...Leadership and Nursing Turnover Emergence of new healthcare policy, changed vision in healthcare based on prevention and wellness and the attempt to add entire population under the shield of care, demand greater nursing care to meet the challenges. Good leaders can create expert nurses capable of undertaking future challenges and keep them in the facility, creating better patient satisfaction and outcome. Research article by Furtado, Batista, & Silva (2011) explores the leadership role in nursing turnover and career abandonment intention. This article is relevant today as many nurses abandon facilities for career growth, seek better work environment or change career altogether. The Issue of Nurse Turnover in Present Day Healthcare Nursing turnover is a huge problem affecting healthcare industry today. Literature review from the above mentioned research article shows that while economy is growing and unemployment rate is low, there shall be high nurse turnover but when job availability decreases and economic growth slows down, nurses are forced to stick to the same position whether they are satisfied or not. Also, some frustrated nurses are likely to abandon the career and seek job elsewhere. Healthcare organizations require highly trained, stable and fully engaged nurses to provide effective care and the financial cost of losing a single nurse is more than twice a nurse’s annual salary (Hunt, 2009). Financial burden of nurse leaving the facility, cost of hiring and training...
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...are properly staffed. Meaning that the patient to nurse ratio is adequate to meet patient needs while ensuring safety as well. The understaffing of hospitals and other healthcare facilities can greatly reduce the quality of care provided to patients in many ways. Understaffing leads to medical errors that can negatively affect patient outcomes and in more serious cases it could even lead to death. Understaffing affects healthcare providers and their ability to do their jobs properly, therefore risking patients overall safety. Understaffing is a serious issues that needs to be addressed to ensure that healthcare is being provided at the highest quality possible. In healthcare facilities such as hospitals, how does understaffing of nurses compared to properly staffing of nurses affect patient care during their stay? There is a growing body of research that validates the link between nurse staffing levels and patient outcomes. The study entitled Nurse Staffing and Inpatient Hospital Mortality by Needleman, Buerhaus, Pankratz, Leibson, Stevens, and Harris (2011), examines...
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...Shouldice Hospital Limited Group Project: Summer 2012 Operations Management BUSI-411 D02 Ashley Edwards, Yvette Dennis, Andrew Evans, and Rachel Gillespie Respectfully submitted to Dr. Raja Selladurai Liberty University 8/13/12 Facility The facility of Shouldice Hospital took many years to design and was designed to help aid in the recovery of the patients (Hesket, 2005). Everything was designed around helping the patient to be comfortable, yet encourage movement and socializing of the patients. The design encourages postoperative ambulation, which Shouldice believed aided in recovery (Bendavid, 2003). The building is also efficient in its housekeeping and cafeteria services to help minimize costs. The facility is located in one building that has three floors, with the two lower floors opening out to ground level (Hesket, 2005). This design minimized the need for steps, which can cause discomfort for those who just had surgery. The top two floors contained open lounge areas which creates an environment for socializing. The Florida room is an all glass window room that allows plenty of sunlight to come through, allowing a view of the 130 acre estate. According to Franklin (2012), gazing at scenery such as a gardens or mountains can help speed healing from surgery. The recreational area contains pool tables and exercise equipment. These activities require movement. Shouldice believed that movement and socializing would speed up recovery of patients (Bendavid...
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...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 safer and help hospitals better manage staffing expenditures. Nurse Staffing and Adverse Events Increasingly, studies continue to show links in patient deaths and adverse events to inadequate nurse staffing levels in acute care hospitals (Needleman, et. al., 2002; Aiken et. al., 2002; Needleman, et.al, 2011). In terms of adverse events, higher levels of nurse staffing, measured in...
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...Application of Benner’s theory to problem of delegation Introduction A frequent problem at work is that registered nurse's (RNs) are often reluctant to delegate tasks to unlicensed assistive personnel (UAP). Many patients at the hospital suffer from strokes, spinal injuries, brain tumors, dementia/Alzhiemer’s disease, or other devastating illnesses/injuries. Also, large hospitals and hospitals in urban areas tend to have numerous patients at the hospitals at any given time. Every day hospital units are quite busy and nurses are required to turn, feed, constantly observe for patient safety, bathe, and assist with elimination. RNs need to delegate the tasks or responsibilities to unlicensed assistive personnel (UAP) or other healthcare professionals....
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...increased turnover, which leads to low productivity and performance, costing countless dollars. It offers ideas of health education to help employees with lifestyle changes such as eating healthier and smoking cessation. Bloxam and Evans offer a good implementation plan with interesting ideas (2013). C.)The majority of my clinic employees stay healthy, although this article has very good ideas it would not be of great importance...
