Hospital Nurse Staffing and Quality Ser Vice

In: Science

Submitted By iwriter
Words 2314
Pages 10
TITLE: NURSE STAFFING AND QUALITY SERVICE
NAME:
COURSE:
INSTITUTION:
DATE:

INTRODUCTION
Nurse staffing is the placement of qualified nurses in health facilities so that they can work together with doctors to deliver quality health services to the community. Hospitals with high nurse staffing levels are much likely to have good patient outcomes and satisfaction no matter the patient turn out. Nurse staffing focuses on recruiting and keeping qualified nurses in a hospital so that handling of patients becomes easy and focused on quality service to the public. It enhances the identification of individuals that are most likely to work in certain areas of the health sector and also helps to enhance the diversity of nurses by matching candidates and the communities they will provide health services to. Salary and benefits are the factors that motivate qualified nurses to work consistently in a health facility because with good remuneration, nurses are able to further their education which further improves their profession and level of knowledge in their field of operation (Sales, A. 2015).
Low nurse staffing results in higher risks of disease infections particularly the transmittable diseases due to lack of the urgency of treatment because the health facility has less nurses with a high number of patients. Nurse shortage is caused by the lack of enough registered nurses that are allowed to practice, low salary offers, poor training that leads to low confidence of practice, lack of organizational knowhow that is caused by lack of experience in patient handling. The importance of appropriate nurse staffing is the patient outcome and the ability to handle the patient turnover at a particular health facility within the required time. Low nurse staffing means that a health facility is less likely to handle a certain number of patients and this leads to adverse patient…...

Similar Documents

Can Adequate Nurse Staffing Improve Patient Outcomes?

...Can Adequate Nurse Staffing Improve Patient Outcomes? Nursing is more than caring for the sick and injured. It is a twenty-four hour inpatient monitoring system. It is well known that nurses spend significantly more time caring for and looking after patients than any other profession. They routinely monitor and report changing patient conditions around the clock that aid physicians in modifying and updating treatment plans to improve health and prevent complications. The level of safety of hospitalized patients and the degree of quality care that they receive has more to do than fixed nurse-to-patient ratios. It has been well established in the literature that when nursing workload increase to unmanageable levels; weather it be from the addition of patients, increases in acuity and/or care complexity, or from high levels of fluctuation in patient turnover, that nurses ability to perform patient surveillance is disordered, putting patients in undue risk (Needleman, et. al, 2011). Furthermore, excessive workloads contribute to burnout and dissatisfaction leading to nurse attrition that further compounds to the staffing problem. Hospitals need to be held accountable for providing safer nurse staffing levels. Payers and purchasers of care should demand compliance, but should also stimulate better quality and patient safety by providing financial incentives. In addition, a more comprehensive, proactive team approach to nurse staffing can help keep patients......

Words: 2937 - Pages: 12

Leading Nurses Through Hospital Change Case Study

...constant pressure for it to provide quality care while maintaining rising cost. The pressure exerted on a healthcare system is exemplified by managed healthcare. This type of care involves integrating and comprehensive systems of health care providers, insurance, companies and government programs. University Hospital is a very large teaching hospital which scores well on accreditation tests and is known for its high quality level of care. Like all hospitals, they need to work on improving their financial situation. In order to alleviate financial stress, the hospital has taken on a “differentiated nursing practice” which has registered nurses as care coordinators. These care coordinators would be in charge of coordinating patient care from admissions to discharge. These nurses will also communicate with other hospital staff and families of the patients. The nurses selected are considered the best in their field. This case study argues that while this may sound like a good change, but these nurses were traditionally trained and may not be fully able to embrace the new system. They now must talk to people they have never interacted with before and without training this could be a difficult change process. These nurses were told they could design their own job in the “best way possible”. An individual is asked to step in to help the leaders of the nursing department especially the care coordinators and other nurses. KEY PLAYERS Hannah is a nurse in charge, along with......

Words: 1053 - Pages: 5

Job Satisfaction of Public Hospital Nurse in Hong Kong

...Job Satisfaction of Public Hospital Nurse in Hong Kong Job Satisfaction can be defined as the employees’ feelings and a collection of attitudes that towards their job. The employee tendency to be satisfied or less satisfied was influence by various factors: the nature of the work, supervision, present pay, promotion opportunities and relations with co-workers; and these variables are very important. The Job Descriptive Index (JDI) and the Minnesota Satisfaction Questionnaire (MSQ) are widely used for measure job satisfaction. The theory of Discrepancy, Equity (Fairness), Disposition and Emotion can be determined the employee’ job satisfaction. Now, Hong Kong hospitals are facing the problems of nursing shortage and high turnover of nurse. Peoples are great concerned about the impact for the quality of healthcare system that threatened the safety of patient. Refer to the report of nursing manpower resources of Hospital Authority survey 2011, the job satisfaction of nurses was scored to 3 on a scale of 10. The score reflected that most of the nurse was less satisfied on their job. According to the typical factors of JDI, we can investigate more about the job satisfaction of nurse by using the theory of Discrepancy, Equity (Fairness) and Emotion. Discrepancy theory: Most of the nurses feel that their salary and workload are not proportional. The survey showed that most of the nurses were suffered a heavy workload, the current patient-to-nurse ratio during the morning......

