Quality of Patient Care: Link to Nurse Staffing
"Quality of Patient Care: Link to Nurse Staffing" There have been many studies done on nursing. But it was done slowly as issues arose. From 1955-65 nursing changed from functional nursing to team nursing. 1975-85 it changed from team nursing to Primary nursing/total patient care. In 1990s changed focus to cost and efficiency and since 2000 we have a shortage crisis. There was lot of research done with a lot of inconsistent results about RN hours and patient satisfaction, mortality, morbidity and the function of nurses. But despite the avalanche of research it was difficult to change things because the research was not done well. In 1999 the question was again brought up, what is the effect of nurse staffing and the shortage of RNs on patients? Between 1999 to 2006 jobs will grow 23%. How much nursing care is available for patients? Since the 1980s the hours had changed form 6 hours to 8 hours a day for nurses in hospitals. But patients are in hospitals less so therefore less nursing care given and a study found that hospitals
Perhaps nursing education should be more hands on so that when we are finally ready to go out there on our own we can really be experienced to take total care of patients. In medical units short-staffed units had more infections (Flood & Diers, 1988). Schultz et al (1998) studied mortality rates and found that mortality rate was lower with more RNs. Studies by Blegen et al in 1998 showed that the more RN skill mix the lower the medication error (85%) and less falls. The staffing of nurses can also alter the outbrakes of nosocomial infections. Result: need more nurses with more skills! Other studies have reported that only 45% of medicine errors are reported there by making studies less accurate. ANA (American Nurses Association) agreed we needed unit level data but used hospital discharge data (which isn't unit level data) and of the hours provided only 65% was provided by nurses. The implication of this research is: staffing RN proportion and skill mix hours is related to adverse effect occurrences in patients. were hiring less clinicians over other hospital employees (Aiken & Anderson et al). Nosocomial infections are affected by different patient factors (severity of illness and debilitation), misuse of antibiotics. Or maybe hospitals should consider making programs that can give students early work opportunity to get a head start so they can gain the experience on their own. When total hours increased of all workers there was a decreases in falls and UTIs but decreases patient satisfaction as well. There were some problems in the type of study done to accurately tell the problem of nurse staffing and patient care. A study reported reduced rate of pneumonia (6-8%) with high RN percentage.
Common topics in this essay:
Mary Blegan,
Studies Blegen,
Flood Diers,
Unit Level,
Experience RNs,
Hospital Level,
Nurses Association,
Aiken Anderson,
Level Study,
nurse staffing,
patient care,
patient satisfaction,
found rn,
unit level,
mortality rates,
et al,
unit level data,
hospital level,
decreases falls,
al 1998,
quality patient care,
et al 1998,
|
Acceptance Essays
