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Unformatted text preview: Week 1: The Changing Aspects of
Healthcare
This week's graded discussion topic relates to the following Course Outcome (CO). CO1 Apply leadership concepts, skills, and decision making in the provision of
high-quality nursing care, healthcare team management, and the oversight and
accountability for care delivery in a variety of settings. (PO 2) Healthcare reform is a term that is ever present in our practice settings and will not
disappear any time soon.
Review the article below and answer the following questions.
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges
facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2),
40-46. . doi:10.1016/S2155-8256(17)30097https://chamberlainuniversity.idm.oclc.org/login?
url= ?
direct=true&db=edselp&AN=S2155825617300972&site=eds-live&scope=site (Links to
an external site.)Links to an external site. 1. Select one of the four challenges and expand on how your workforce has
responded to the change. 2. How have these challenges affected the access to care for your patients? 3. What can you do to decrease the effect on your patients? Provide a specific
example.
"The past decade has been a turbulent time for US hospitals and practicing nurses"
(Aiken). With only being a nurse for less than a year, I have already seen several nurses
come and go through out the units. With nurse retention rate so low, it is very hard for
units to hold onto their experienced nurses. One thing my floor loves to do, is to place
the new graduated nurses with the more experienced nurses on the floor during their
training. They place them with the experienced nurses for about 10-11 weeks. When I
went through my training, I loved being with a veteran on our floor. It allowed me to ask
questions and get an answer based on EBP and experience in those certain scenarios.
"The departure of such a large cohort of experienced RNs means that patient care
settings and other organizations that depend on RNs will face a significant loss of
nursing knowledge and expertise that will be felt for many years to come" (Buerhaus). The challenges that came along with the rapid lose of experience nurses is for the
newer nurses who don't get to shadow or work with the veteran nurses. The veterans
have a flow, they have the experience, and they may or may not have better techniques
for proper and excellent patient care.
One way to help decrease the effect on our patients and the loss of experienced GN's is
to ask questions to managers and leaders on the floor. Even if they have only been
working for a year longer than you, they have a year of experience of things you
possibly have yet to go through. On my floor, we have a lot of surgical patients.
Sometimes we receive PACU patients with surgeries we have never taken care of
before, my goal would be to look up education on that specific surgery and ask
questions to my manager prior to my patient getting to my floor. I would want to look up
possible complications and things to focus on. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital Nurse Staffing and
Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA. 2002;288(16):1987–
1993. doi:10.1001/jama.288.16.1987
Buerhaus PI, Skinner LE, Auerbach DI, Staiger DO. Four Challenges Facing the
Nursing Workforce in the United States. Journal of Nursing Regulation. 2017;8:40-46.
doi:10.1016/S2155-8256(17)30097-2. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital Nurse Staffing and
Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA. 2002;288(16):1987–
1993. doi:10.1001/jama.288.16.1987
Buerhaus PI, Skinner LE, Auerbach DI, Staiger DO. Four Challenges Facing the
Nursing Workforce in the United States. Journal of Nursing Regulation. 2017;8:40-46.
doi:10.1016/S2155-8256(17)30097-2. ...
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- Spring '12
- Ashley
- Nursing, Auerbach DI