Words: 1420 - Pages: 6

Nurses

...Proponents of mandatory, inpatient nurse-to-patient staffing ratios have lobbied state legislatures and the United States Congress to enact laws to improve overall working conditions in hospitals. Proposed minimum, nurse-to-patient staffing ratios, such as those enacted by California, are intended to address a growing concern that patients are being harmed by inadequate staffing related to increasing severity of illness and complexity of care. However, mandatory ratios, if imposed nationally, may result in increased overall costs of care with no guarantees for improvement in quality or positive outcomes of hospitalization. The costs associated with the additional registered nurses that will be needed for the higher, mandated ratios will not be offset by additional payments to hospitals, resulting in mandates that will be unfunded. An alternative approach would be to provide a market-based incentive to hospitals to optimize nurse staffing levels by unbundling nursing care from current room and board charges, billing for nursing care time (intensity) for individual patients, and adjusting hospital payments for optimum nursing care. The revenue code data, used to charge for inpatient nursing care, could be used to benchmark and evaluate inpatient nursing care performance by case mix across hospitals. A nursing intensity adjustment to hospital payment, such as that described above, has already been endorsed by national nursing organizations. Efforts to implement this model......

Words: 319 - Pages: 2

External Risks and Associated Factors for Nurse Staffing Companies

...External Conditions and Associated Risk Factors Sarah A.T. Harris HiNursing Hawaii Nursing LLC (HiNursing) is a nurse staffing company that operates under HiHealthcare, which is a subsidiary of The Hawaii Group family (HiGroup). HiNursing is a legacy of Scott Craun, RN and the company he started, Island Nurses, which was acquired by HiGroup on December 1st, 2012 (Silverstein, 2012). The company provides registered nurses (RN), certified nursing assistants (CNA), and medical assistant (MA) positions statewide to places like hospitals, clinics, assisted living facilities, hotels, schools, insurance companies, and correctional facilities (HiHealthCare, 2014). A staff of six people currently work underneath the umbrella of HiHeathcare and oversee HiNursing and HiHomecare, its sister company. HiNursing currently has a highly dynamic compliment of approximately 25 nurses that they use to staff various facilities throughout Hawaii. When the company was first acquired in 2012 they had 73 nurses available for placement around the islands (Silverstein, 2012). The company saw approximately $1 million in revenue for 2012 and an estimated $2 million in 2013 (Silverstein, 2012). None of the companies under HiGroup is publicly traded. HiNursing is still trying to build a brand name but they are committed to fulfilling the last wishes of Scott Craun who established a fund that annually sends Multiple Myeloma cancer patients to the mainland for treatment. Every year HiNursing......

Words: 3093 - Pages: 13

Hospital

...A hospital is a health care institution providing patient treatment by specialised staff and equipment. Hospitals are usually funded by the public sector, by health organisations (for profit or nonprofit), health insurance companies, or charities, including direct charitable donations. Historically, hospitals were often founded and funded by religious orders or charitable individuals and leaders. Today, hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in the past, this work was usually performed by the founding religious orders or by volunteers. According to A.S. Zigmond and R. P. Snaith (2007),  a self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments. The past decade has been a turbulent time for US hospitals and practicing nurses. News media have trumpeted urgent concerns about hospital understaffing and a growing hospital nurse shortage. Nurses nationwide consistently report that hospital nurse staffing levels are inadequate to provide safe and effective care. ......

Words: 574 - Pages: 3

Measuring Quality of Care in Hospitals

...Measuring Quality of Services in Hospital Introduction The application of quality-management practices by manufacturers and service providers has become increasingly widespread. Recognition of the differences between manufacturing and services through the dimensions of intangibility, inseparability, and heterogeneity of service products. A hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical. In addition, most hospitals provide some outpatient services, particularly emergency care. Hospitals may be classified by length of stay (short-term or long-term), as teaching or non-teaching, by major types of services (psychiatric, T.B., Gen. /other Specialties, such as maternity, pediatrics, or ENT), and by type of ownership or control. The below mentioned functions are important for a hospital. Literature Review The quality of service—both technical and functional—is a key ingredient in the success of service organizations. Technical quality in health care is defined primarily on the basis of the technical accuracy of the diagnosis and procedures. Several techniques for measuring technical quality have been proposed and are currently in use in health-care organizations. Information relating to this is not generally available to the public, and remains within the purview of health-care professionals and administrators. Functional quality, in contrast,......

