hospital ICUs increases the risk of pneumonia and other preventable infections possibly adding thousands of dollars to the treatment costs (NYSNA, n.d). Healthcare facilities could ultimately save and make money by means such as decrease in 30 day readmissions resulting in hospitals being reimbursed by Centers for Medicare and Medicaid Services (CMS), reduced falls, hospital acquired infections, and medical malpractice lawsuits saving hospitals from taking on the financial responsibility of these incidences, and a decrease in nurse turnover resulting in hospitals not having to come up with additional money to train new staff. Such savings would show the policy is sustainable and can generate profit. For instance, In California where a safe staffing policy was implemented, “hospital income rose dramatically after ratios were implemented, from $12.5 billion from 1994 to 2003, to more than $20.6 billion from 2004 to 2010” (NYSNA, n.d).The issue of nurse shortages can contribute to poor staffing and the need for safe staffing ratios. Milstead (2019) addressed reasons that causes nurses shortage of nurses including a stressful work environment, inadequate salaries, and higher demand for nursing services. A stressful work environment contributes to high turnover rates of nurses, which has a direct impact on staffing, subsequently causing shortage in staffing (NSI Nursing Solutions, Inc., 2016). There are strong financial repercussions for hospitals with high RN turnover rates. Replacing an RN could cost healthcare facilities approximately $82,000 to $88,000 (NYSNA, n.d). An organization held a survey in 2016 regarding RN turnover rates nationwide called the National Healthcare Retention Survey; the survey entailed data from 138 participating hospitals within the United States (NSI Nursing Solutions, Inc., 2016). The survey results showed that the cost of RN turnover can have a profound impact on an already diminishing hospital’s financial status (NSI Nursing Solutions, Inc., 2016). Based on research cited, the
SAFE STAFFING FOR QUALITY CARE ACT 9average cost of turnover for a bedside RN ranges from $37,700 to $58,400 resulting in the average hospital losing $5.2 million to $8.1 million (NSI Nursing Solutions, Inc., 2016). The survey results that also showed that nurses working in the areas of emergency services, med/surgand step down have had a consistent turnover rate a rate higher than other areas (NSI Nursing Solutions, Inc., 2016). Another possible benefit of implementing this policy is increased patient satisfaction and decreased medical errors. Staffing challenges and nursing shortage can play a role in patient satisfaction. According to White, Jackson, Besner, and Norris (2015), staffing ratios may affect how well nursesare able to meet their responsibilities. Whenever there are staffing issues, or many patients are kept waiting. When nurses are burnt out from working too long and having too many patients, they might pay less attention to meetingall the needs (physical and emotional) of the patient. The nurse is working
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- Spring '17
- ELIZABETH WHEELER