100%(7)7 out of 7 people found this document helpful
This preview shows page 3 - 6 out of 20 pages.
become advance practice registered nurses (Hersch, 2016). While these facts are startling, there is hope. We are learning as an industry that education to promote resilience, mindfulness, and stress reduction has a positive impact on nurses and the care they provide. A2: Investigation “We live in a death denying society and there is an expectation in this country that all diseases should be treated aggressively, even if they cannot be cured” (ELNEC, 2018). There is an estimated 90 million Americans living with serious and life-limiting illnesses (CAPC, 2013). With increased technology, patients living longer and more chronic illnesses, nurses deal with more than ever in the inception of the profession. It is estimated that one half of American adults (117 million) are living with one or more chronic illnesses and one fourth have two or more chronic diseases (ELNEC, 2018). People can live years with these debilitating diseases before they die. Our nurses are the ones who are caring for them during this time. Seeing patients who
LEADERSHIP AND PROFESSIONAL IMAGE TASK 14 continually struggle with illnesses like hear failure, COPD, renal disease, cancer can take a toll on nurses who do not have the proper tools to care for themselves. Stress within the healthcare system and nursing has increased significantly in the last 25 years. We know that “higher stress among nurses is associated with poorer health and absenteeism “(Hersch, 2016). Nursing stress comes from many areas including shift work, death and dying of patients, heavy workload, feelings of powerlessness and work environment. The impact of nurse burnout in healthcare is profound. The cost associated with hiring, training and retaining nurses is burdensome. There is also the cost of overtime associated with coving case-loads due to nurses leaving the field. Then you are faced with potentially burning out a whole new set of nurses. Also, nurses who are burned out tend to suffer from, depression, anxiety, substance abuse and disloyalty to the workplace. All of this has a direct impact on patient care and the quality of care that is provided. And while nurses who leave the job is disheartening, the ones who are burned out, but remain in the job can sometimes create more distress and toxicity in the work place. It is like a revolving door in nursing where you are continuously left with unexperienced and unprepared nurses because of the rush to get them through orientation. A2a: Evidence of Problem or Issue The problem with nurse burnout is evident by the increase in turnover and vacancy rates in the last 12 months. Twelve months ago, our turn-over rate was 21.8% and has increased to 25.6% currently. Vacancy rate has jumped from 7.4% 12 months ago to a staggering 13.4% now. To put this in perspective, we are down four nurses. So if case- loads with at “standard”, there are 48 patients without a nurse case manager. This leads to other nurses having to pick up additional patients to case managers or nursing leaders to case manage some patients until new
LEADERSHIP AND PROFESSIONAL IMAGE TASK 15 team members are hired and trained. Case-loads have increased as a result.