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...Capstone in Nursing Natasha Zurcher, MSN/ED, RN, CPN April 6, 2014 Abstract The global nursing shortage has prompted health care systems to seek new strategies to attract and retain nurses. The growing evidence points to the shared governance model of management are as a possible strategy to improve productivity, nurse job satisfaction and nurse retention. There are different models of shared governance, but a clear relationship exists between nurse practice environment and higher retention rates. Research found long hours, and unsupportive practice environments contribute to high turnover rates. Here is a look at the evidence which promote the creation of a shared governance model for a positive practice environment and better retention rates. Shared Governance and Nurse Retention Introduction Shared governance models are being promoted as a plan to decrease nurse turnover, but there are many variable elements to the Shared governance model. True shared governance characteristics are a practice environment that has a process by which nurses take an active participatory role in the decisions of the hospital nursing practice. Most shared governance models are associated with Magnet status hospitals, but more and more hospitals are adopting this style of management without the designation. This is a relatively new concept because nursing in hospitals was paternalistic in the early years and nursing was more of an occupation than a career. Nursing is now a profession...
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...more problems in the end. The Nursing Shortage In the United States is a situation where the demand for nurses is greater than the supply, as is currently the case in several developed nations. According to a U.S. government study, by the year 2020, there could be a nationwide shortage up to one million nurses, which could result in substandard treatment for hundreds of thousands of patients. Just as alarming, fewer nurses are choosing to teach the next generation of professionals, resulting in tens of thousand of applicants being turned away from the nation’s nursing schools. (1) Reason for Shortage The responsibilities of nurses have increased and the patients are more ill as a result. In addition the average age of nurse’s increases while the number of applications to baccalaureate programs has decreased.(2) New opportunities became available for the nursing practice, which further drains the number of nurses available for acute settings. Other factors that affect the nursing shortage are aging workforce, problems with retention and difficulty recruiting young people into the field. Job Satisfaction Studies have shown that the nursing shortage is an issue in developed countries today. Students need now apply to schools to become nurses because admission rates have increased. Several studies have been done to...
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...2009 Nursing Turnover: Costs, Causes, & Solutions Steven T. Hunt, Ph.D., SPHR Director of Business Transformation SuccessFactors Inc. (www.successfactors.com) E-mail: shunt@successfactors.com Copyright © 2009 SuccessFactors, Inc. Invest in People …. Drive Business Results SuccessFactors Healthcare Executive Summary Nursing turnover is a major issue impacting the performance and profitability of healthcare organizations. Healthcare organizations require a stable, highly trained and fully engaged nursing staff to provide effective levels of patient care. The financial cost of losing a single nurse has been calculated to equal about twice the nurse’s annual salaryi. The average hospital is estimated to lose about $300,000 per year for each percentage increase in annual nurse turnoverii. Losing these critical employees negatively impacts the bottom line of healthcare organizations in a variety of ways including: Decreased quality of patient care Increased contingent staff costs Increased staffing costs Loss of patients Increased nurse and medical staff turnover Increased accident and absenteeism rates The primary causes of nurse turnover can be analyzed by I) understanding why nurses choose to work for an organization and ensuring this ‘employee value proposition’ is met; and II) identifying things that occur after nurses are hired that lead them to quit even though their initial job expectations were met. I. Primary factors that influence...
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...acquire. Baccalaureate prepared nurses (BSN) are prepared with similar training as the ADN and diploma nurse but they have much more extensive education and training. The BSN possesses a broader, well rounded perspective of nursing history and theory which will help them to excel at their role as an RN. While the ADN and diploma programs produce nurses that are fully capable of practicing at a basic level of nursing, the competencies of the BSN are more widespread and extensive, and therefore produce a nurse better prepared to take on the changes and challenges in an evolving healthcare system. Different Nursing Programs Continuing education for nurses has been offered since the practice was introduced many years ago. As is/was the case now and back then, enrollment in undergraduate and postgraduate programs remained lower than the AD and diploma programs. Some reasons why individuals have not pursued higher education are due to the financial and time demands. The AD programs allow for a more diverse student nurse population; the cost and time frame make it very attainable for those of all socioeconomic backgrounds. The BSN offered at colleges and universities takes longer, four years,...
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...[pic] NORTHCENTRAL UNIVERSITY ASSIGNMENT COVER SHEET Student: Coleen O’Hara-Vaughn THIS FORM MUST BE COMPLETELY FILLED IN Follow these procedures: If requested by your instructor, please include an assignment cover sheet. This will become the first page of your assignment. In addition, your assignment header should include your last name, first initial, course code, dash, and assignment number. This should be left justified, with the page number right justified. For example: |O’HaraVaughnCEDU8001-8-8 1 | Save a copy of your assignments: You may need to re-submit an assignment at your instructor’s request. Make sure you save your files in accessible location. Academic integrity: All work submitted in each course must be your own original work. This includes all assignments, exams, term papers, and other projects required by your instructor. Knowingly submitting another person’s work as your own, without properly citing the source of the work, is considered plagiarism. This will result in an unsatisfactory grade for the work submitted or for the entire course. It may also result in academic dismissal from the University. | | | |EDU 8001-8 |Dr. Bockrath ...
