Summary Nurse staffing challenges are most commonly addressed with short-sighted, reactionary methods such as recruitment bonuses or additional pay incentives that do not address the root cause of the problem. Prominent among these is that there is no guarantee that increasing staffing alone improves the process or outcomes of care.
Safe Working Conditions Needle sticks, nosocomial infections, and staff related injuries are workplace risks nurses still face today.
However, as was noted earlier, quality of care and clinical outcomes and by extension, the larger domain of nursing-sensitive outcomes include not only processes and outcomes related to avoiding negative health states, but also a broad category of positive impacts of sound nursing care.
CalNOC has reported early comparisons of staffing and outcomes in medical-surgical and step-down units in 68 California hospitals during two 6-month intervals Q1 and Q2 of and Q1 and Q2 of before and after introduction of the ratios.
No studies were found that examined advanced practice nurse-to-patient ratios or skill mix in predicting acute care patient outcomes. The theory and processes are specific enough to be interventions that apply in nurse patient or interpersonal relationships but have a breadth and universality that can also be applied as leadership principles.
Nonetheless, it would appear wise to continue the widespread practice of adjusting staffing levels for setting, specialty, model of care, client needs, special circumstances, and trends in the frequency of outcomes potentially sensitive to nurse staffing.
Our aim was to describe broad trends in this literature, and to this end, we based our work on four systematic, integrated reviews that contained detailed search criteria and clearly-articulated inclusion criteria and provided detailed syntheses of findings.
Similarly, if staffing data are available only as yearly averages, linkage can be done only on an annual basis, even if outcomes data are available daily or weekly.
In leadership, this theory provides a blending of available leadership theories and applies them from a variety of perspectives. Commonly, the composition of the nursing staff employed on a unit or in a hospital in terms of unlicensed personnel, practical or vocational nurses, and registered nurses RNs is calculated.
The theory derivation was guided by these questions: Nursing work environment and nurse caring: Advanced practice nurses can help meet this growing need by caring for older adults, managing chronic illnesses, and attending to patients in rural areas.
The specific types of educational preparation held by RNs baccalaureate degrees versus associate degrees and diplomas have also begun to be studied. Nursing services are generally contracted through an employment relationship. The nurse staffing problem is not limited only to ensure adequate numbers of staff that are being lost in the acute care settings due to overwork, burnout, compassion fatigue and injuries; the nurse staffing problem also includes the impact to patient care and to the nursing work force when compassion and caring is absent and the negative effects this has on both the patient and the nurse Douglas, To our knowledge, there are no studies yet to directly support a connection between safety and specific managerial approaches or to link Magnet status with patient outcomes in the current era of certification.
The ANA has reported on mandatory overtime and you can read more about this topic sweeping the profession. Specific time frames at the shift level and as a daily, weekly, or yearly average must be identified to ensure common meaning among collectors of the data, those analyzing it, and individuals attempting to interpret results of analyses.
Recent prospective unit-level analyses, now possible with datasets developed and maintained by the NDNQI, CalNOC, and the military hospital systems, make it possible to overcome some of these issues.
Aim This paper is a discussion of the derivation of the Nursing Services Delivery Theory from the application of open system theory to large-scale organizations.
These researchers suggested that administrative practices other than staffing may play an important role in determining long-term care quality.To date, nursing theories that guide nursing administrative research are limited (Mark et al., ), this has resulted in little theoretical explanation of the relationships among nursing knowledge or factors within the work environment (i.e.
nurse staffing) and patient and organizational outcomes. Nursing intellectual capital theory was developed to address this theoretical gap.
Application of Theory to the Practice Problem of Nurse Staffing Marialena Murphy Grand Canyon University August 10, Application of Theory to the Practice Problem of Nurse Staffing Nursing theory influences the practice of nursing in a multitude of ways that can have a profound impact.
Watson’s theory and the nursing process Before applying nursing process, we have to know the role of the nurse in Dr. Jean Watson’s Caring Theory, namely: Establish a caring relationship with patients, Show unconditional acceptance, Use a holistic treatment approach—one that includes treating the mind, soul, and spirit as well as the body, Spend uninterrupted time with patients – something Watson calls.
Caring Theory Enhances Patient Care When nurses and nursing students first encounter the Theory of Human Caring, they often are baffled or overwhelmed by the words and phrases used by its author, nursing theorist Jean Watson, RN, PhD, AHN-bc, FAAN, a professor at the University of Colorado, Denver College of Nursing.
Impact of Nursing Theory Upon Healthcare Organization (graded) Using middle-range nursing theory to address staffing issues: Hi Everyone, Our discussion this week is aimed at addressing these POs to the best of our ability: Communicate the analysis of and proposed strategies for the use of.
A Framework Relating Nurse Staffing to Patient Care Quality and Safety. Figure 2 illustrates a set of conceptual relationships between the key variables in this review, including influences on staffing levels and factors influencing outcomes.
These relationships form a set of interrelated pathways that link nurse staffing to patient care quality, safety, and outcomes.Download