The interactions must be authentically present; develop and sustain a trusting , caring relationship; engage in genuine teaching and learning experiences; create a healing environment at all levels; and being present and supportive of the expression of both positive and negative
NURSE STAFFING RATIOS 7 feelings. Additionally, “caring has to be done in practice and research” (Watson, 2009). A nurse cannot properly uphold this framework if their patient assignment is too large. Hildegard Peplau’s Theory of Interpersonal Relations also applies to safe staffing ratios. This theory considers the phases of the interpersonal process that happens when a nurse and sick person collaborate to fix a health issue. During the orientation phase, the patient realizes they need help, the nurse meets the patient, and obains essential information regarding the patient’s situation. In the working phase, the nurse makes assessments to be used during patient teaching and contributed to within the interdisciplinary team. In the final termination phase, discharge planning is done. It’s success depends on how well the nurse and patient worked through the previous two phases. A nurse cannot properly meet this standard if he/she is stretched too thin. Nursing staffing and patient experience data from California hospitals from 2009-2011 “found that higher levels of nurse staffing...are significantly, positively, correlated with better patient experiences” (Hagerty, Samuels, Norcini-Pala & Gigliotti, 2017). Data from the HCAHPS 2006- 2007 found that “patients who rated their overall experiences as most positive were significantly more likely to have had higher numbers of nurses per patient days” (Hagerty et al., 2017) Reflection: Working in long-term care, I am responsible for an average of 22 patients during my shift. Between medication administration, prescribed treatments, and basic care, it can be very easy for something to fall through the cracks. Some tasks can be delegated to aides, but it is still my responsibility to ensure all aspects of care have been completed. This is pretty daunting for any nurse, whether they be in the hospital setting with 5 acute patients, or in a long-term facility managing longevity of health for an entire wing. Having a limit to the amount of patients a nurse
NURSE STAFFING RATIOS 8 is responsible for allows the nurse to practice to the best of their ability and vie for positive patient outcomes.
NURSE STAFFING RATIOS 9 References Cibrian, K. (2017). Nurse staffing patterns in relation to patient experience of care. AJN, American Journal of Nursing,117 (11), 61-62. doi:10.1097/01.naj.0000526752.91797.98 Gale, S., & Noga, P. (2013). Creating a transparent and dynamic view of staffing as a foundation for improving quality and efficiency. Nursing Administration Quarterly,37 (2), 129-135. doi:10.1097/naq.0b013e3182869dc3 Giuliano, K. K., Danesh, V., & Funk, M. (2016). The relationship between nurse staffing and 30-day readmission for adults with heart failure. JONA: The Journal of Nursing Administration,46 (1), 25-29. doi:10.1097/nna.0000000000000289 Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2017). Peplau’s theory of interpersonal relations. Nursing Science Quarterly,30 (2), 160-167. doi:10.1177/0894318417693286 Pajnkihar, M., Štiglic, G., & Vrbnjak, D. (2017). The concept of Watson’s carative factors in nursing and their (dis)harmony with patient satisfaction. PeerJ,5 . doi:10.7717/peerj.2940 Wallace, B. C. (2013). Nurse staffing and patient safety. Nursing Management (Springhouse),44 (6), 49-51. doi:10.1097/01.numa.0000430406.50335.51 Watson (1999) Watson J. Nursing: human science and human care: a theory of nursing. Jones &
NURSE STAFFING RATIOS 10 Bartlett Learning; Boston: 1999. Watson (2009) Watson J. Caring science and human caring theory: transforming personal and professional practices of nursing and health care. Journal of Health and Human Services Administration. 2009;31:466–482. Wilmont, S. S. (2014). Massachusetts nurses achieve safe-staffing victory. AJN, American Journal of Nursing,114 (10), 15. doi:10.1097/01.naj.0000454835.89737.2c
You've reached the end of your free preview.
Want to read all 10 pages?
- Spring '17
- Kristi Dalby
- Nursing, nurse staffing ratios