Nursing in the patient care environment requires critical thinking attention to

Nursing in the patient care environment requires

This preview shows page 5 - 7 out of 9 pages.

requires critical thinking, attention to detail, continuous patient assessment, expert judgement, and patient-family centered education and advocacy. When staffing levels are low and patient to nurse ratios are high, nurses and care staff are forced to compromise the quality of nursing care they provide which often leads to medical errors, nurse and patient injuries, poor patient outcomes, and nurse burnout. Medical errors can be categorized into two types that can occur when underlying causes or processes areunidentified: routine and necessary. Routine violations occur as a result of nurse cutting corners. Necessary violations are due to environmental conditions that prevent the nurse from following policy orcause time constraints. Both types of these nursing errors are often made due to insufficient staffing levels and high nurse to patient ratios. As early as 1988, researchers found associations between nurse staffing and development of hospital-acquired infections (Flood & Diers 1988).A study of 1609 hospital reports of sentinel events(unanticipated events that result in death, injury or permanent loss of function), found that 24%of such events were attributed to nurse staffing levels (Joint Commission on Accreditation of Healthcare Organizations, 2002). In a study published in the journal BMJ Quality & Safetyin May2013, researcher Heather L. Tubbs-Cooley and colleagues observed that higher patient loads were associated with higher hospital readmission rates. A study conducted in a European hospital showed that an increase in a nurses’ workload by one patient increased the likelihood of dying within 30 days of admission by 7%. Hospital nurses reporting higher workloads in a survey were more likely to report more frequent medical errors and patient falls occurring in their units. (Sochalski, 2004).In efforts to prevent inadequate staffing evidence-based practices (EBP) are utilized. EBP improves quality, reliability, and costs of healthcare, patient outcomes, and reduces variations in care (. Patient safety and quality are important predictors of patient outcomes (Melnyk, GallagherFord, & FineoutOverholt, 2014). When nurse staffing is adequate, adverse events and overall outcomes improve(Americal Nurses Association, 2012). In a study of data from two large hospitals, investigators determined that an 8:1ratio created the least expense but was also associated with the highest mortality rates. The study also compared staffing ratios ranging from 8:1 to 4:1 and noted the cost-effectiveness of increased nurse staffing (Rothberg, Abraham, Lindenauer & Rose, 2005).Doctors hospital has numerous strengths. The organization recently became the areas second trauma hospital. It furnishes high school, college, and university students with its reputable clinical. Doctors also conducts community recruitments at local job fairs and through a new grad residency program. This program provides job placement and further prepares new nurses for clinical functions in
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the facility. The residency program covers curriculum and certifications pertinent to the nurse’s specialty.
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