A house bill introduced in the last decade insisted that hospitals and other healthcare facilities should develop and implement state-specified, unit-specific, nurse to patient ratios. The major purpose of this healthcare policy is to improve the overall quality of care and to…
One-half of the nurse staffing committee members should be registered nurses currently delivering direct patient care and the rest of the members may be determined by the hospital administration (ARON, 2013). The committee is authorized by the house bill to consider matters such as competencies of the nurses and patients’ acuity. In addition to nurse-patient ratios, this bill also addresses several other concerns including intensity of care, staff skills mix, availability of support staff in the shift, and the physical environment.
Michael and Page (2010) state that nurse staff shortage or understaffing has been a major issue leading to medical negligence, clinical errors, and poor quality healthcare (p.102). To illustrate, a study published in 2002 found that surgery patients in hospitals with high nurse-patient ratios are at 31% increased risk of mortality. Similarly, a report released by the Agency for Healthcare Research and Quality indicated that improvement in nurse-patient ratios can decrease rescue failures and hospital stays. A research work published in the American Journal of Public Health in 2005 (as cited in Conis, 2009) suggested that an improved nurse-patient ratio of 1:4 could save up to 72,000 lives a year. Long working schedules, inflexible work shifts, and work overload often force professional nurses to consider leaving the profession. A recent study by Okrent (2012) indicated that roughly 45% of the nurses planned to make major career changes over the next three years. It is dreadful to note that a significant percent of the current nursing workforce considers professions outside nursing. This adverse situation justifies the need of implementing a nursing policy that would better regulate nurse staffing ratios in the country and thereby contribute to staff satisfaction. Statistical evidences suggest that hospitals incur huge nurse turnover ...
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CNO (2004) asserted that the “essence of professional nursing is the therapeutic relationship with the patient” (p. 12). Therapeutic nurse patient relationship is “a planned, time bound and goal oriented connection between a registered nurse and a patient, and sometimes the patient’s family for the purpose of meeting the healthcare needs of the client” (NANB, 2011).
This has taken place because many nurses feel overworked and underpaid in most medical institutions, and thus opt to work in other areas such as the private sector. With regulations being enacted to restrict the number of patients that can be allocated to any nurse at any given time, nurses will be able to ensure that they give enough attention to all their assigned patients.
It helps in founding the level of staffing that are supple and accounts for alterations. This paper discusses whether nurse recruitment in Florida hospitals where state-mandated least nurse-to-patient ratios are in effect, not similar from two states not having legislation as well as whether those variances are related to the nurse and patient outcome.
This section momentarily addresses the five strategies that one can apply. These are, coming into legislative area, knowing activities and the procedure, knowing the players of power, getting law makers and knowing committees (Abood, 2007). 1) Coming into the legislative arena The arena for legislation is where most supporters focus their tasks to air their viewpoint on specific known issues.
This need not be the case always, though there are instances when a nurse comes in as a patient to a hospital, there could be unpleasantness and difficulties. Keeping this in mind, current study is conducted to find the truth and issues behind this assumption.
Proponents of the mandate have enumerated various benefits of this legislative imposition that have benefited patient care and have improved the lives of nurses in the United States. These proponents have argued that as regards patient care, fewer patients assigned
This was as an end result from a Meta analysis of 90 research studies conducted by an agency for health (Aikan, et al, 2010).
In a research conducted by California department of health revealed that the California mandates can be used as a yardstick
Ida Jean Orlando formulated her theoretical models of nursing in relation to her theory of dynamic nurse-patient relationship and expanded them to involve the distinctive role of nursing in patient care. She examined the aspects that reinforced or hampered the incorporation of mental health doctrine in the curriculum of basic nursing.
umber of researches that have been conducted by various institutions have indicated that when the level of these employees is increased, most of them achieve job satisfaction. The kind of legislation that is proposed to be enacted in New York in favor of California has both
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