Throughout the United States there is an initiative to create mandatory guidelines regulating the exact number of nurses that must be present at all times during any hours where patients are present and under the care of medical professionals. Several large-scale investigations…
Legislation has passed in California, and will be presented in other states to mandate a specific ratio of nurses per patient that must be maintained at all times.
The possibility of nursing shortages is a relevant concern for hospitalists, patients, and the general public alike. Years past have produced numerous concerns of under-staffed, overburdened hospitals as a barrier to adequate care. This paper will endeavor to examine the conventional wisdom that more patient responsibility will yield lower quality care from nurses and other healthcare professionals; and the extent to which such a decline in patient outcome can be quantified.
But is is true that patients will receive better care, with fewer medical errors under a system of precise nurse-patient ratios? Are nurses doing a better job under such a system? How would such a change extend to doctors and other medical practitioners? Over a dozen states are now considering some form of mandate that will enforce specific ratios of nurses for every patient under the hospitals care, it is worthwhile to examine critically the available research on the balance between caregiver and patient. It is in the interest of everyone to seek the ideal balance between nurse staffing levels and the cost-effective management of the time-resources of medical professionals.
“ Celeste examined the patients chart; she had to remind herself that Mr. McGillicuddy wasnt just a disease; he was a case of full-blown nephrotic syndrome; based on the protein-cysts found in his urinalysis, plus a chronic case of trigeminal neuralgia on top of that. Oh, and a living. breathing person. But with his age and prognosis, personhood wouldnt cut much slack with the transplant committees.
The experienced Nurse was not optimistic that he would retain his living status much longer; in part because the very lab results that Celeste found so damning took as long as they ...
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The ‘Institute of Medicine’s (IOM)’ published account, “keeping patients safe: Transforming the work environment of Nurses” shows that understaffed hospitals; high nurse-patient ratio is a major factor leading to 98,000 cases of preventable patient deaths, annually, as recorded from hospitals in the United States.
Several large-scale investigations have demonstrated the risks involved to patients in a hospital setting with too few nurses, or nurses that are over-burdened with patient care duties. These studies have indicated that too few nurses with too many patients leads to a negative patient outcomes, in addition to lower nurse-retention, and an unattractive environment for the best nursing talent.
H.R. 876, the Registered Nurse Safe Staffing Act, was introduced to Congress on March 2, 2011 by the bill’s sponsor Democratic House Representative Lois Capps, representing California constituents. The bill serves as a proposed amendment to Title XVIII of the Social Security Act to ensure that patient protections are established in hospitals.
The turnover rate in health care and nursing facilities is very high. The problem of high nurse turnover rate experienced by nursing issue is caused because nursing institutions pay less to their nurses than hospitals on hourly basis. Nurses are provided training and certification in the field of nursing by the government.
The lack of nurses is also being experienced in developed countries. After a comparison was done in five countries that are considered to be developed, only 40% of the nurses agreed to have enough registered nurses (Hyun Cho et al., 2009). In
(2011). The primary objective of the article is to establish how the ratio of patients to nurses (PNR) affects patients’ risk of getting ventilator-linked pneumonia. The study utilizes data from a previous study, which took place in 27 intensive care