Words: 893 - Pages: 4

Nurse Staffing

...Safe Nurse Staffing and Patient Outcomes Regina Valenzuela Northern Arizona University Abstract Proper nurse staffing has been a debate since the modernization of nursing for many years. This paper examines the results of five researched based articles on the effects of nurse staffing and the outcomes of patient care within a hospital setting. The articles do vary in their methods of gathering information. One study used organizational data from 799 facilitates in eleven states to examine the outcomes of care from the type of nursing care received (Needleman, Buerhaus, Mattke, Stewart, & Zelevinsky, 2002). Another study examined the outcomes of care of intensive care patients in 65 hospitals in the United Kingdom (West, Barron, Harrison, Rafferty, Rowan, & Sanderson, 2014). A third study that was reviewed used cross-sectional patient outcome data from a a nationwide project that provided information from 77 Level I and Level II trauma centers (Glance, Dick, Osler, Mukamel, Li., & Stone, 2012). The fourth article was a synthesis of research publications that examined the outcomes and mortality of patients based on specific determinants (Tourangeau, Cranley, & Jeffs, 2006). The fifth article is an investigative report on nurse to patient ratios and nurse work hours associated to patient care (Agency for Healthcare Research and Quality, 2007). The fifth article was also prepared for the United States Department of Health and Human Services based on a survey...

Words: 1863 - Pages: 8

Hospital Nurse Staffing and Quality Ser Vice

... TITLE: NURSE STAFFING AND QUALITY SERVICE NAME: COURSE: INSTITUTION: DATE: INTRODUCTION Nurse staffing is the placement of qualified nurses in health facilities so that they can work together with doctors to deliver quality health services to the community. Hospitals with high nurse staffing levels are much likely to have good patient outcomes and satisfaction no matter the patient turn out. Nurse staffing focuses on recruiting and keeping qualified nurses in a hospital so that handling of patients becomes easy and focused on quality service to the public. It enhances the identification of individuals that are most likely to work in certain areas of the health sector and also helps to enhance the diversity of nurses by matching candidates and the communities they will provide health services to. Salary and benefits are the factors that motivate qualified nurses to work consistently in a health facility because with good remuneration, nurses are able to further their education which further improves their profession and level of knowledge in their field of operation (Sales, A. 2015). Low nurse staffing results in higher risks of disease infections particularly the transmittable diseases due to lack of the urgency of treatment because the health facility has less nurses with a high number of patients. Nurse shortage is caused by the lack of enough registered nurses that are allowed to practice, low salary offers, poor training that leads to low confidence of practice, lack......

Words: 2314 - Pages: 10

Sunlight Hospital Quality Improvement Plan

...INTRODUCTION Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage to sunlight hospital. Five measurements of quality of care in a hospital There are several quality measures that can be used to gauge how a hospital delivers healthcare to its patients. In most cases, each quality measure targets a specific aspect of a hospital’s healthcare system. Here are five measures of quality that can be used to assess how patients perceive the quality of care provided by hospitals such as Sunlight Hospital of California. 1. Structural measures of quality Structural measures assess the infrastructure of the hospital and other healthcare areas, such as doctors’ office. The aim is to assess the level of care that can be provided by the given infrastructure. The measures may include staffing of such facilities,......

Words: 1491 - Pages: 6

Safe Staffing

...Safe Staffing Examine Nurse-to-Patient Ratios Primary health care organizations such as New York Presbyterian (NYP) are impacted by low nurse-to-patient ratios. The recent implementation of the Patient Protection and Affordable Care Act (ACA) has required organizations such as NYP to explore many approaches to improve quality and patient outcomes that contain costs. “Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes” (www.nursingworld.org, 2015, para. 1). For this reason, nurse-to-patient ratios is an issue that needs to be addressed at NYP in order to improve quality healthcare within their organization. The acuity of the unit in which patient care is being provided, should determine the acceptable nurse-to-patient ratio. According to the American Nurses Association (ANA), factors that influence the nurse staffing needs include: patient complexity, acuity, or stability; number of admissions, discharges, and transfers; professional nursing and other staff skill level and expertise; physical space and layout of the nursing unit; availability of or proximity to technological support or other resources ("Optimal Nurse Staffing," 2015). Currently, New York is one of only fourteen states that addresses the nurse staffing issue in hospitals. New York State requires organizations such as NYP to disclose their nurse-to-patient staffing ratios to the public; however the state does not require a......

