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Author: Cecile A. Emanuel Publisher: ISBN: Category : Burn out (Psychology) Languages : en Pages : 0
Book Description
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.
Author: Cecile A. Emanuel Publisher: ISBN: Category : Burn out (Psychology) Languages : en Pages : 0
Book Description
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.
Author: Alex J. Weigle Publisher: ISBN: Category : Continuum of care Languages : en Pages : 0
Book Description
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.
Author: Ronda Hughes Publisher: Department of Health and Human Services ISBN: Category : Medical Languages : en Pages : 592
Book Description
"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/
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309187362 Category : Medical Languages : en Pages : 485
Book Description
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.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309175704 Category : Medical Languages : en Pages : 558
Book Description
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.
Author: Rebecca Effah Publisher: ISBN: Category : Burn out (Psychology) Languages : en Pages : 0
Book Description
High patient nurse ratio has been an issue with a lot of hospitals in the country. It has a lot of negative effects on patients and nurses. When nurses are faced with this issue, it results in burnout, frustration, high turnover and overall job dissatisfaction. It also has a lot of negative effects on patients as well. High patient nurse ratio results in increase falls, failure to rescue, and inadequate patient teaching among others. This capstone project looked at how hiring nurses especially graduate nurses can help with the nursing deficit that results in high nurse patient ratio and how this can help improve patient satisfaction, quality outcomes as well as nurse job satisfaction. Causes of high nurse patient ratio, its impact on the care given to patients and how it can be prevented were also analyzed. This capstone project also looked at how this proposal will be implemented evaluated and disseminated.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309208955 Category : Medical Languages : en Pages : 700
Book Description
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.
Author: Claudia A. Talley Publisher: ISBN: Category : Burn out (Psychology) Languages : en Pages : 0
Book Description
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.
Author: Suzanne Gordon Publisher: Cornell University Press ISBN: 0801464935 Category : Medical Languages : en Pages : 288
Book Description
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.
Author: Immacula Lambert Publisher: ISBN: Category : Burn out (Psychology) Languages : en Pages : 0
Book Description
Staffing is a crucial issue in the nursing environment. Nurses are burden with excess workload and as a result are not able to provide effective, efficient nursing care. Various states have different legislation on nurse staffing. In California, most hospitals practice a low patientnurse ratio. Adequate nurse-patient ratio has contributed to reduced length of stay, mortality rate, morbidity rate, improved patient outcome, patient satisfaction and staff satisfaction. Studies have shown that nurses who have increased workload as a result of having many patient to care for, report fatigue, burn out and dissatisfaction with their jobs. A study conducted showed nurses' work performance is enhanced when staffing practices related to job security and satisfaction, nurse autonomy, over- time, shift changes, and full-time staffing complements are appropriate improves the overall nurse outcome. XYZ hospital has a 100 bed telemetry unit which is usually fill to capacity. On the unit, nurses reported they desire the nurse-patient ratio be reduced. Management investigated the problem occurring on the unit by using the 5 WHY strategy. It was found that nurse-patient ratio may have affected patient outcome. When a problem is identified, a change is desired to procure solution. This problem is evaluated using Neuman's system theory of change. The theory focus on patient systems to environmental stressors. Neuman's theory stresses on eliminating stressors and balancing the whole system. Implementation of a new policy will require an approval process which will be coordinated by the nurse representative of the hospital. Surveys will be conducted to evaluate the change that will take place. After which, result will be disseminated to stakeholders and the nursing community.
Author: Cecile A. Emanuel
Author: Cecile A. Emanuel
Author: Alex J. Weigle
Author: Ronda Hughes
Author: Institute of Medicine
Author: Institute of Medicine
Author: Rebecca Effah
Author: Institute of Medicine
Author: Claudia A. Talley
Author: Suzanne Gordon
Author: Immacula Lambert