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...Sabor Inc. CENTRAL ISSUE: Sabor, Inc. is facing a potential shortage of supply of marconil, a new high-tech raw material for air filtration. During the past three weeks Sabor has been approached by three suppliers advising of this potential shortage and encouraging Sabor to sign long-term supplier contracts for the product to hedge against shortage. Sabor is not well-informed on the manufacturing process for marconil, however we are aware that two of the three component raw materials used to produce marconil are by-products from industrial processes and are reasonably stable. The third component raw material is the unknown. Further, we have heard rumors in a few years a much lower-cost substitute material for marconil might be developed. SIGNIFICANT FACTORS: 1. Potential interruption of supply of marconil (used for air filters) will have negative effect on sales revenues. 2. Current suppliers are pressuring Sabor to enter into long-term contracts. 3. Air filters currently represents 9% of corporate sales and is increasing 4. Current supply practice is to purchase needs on quarterly, semiannual or annual contracts. 5. Sabor is unknowledgeable in manufacturing process of marconil. 6. Rumors are that a lower-cost substitute for marconil will be developed in a few years. 7. Sabor air filters provide guaranteed continued sales volume for years due to replacement needs every six months 8. Marketing forecasts for moconil air filtration sales have been off-target (undervalued) ...
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...Safe Staffing McConnell- 2 Safe Staffing Affects Everyone Abstract: Safe staffing is a vital component of quality nursing care. However, oftentimes units in healthcare facilities across the nation lack the personnel that give the units the number of human resources needed to provide safe and sufficient care. A variety of people are affected by unsafe staffing: the actual nurses and ancillary staff, as well as stakeholders such as administrators, government and legislative bodies, and last but not least, the tax payer. The adverse effects of short staffing and the future impending nursing shortage are discussed, along with specific actions that have been taken, and are in the process of implementing, to ensure safe staffing and positive patient outcomes for all states across the United States. Keywords: Safe staffing, nurses, patients, healthcare, problem, nursing shortage Safe Staffing: It Affects Everyone: An Introduction Safe staffing is an essential and vital component of quality care. However, safe nurse to patient ratios are often not met in today's healthcare environment. This paper will describe what safe staffing ratios are, the problems associated with the lack of safe staffing ratios, what some states have enacted to ensure safe staffing, and what the the state of New York is currently projecting to ensure safe staffing is a reality for the future. Safe Staffing McConnell 3 Safe Staffing: A Breakdown: Basically, a healthcare unit, be it a floor...
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...and may help to make improvement according to the results. This can be defined as “ the degree to which people like their jobs and different aspects of their jobs.” (Paul E.Spector, 1997). People who achieve high job satisfaction would enjoy their work and see it as their main part of life. On the other hand, some people do their jobs only because they have to. The cause and consequence of employee’s job satisfaction is one of major domain in many social science studies, especially within organizational behavior field. Researches and investigations have paid high attention to employee’s job satisfactions to see whether it affects workers’ performance and productiveness. It is also very common for many companies to implement assessment, where employers are concerned with employee’s physical and psychological well-being. Literature on job satisfaction can be chased back to the beginning of 1930s, where systematic studies about the nature and drivers of job satisfaction were carried out (Manisera, 2005). Numerous studies have been conducted to determine which is the most important factor to make people happy with their jobs. A review of literature suggests that there is no single agreement on the determination of employee’s job satisfaction. Pay is normally thought to be a popular factor behind job satisfaction; however, it depends on different group of employees. For example, it was found that the younger workers are more likely to be satisfied with the salary they got paid, while...
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...Change and Culture Case Study II Phyllis Parker University of Phoenix Change and Culture Case Study II The new merger between Park Care Hospital and Central Hospital now known as Park Central Hospital has provided quality care for the community since its beginning six months ago. However, since there has been a significant reduction in the workforce a new design for patient care delivery is needed. A redesign of the universal worker may be an option for Park Central. Other options need to be examined in hopes that a new delivery system of health care can be provided for the growing community. Quality care and team-work will be the cornerstone of Park Central. The universal worker is a person who is cross trained in many job departments and can provide coverage to another area in the hospital to alleviate staffing shortages. Universal workers in an assisted care facility are certified nursing assistants who provide personal care and services, and also facilitate other needs of the client (Jenkins, 2008, p. 4). Beginning The Process of Job Redesign As the nation’s largest group of health professionals, nurse’s roles are constantly evolving. They play an important role in the delivery of quality and cost effective health care. Since we have nursing shortages, traditional systems of health care delivery cannot be sustained. Reports have highlighted the underutilization of health care professionals (Fyke,2001;Mazankowski,2001; Gieni; ACHHR,2002). As a result of focusing...
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