Additionally, poor work environments decreased the odds of survival of an IHCA by sixteen percent compared to patients cared for in better work environments (McHugh, M., Rochman, M., Sloane, D., Berg, R., Mancini, M., Nadkami, V., . . . American Heart Association's Get With the Guidelines Resuscitation Investigators, 2016). The studies support the large body of literature suggesting patient outcomes are improved when nurses have a reduced nurse-to-patient ratio.
SAFE STAFFING OF REGISTERED NURSES 5 A1c. Financial Impact Hospitals are continually seeking ways to reduce costs and increase profitability by reducing nursing staff. However, nurse staffing is important to the quality of patient care and patient outcomes (Everhart, D., Neff, D., Al-Amin, M., Nogle, J., & Weech-Maldonado, R. 2013). According to Everhart et al. (2013), nurse staffing levels have a positive financial performance for hospitals in a competitive market. While the hiring and training of more nurses will cost money at first, increased nurse retention will offset the initial cost for more nursing staff. The estimated cost for each nurse turned can approach up to $70,000 (Faller, M., 2012). Nurse satisfaction can have an impact on turnover and overall profitability of the hospital. A 2007 PricewaterhouseCoopers Health Research Institute study also found that hospitals that perform poorly in nurse retention spend an average of $3.6 million more per year than those with high retention rates (as cited in Faller, M., 2012). In 2008, the Centers for Medicare and Medicaid Services (CMS) created a reimbursement system based on patient outcomes, quality of care, patient experience. CMS will no longer reimburse any patient care as a result of a hospital-acquired condition. Many of these patient "never events" are directly tied to direct nursing care. Hospitals should reconsider reducing nursing staff as a cost-cutting measure as inadequate staffing may negatively impact financial performance. Nurse-to-patient ratios impact the quality of care and overall profitability. Nurses are the frontline and the care they provide or do not provide to patients impacts revenue A2. Personal Values There is a significant gap between patient need and available nursing care to meet patient needs. As an oncology nurse in the acute care setting, I see a growing trend of sicker patients and fewer nurses to take care of them. Oncology patients are acutely ill. They often requiring
SAFE STAFFING OF REGISTERED NURSES 6 multiple nursing interventions, intravenous chemotherapy, have high psycho-social needs, and often require help with activities of daily living. The burden on nurses continues to grow, along with the expectation of providing quality patient-centered care. Nurses are the cornerstone of hospitals. Without nurses, the hospital industry is practically non-existent. Despite the character of the position, nurses are continually being asked to do more with less. Less staff, fewer resources, and high acuity patients are creating a culture of nurses who are chronically fatigued, distracted, and either feeling burned-out or quickly heading down the path.
You've reached the end of your free preview.
Want to read all 25 pages?