Download or read book Nurse Patient Ratio Policy written by Anita Zaragoza and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety and outcomes are correlated with nurse staffing and nurse patient ratios in the acute healthcare settings. Based on different peer reviewed studies it is noted that the higher the patient load per nurse the increased risk of negative patient outcomes during hospitalization and once they are discharged home. This proposed project consists of a problem description, solution, implementation, plan evaluation, dissemination plan and review of literature. Implementing a nurse patient ratio for the medical/surgical units will increase patient quality care, nurse satisfaction and decrease negative patient outcomes (Shekelle, 2013). A new nursepatient ratio policy is recommended for the three medical-surgical units at Chandler Regional Medical Center. Implications of the research are that not all units were interviewed about the benefit of having a nurse patient ratio policy.
Download or read book Safety in Numbers written by Suzanne Gordon and published by Cornell University Press. This book was released on 2012-05-15 with total page 285 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 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 A Delphi Policy Analysis written by Sarah Ann Horne Delgado and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Surveys of nurses indicate that persistent and pervasive staffing deficits affect care delivery. A systematic review of longitudinal observational studies demonstrates that staffing levels impact patient outcomes, including mortality and length of stay. Studies of California's mandated patient-level ratios show mixed results in improving patient outcomes, though the policy is linked to higher nurse staffing levels and greater nurse satisfaction. A quasi-experimental study conducted in Australia showed that a unit level nurse-to-patient ratio policy in medical-surgical units led to improved staffing, reduced patient mortality, and shorter length of stay. Objectives: The aim of this project is to leverage diverse perspective in an analysis of a policy that requires minimum unit-level nurse-to-patient ratios in acute care medical-surgical settings in the United States. Specifically, the project examines policy impact on staffing levels, patient length of stay and nurse attrition, and gathers input on potential unintended consequences, such as increasing healthcare costs or decreasing innovation. Methods: The Delphi Policy analysis involves inviting a diverse panel of participants to share their perspectives through a series of iterative surveys. For this project, 28 panelists including direct care nurses and health care leaders, were enrolled. Prior to completing the first survey, participants viewed a short presentation on the evidence related to ratio-based nurse staffing policy. Panelists completed the second and third surveys after reviewing the results of the prior survey. This process creates a virtual, anonymous dialogue between panel members. Results: In survey 1, participants demonstrated moderate agreement that the proposed policy would have a positive impact on staffing levels and patient length of stay, and less agreement regarding the effect on nurse attrition. Survey 1 also elicited a wide range of unintended consequences of the policy. In Survey 2, participants ranked the likelihood that these consequences would occur. In Survey 3, participants further examined the unintended consequences and the policy impact on different stakeholder groups. Results indicated an expectation that the policy will create positive change for nurses and patients, and conflicting views about the policy's effect on healthcare costs and care delivery innovation. Conclusion: This project demonstrates that a unit-level ratio policy may benefit nurses and patients and will also have unintended consequences. Inclusion of direct-care nurses and healthcare leaders in policy development is crucial to identifying and mitigating the untended consequences that staffing policy will generate. This project also demonstrates that the Delphi policy analysis process is an effective tool for studying the divisive topic of staffing policy.
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 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 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 Congressional Record written by United States. Congress and published by . This book was released on 1952 with total page 1414 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
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 Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Download or read book Nurse to patient Ratios written by Katharine Kranz Lewis and published by . This book was released on 2005 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
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 Where Have All the Nurses Gone written by Faye Satterly and published by Prometheus Books. This book was released on 2009-09-25 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: At 6:30 A.M. a head nurse reviews room assignments and the day''s challenges ahead: twenty-nine patients, most of them seriously ill, and four nurses to care for them. That means a barely manageable and potentially risky patient-nurse ratio of seven to one, with one nurse taking eight patients. Unfortunately, this dismal scenario is played out again and again in hospitals across the country.This in-depth, behind-the-scene''s account of a healthcare system under stress and the declining quality of medical treatment in America should serve as a wakeup call to the public. Faye Satterly, a Registered Nurse with over two decades of experience, spells out the alarming statistics: The average nurse today is forty-five years old and anticipating retirement. Only 12 percent of nurses are under age thirty. At the same time, nursing schools report decreasing enrollments and fewer graduates. The result is that the nurses who are on the front lines of healthcare are feeling overwhelmed and leaving the field for less stressful opportunities outside hospital settings.Compounding the looming crisis is the fact that just as nurses are becoming scarce, the need for them is becoming ever greater. Over the next decade, aging baby boomers will swell the ranks of the over-fifty-five population, a group that experiences higher healthcare needs than those in their thirties and forties.There are answers, the author insists, but they will require an honest public debate about our choices and expectations. What are we willing to do and how much are we willing to pay for safe, effective delivery of healthcare?This fascinating and disturbing account by a veteran nurse with extensive experience is a compelling call for action to counter the nursing shortage and ensure that "caring" regains its premium status in healthcare.
Download or read book Proceedings of the 20th Congress of the International Ergonomics Association IEA 2018 written by Sebastiano Bagnara and published by Springer. This book was released on 2018-08-07 with total page 806 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018), held on August 26-30, 2018, in Florence, Italy. By highlighting the latest theories and models, as well as cutting-edge technologies and applications, and by combining findings from a range of disciplines including engineering, design, robotics, healthcare, management, computer science, human biology and behavioral science, it provides researchers and practitioners alike with a comprehensive, timely guide on human factors and ergonomics. It also offers an excellent source of innovative ideas to stimulate future discussions and developments aimed at applying knowledge and techniques to optimize system performance, while at the same time promoting the health, safety and wellbeing of individuals. The proceedings include papers from researchers and practitioners, scientists and physicians, institutional leaders, managers and policy makers that contribute to constructing the Human Factors and Ergonomics approach across a variety of methodologies, domains and productive sectors. This volume includes papers addressing Healthcare Ergonomics.
Download or read book Operating Room Leadership and Management written by Alan D. Kaye and published by Cambridge University Press. This book was released on 2012-10-04 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.