Words: 3851 - Pages: 16

Accessing Quality of Care Provided by Nurses

...IN-PATIENTS PERCEPTION OF QUALITY OF CARE PROVIDED BY NURSES IN SOLOMON ISLAND MAJOR RESEARCH PROJECT PROPOSAL FOR BACHELORS IN PHARMACY PHARMACY PROGRAM DEPARTMENT OF HEALTH SCIENCES Compiled By Danny Solomon S110909 Supervisor Madam Joshila Lal Bachelor of Pharmacy Senior Lecturer TOWARDS PHARMACY PROGRAM FIJI SCHOOL OF MEDICINE OF MEDICINE, NURSING AND HEALTH SCIENCES FIJI NATIONAL UNIVERSITY SUVA FIJI October TABLE OF CONTENT Topic page…………………………………………………………………………………..1 Chapter 1 – Introduction 1.1 Background……………………………………………………………………….…….4-5 1.2 Problem Statement…………………………………………………………………….5-6 1.3 Aim……………………………………………………………………………………….6 1.4 Objectives…………………………………………………………………………….…..6 1.5 Advantages of the research…………………………………………………….……...…6 Chapter 2 – Review of Literature………………………………………………………......7-9 Chapter 3 - Methodology 3.1 Study type, variables and data collection techniques……………………………….…10 3.2 Sampling…………………………………………………………………………….....10 3.3 Plan for Data collection ……………………………………………………..………10-11 3.4 Data processing and analysis………………………………………………………….11-17 3.5 Ethical Issues…………………………………………………………………….…….18 3.6Pretest…………………………………...…………………………………………......18 4.0 Work plan…………………………………….……………………………………..…19 5.0 Budget……………………………………………………………………………..…..19-20 6.0 Plan for administration, monitoring and utilization of results ……………………….......

Words: 6392 - Pages: 26

Research Critique, Part 1: Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction

...1: Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction Grand Canyon University: NRS-433V 06-04-2016 PROBLEM STATEMENT: The broad research problem leading to this study is the belief that nursing shortage in facilities leads to patient safety issues. The review of available literature on this topic shows strong evidence that lower nurse staffing levels in hospitals are associated with worse patient outcomes. Some of these outcomes include very high patient to nurse ratio, fatigue for nurses leading to costly medical mistakes, social environment, nursing staff attrition from the most affected facilities. The study specifically attempts to find a way to understand how nurse staffing levels has an impact on patient outcomes and nurse retention in hospital practice. Purpose d Research Questions: With one of the most critical steps being the determination of the problem that will be studied in the research process. (Nieswiadomy, 2008, p.45). Linda H. Aiken et al states the research question as 1. Determine the association between patient-to-nurse ratio and patient mortality 2. Determine the association between patient-to-nurse ratio and failure-to-rescue (deaths following complications) among surgical patients 3. Determine the association between patient-to-nurse ratio and nurse retention/attrition. 4. Determine the association between patient-to-nurse and the facts that contributed to the stress that lead to nurse......

Words: 804 - Pages: 4

Quality Assurance in Hospitals/Health Care Organizations

...QUALITY ASSURANCE IN HOSPITALS/HEALTHCARE ORGANIZATIONS The Joint Commission accreditation standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards concentrate on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The standards set expectations for organization performance that are reasonable, achievable and rational. Each standard is developed with input from healthcare professionals, providers, employers, consumers, and government agencies like the Centers for Medicare & Medicaid Services. New standards are added only if they are in relation to patient safety or quality of care, have a positive impact on health outcomes, meet or surpass law and regulation, and can be accurately and readily measured. The National Patient Safety Goals (NPSGs) have become a critical vocal point by which The Joint Commission promotes and enforces major changes in patient safety and quality of care. The criteria used for determining the value of these goals, and required revisions to them, are based on the merit of their impact, cost, and effectiveness (AHRQ, 2013). Recent changes have focused on preventing hospital-acquired infections and medication errors, in addition to existing goals promoting surgical safety, correct patient identification, communication between staff, and identifying......

Words: 1209 - Pages: 5

Lean Hospitals

... LEAN HOSPITALS “Mark Graban’s book has documented what is now happening in hospitals all across America as we learn to apply the Toyota Production System methodology to healthcare. This book lays out the nuts and bolts of the lean methodology and also describes the more difficult challenges, which have to do with managing change. Graban’s book is full of wins—these are the same type of wins that are happening at ThedaCare every day. I wish I could have read this book six years ago, as it might have prevented some of the mistakes we made in our lean transformation journey.” — John S. Toussaint, MD, President/CEO ThedaCare Center for Healthcare Value “Coupled with a foundation of alignment and accountability, the ideas in this book provide a powerful tool to help hospitals get closer to the goal we want – perfect care.” — Quint Studer, CEO, The Studer Group, author of Results that Last “Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of healthcare. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of healthcare if standardized systems borrowed from reliable industries were implemented. Graban provides those trade secrets in an understandable and transparent fashion.” — Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman, Department of Medicine, University of Pennsylvania School of Medicine “There is...

Words: 89990 - Pages: 360