The rising age of the average patient and the complexity of the patient acuity place an importance on the physical aspects of nursing care. The constant physical strain of turning, lifting, and readjusting patients becomes more of an issue when the nurse has a higher patient load (Griffiths, 2017). This can lead to on the job injuries, further leading to lost time and wages for the nurse, and further decreased staffing for the organization. When nurses work in understaffed conditions on a regular basis and start being mandated to work overtime to cover the care of the patients, the quality of the care goes down, and patient and staff safety are compromised leading to potential poor outcomes (Chovanak, 2017). By creating a Nurse float pool, your organization can proactively manage short staffing issues leading to organizational cost savings and reduce the fatigue felt by your current nursing staff; which will ultimately lead to better patient outcomes, potentially higher nursing satisfaction, and retention of your nursing staff (Shinners, Alejandro, Frigillana, Desmond, & LaVigne, 2016). Rationale for Recommended Change Based on information supplied by your Nurse on Duty during our recent interview, the Orlando VA Medical Center has a determined need for a Nurse Staffing Pool. The current staffing needs have increased as the hospital has become busier after being open for 2 years, and current nursing staff are calling out sick more often, suffering injuries more frequently, and feeling the
CONSULTATIVE CHANGE RECOMMENDATION 12 overwhelming burden of understaffing amongst all the inpatient units. By creating a Nurse Staffing Pool, the organization would have a small group of nurses that could float to understaffed units when the need arises. By having these increased resources, the organization would be able to provide adequate and safe staffing levels; which according to the American Nurses Association has been shown to decrease medical and medication errors, decrease the number of poor patient outcomes, decrease mortality, and on the other hand, lead to an improvement in both patient and nurse satisfaction, decreased nurse burnout, and increased nurse retention (Shimp, 2017). The retention of nurses alone will contribute to a cost savings for the organization due to less training and onboarding costs of new staff when turnover rates are high. Evaluation of Change Effectiveness To evaluate the effectiveness of this proposed change, the Orlando VA Medical Center will use the Press Ganey Nursing Excellence Solution; which combines the NDNQI (National Database of Nursing Quality Indicators) with patient experience and nurse engagement survey data to gather a comprehensive overview of the efficacy of the Nursing Staffing Pool (Press Ganey website, n.d.). The results of this survey should be compared to the published national benchmarks to see where the organization stands. The organization should expect to see increases in both nursing and patient satisfaction, perceived nursing feeling of safety in their
You've reached the end of your free preview.
Want to read all 15 pages?
- Spring '17
- Nursing, VA Medical Center, Orlando VA Medical Center, Orlando VA Medical