Download or read book Adequate Staffing Ratio s by Acuity written by Jennifer Hohmann and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is currently a growing body of evidence to support the major issue of low staffing levels leading to higher percentages of patient mortality, adverse events, and dissatisfied nurses, but what is really being done to support safe staffing levels? With the predicted crisis of the nursing shortage by the year of 2025, many evidence-based practice studies have reflected the issue in nursing in acute and long-term hospitals as well as legislative backing for safe staffing levels for registered nurses in the state of California. A proposed solution that is designed to promote better patient outcomes, less adverse events such as hospital acquired infections and medication errors, lower hospital stays, reduce health care costs, better Medicare reimbursements to hospital, and nurse retention is to mandate nurse-to-patient ratio's based upon acuity level of patients. A plan for a six month study will be conducted with a before and after evaluation of overall patient and nurse satisfaction, safety of work environment, number of adverse events, and trial staffing grid for higher staffing levels based upon patient acuity. A random qualitative questionnaire survey will be administered for nurses to fill out voluntary to measure their perceptions of work environment and satisfaction. The study will include a trial staffing grid along with an acuity flow sheet to the participating unit. Patient satisfaction scores as well as the number of adverse events will be collected prior to the start of the study and compared to the results of the same unit scored during the study. During the implementation phase, a presentation will be held to address the current proposal and issue as well as staff and administrators. The study's results will be reviewed to present stakeholders involved directly toward patient care for further approval. All data including the study's results and the proposed changes will be disseminated to administration for further deliberation towards change for nurse staffing levels, based upon acuity level of patients, to promote quality of care and promotion of better patient outcomes and safer environments. Literature review articles and studies used in this project focus primarily on the effects of unsafe nurse staffing levels, unsafe working environments, adverse outcomes, nurse burnout, and overall quality of care.
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 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 Impact of Safe Staffing Ratios in Nursing written by Cristina Sarabando and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insufficient nurse staffing ratios have led to a variety of problems and concerns within acute care hospital settings. Issues that can arise are things such as: increase in nurse turnover rates and burnout as well as an increase in patient safety concerns and dissatisfaction. Quality patient care is directly affected when units are inadequately staff and nurses are unable to provide the care patients expect and deserve. The nursing profession suffers due to unsafe staffing levels as it contributes to an increase in 'never events' occurring which are non-reimbursable and costly for hospitals. A multitude of studies have been conducted that support the magnitude of safe nursepatient ratios. Needleman and others (2011), collected data from hospital-level administration and found a positive correlation between lower levels of nurse staffing and an increase in patient mortality rate. This observational study reinforces the need to adequately staff units based on patients' individual needs. The nursing profession involves critical thinking where a variety of factors must be taken into close consideration. Safe and proper staffing of an acute hospital unit includes paying close attention to patient acuity, census, unit layout, ancillary staff available, and the experience of the nurses on staff (American Nurse Association, 2013). The projected change emphases safer staffing ratios based on patient acuity and daily census. There are multiple variables that need to be taken into consideration when properly staffing a unit. In the nursing world every day is different and each patient has their own specific requirements to their care. The American Nurses Association advocates for safe nurse staffing ratios and supports the Registered Nurse Safe Staffing Act. The Act validates the importance of safe nurse-to-patient staffing ratios and supports the substantial evidence that suggests that increasing the amount of RNs working on a unit can save a facility as much as 3 billion dollars. They have determined that there are staffing strategies that have reduced costs, decreased adverse events from occurring, and improved patient outcomes by implementing the evidenced-based practices in their facilities. There is software now available that aids in the management of scheduling based on census and acuity, productivity, and workload. This special software helps administration visualize adjustments needed in staffing, correlation between budget and staffing, and prepares upper management with applicable hours-per-patient-day objectives based on real census information.
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 Achieving Excellence written by Christina Biesemeier and published by American Dietetic Associati. This book was released on 2004 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new publication will guide the clinical nutrition manager though the calculation of staffing needs and setting productivity goals. Specific to the dietetic profession, this title addresses staffing needs and staffing plans, identifies opportunities for nutrition services and programs, provides methods for measuring and evaluating staff effectiveness and provides solutions to common staffing problems.
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 Acuity based Staffing written by Angie Camacho and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The debate on how to appropriately staff nurses in the acute care setting is an ongoing one. However, with health care reform on the horizon, staffing to patient acuity must become a focus in the future of nursing in order to adequately meet the increasing demands on nursing, specifically in the Intensive Care areas. Patient acuity should be the key factor in determining staffing so that patients may receive the high quality care they deserve while maintaining desirable working environments for nurses. According to evidence-based research, nurse staffing levels in intensive care settings have a profound effect on patient satisfaction, nurse satisfaction, health care expenses, and patient outcomes. Reassessing current staffing models set in place for these patient care areas is a crucial step towards improving patient outcomes, increasing nurse retention rates, and enhancing the financial well-being of health care organizations. The problem with under staffing, or staffing to ratios, is the lack of consideration for patient acuity. As a result patient care is being jeopardized, often leading to higher unexpected health care costs/ expenses. Nurses are being stretched to the limit and forced to leave numerous nursing tasks undone, which at times can lead to patient injury, causing longer hospital stays, increased incidences of hospital readmissions and patient mortality. While health care administrators are being pressured to reduce costs/ expenses as a result of health care reform, staffing to acuity can actually help contribute to these expectations on numerous levels in terms costs reduction. Acuity-based staffing has proven to help decrease patient mortality rates, be more cost-effective than staffing to ratios in regards to patient outcomes, and increase nurse satisfaction and retention. With health care reform on the horizon, health care administrators have no choice but to reassess staffing models to meet patient needs, retain nurses and gain the financial outcomes they desire.
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 Implementing Acuity based Staffing in Long Term Care Facilities written by Emmanuelle Jesus N. Del Mar and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This proposal hopes to present a suggested implementation of a transition from nurse-patient ratio based staffing to a system that uses workload acuity to provide adequate staffing. The proposed implementation, along with the formatted data collection tools, are developed for application in long term care facilities. The foundational issue of interest revolves around the question, In long-term care facilities, does acuity-based staffing, as opposed to staffing based on a set nurse-patient ratio, yield improved patient outcomes and increased patient safety? This work will begin by providing an overview of the core issues related to ineffectively staffed facilities, more specifically relating to impact on patient care quality. It will also include references to other current research that support similar conclusions. Finally, it will include a description of the suggested solution, followed by plans for implementation of suggested changes and dissemination of proposals, eventually concluded with an proposal for methods of effective evaluation.
Download or read book The Road to Nursing written by Nick Arnott and published by Cambridge University Press. This book was released on 2021-11-22 with total page 715 pages. Available in PDF, EPUB and Kindle. Book excerpt: Being an effective and well-rounded nurse in Australia is not just about technical skills - it's also about thinking like a nurse. The Road to Nursing helps students develop clinical reasoning and critical reflection skills, understand the philosophical and ethical considerations necessary to care for clients and reflect on how to provide care that meets the unique needs of clients. This edition retains three parts which guide students through their transition to university, formation of a professional identity and progression to professional practice. A revised chapter order improves the transition between topics and a new chapter explores the ever-changing Australian health landscape, including recent technological innovations. Each chapter includes definitions of key terms, reflection questions, perspectives from nurses, end-of-chapter review questions, research topics and resources that connect students with the real-world practice of nursing. Written by healthcare experts, The Road to Nursing is a fundamental resource for students beginning a nursing career.
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
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 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 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 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.
