In a follow-up study performed two years post implementation of mandatory staffing minimums, researchers found the mandated nurse-to-patient ratios resulted in better patient outcomes as well as decreasing nurse burn out and dissatisfaction (Aiken and others, 2010). This proposal presents a plan to increase nurse staffing to adequate levels to provide quality patient care and improve patient outcomes. The proposal includes a complete implementation plan, the resources required for implementation, a method of evaluating the plan, and a plan for dissemination of the results to the stakeholders and greater community.
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 Mandated Nurse Patient Ratios written by Ali Kivel and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The global issue is of the nursing shortage is having a major impact to patient satisfaction, outcomes, and the nursing clinical environment. As the shortage continues, nurses are expected to take on overwhelming patient workloads. Nurse to patient ratios are becoming high and it is having negative a negative impact on both patients and nurses. As, nurses are assigned to more patients the deliverance of care is at a lower quality. Patients are more likely to experience negative incidences during a hospital stay or become re-hospitalized due to issues the patients were previously hospitalized for. Re-hospitalization can occur when the patients are not treated to the best ability or are not thoroughly educated on post hospital care. The time a nurse has to spend with each patient on teaching and care is cut when the workload is at an overwhelming high. It is shown that hospitalized patient experience more falls and the risk of hospital acquired infections are increased because the nurse cannot provide an adequate amount of attention. Patient safety and delivering quality care is a priority to nurses and must be taken seriously. Nurses cannot provide satisfactory care when there is an overwhelming patient workload. As workloads increase nursing job satisfaction is decreasing. The stress and risk of burnout become easily experienced. The retention of nurses is a priority as many are leaving the profession due to inadequate work environments. Patients are hospitalized with more comorbidities than ever and acuity is at an all time high. Nurse to patient ratios must be adjusted for the intense level of care. With mandated patient ratios patient outcomes are better and nurse job satisfaction is higher.
Download or read book Mental Health Atlas 2014 written by World Health Organization and published by World Health Organization. This book was released on 2015-08-13 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Atlas is a project of the World Health Organization (WHO) Headquarters, Geneva..." "Mental Health Atlas 2014 is the latest in a series of publications that first appeared in 2001, with subsequent updates published in 2005 and 2011."-- Page 6.
Download or read book Nursing Outcomes written by Diane Doran and published by Jones & Bartlett Learning. This book was released on 2010-10-22 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: Nursing-sensitive outcomes. c2003.
Download or read book How Patient to Nurse Ratios Affect Patient Outcomes Paper written by Ashley O'Neill and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient to nurse ratios have indeed been a talked about topic as of lately. Since the state of California passed a law in 1999 requiring all hospitals in California to adhere to a minimum patient to nurse ratio, many studies have been done to prove why this change is necessary. Research has shown that by adding one more patient to a nurse's assignment increases the likelihood for a negative patient outcome, such as failure to rescue, medication errors, falls, pressure ulcers, and even death. Many states have tried to implement minimum patient to nurse ratios just as California has done, but have not been successful thus far. The hope is as more research continues to show the evidence that patient nurse ratios do affect patient's outcomes, more states will take this issue seriously and want to make a change. This research paper defines the problem of current patient nurse ratios and how it has negatively impacted patients. This author also discusses a nursing theory, the change theory, along with plans to implement, evaluate and disseminate a change to fix the current problem.
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Download or read book Professional Issues in Nursing written by Carol Huston and published by Lippincott Williams & Wilkins. This book was released on 2021-12-09 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Give students a professional edge in nursing practice with proven, expert insight across a variety of enduring and contemporary issues facing today’s nursing workforce. Rich in engaging pedagogical features and extensively updated with the latest evidence-based perspectives on workplace considerations, workforce issues, legal and ethical concerns, nursing education challenges, and more, Professional Issues in Nursing: Challenges and Opportunities, 6th Edition, readies students for the realities of today’s changing healthcare environment and instills the critical thinking and clinical judgment skills to achieve success in any nursing setting.
Download or read book Making Health Care Safer written by and published by Department of Health and Human Services. This book was released on 2001 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.
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 Assessing Progress on the Institute of Medicine Report The Future of Nursing written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-03-22 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
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:
