...Nurse-to-Patient Ratios A Literature Review: Nurse-to-Patient Ratios and Their Relationships with Other Variables Since the times when Florence Nightingale took care of patients, there has been a question about what factors affect patient care. One of these factors, nurse-to-patient ratios, has gotten significant publicity over the last several years due to a change in legislation in California. This increase in publicity has sparked many researchers' interest to further evaluate these ratios in connection with patient outcomes and other variables. Through lots of research and analysis there is evidence that a lower nurse-to-patient ratio does reduce the negative patient outcomes in patient care. Some of these outcomes include urinary tract infections, upper gastrointestinal bleeding, shock, pneumonia, failure-to-rescue, and death (Curtin, 2008). Although lowering the ratio does show a decrease in these outcomes, it does not solve all the problems in the nursing profession (“Safety in Numbers,” 2008). The other variables that have a significant relationship with these nurse-to-patient ratios include retention and recruitment of nurses, malpractice, medical errors, and cost. In this review of literature, a direct relationship between nurse-to-patient ratios and other variables should be visible to readers to better understand the issues that are currently identified in nursing in the health care industry. One of the most referenced studies done on nurse-to-patient ratios...
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...------------------------------------------------- BROCHURE ON CALIFORNIA STATE MANDATED NURSE PATIENT RATIO. Does mandating Nurse-Patient ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. ------------------------------------------------- BROCHURE ON CALIFORNIA STATE MANDATED NURSE PATIENT RATIO. Does mandating Nurse-Patient ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. Explanation of the facts, history, legislative regulations, controversial aspects and opinions Explanation of the facts, history, legislative regulations, controversial aspects and opinions MANDATED NURSE PATIENT RATIO How does it affect you and your loved ones? Nurse patient ratio for safe care means when the staffing between the nurses and the patients are safe to provide the care patients need to get well in the hospital or nursing homes. Why is this important? Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia...
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...The Facts Nurse patient ratio is the amount of patients assigned to a nurse at one time based on acuity or the needs of the patients. The staging progression of ratio proposed for New York is still in Senate as of. History Staff ratio debate originate in California in 1999. In 2004 California became the first state to implement minimum nurse patient ratio. Since then other states have tried to pass legislation on nurse patient ratio In 2005 SB 2965 introduced refer to Health. In 2006 SB 4865 in Health Committee In 2009-2010 A11015 amend to Health Committee In 2011-2012 amend to A921 refer to Ways and means Committee In 2013-2014 amend by adding nine new section and refer to “Safe Staffing for Quality Care Act’ New York is one of the current five state following the legislated daily public reporting/ disclosure of staffing. Legislative regulation This legislative regulation is effective to support a positive environment if the facility is in compliance, because it would decrease some of the workload. Decrease work load leads to less burnout and job satisfaction. Controversial Aspects Nursing profession: Whether Nurse patient ratio would increase interest in nursing career. Increase job satisfaction and...
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...Literature Review: Increasing Nurse to Patient Ratio Michael Brandenberg Central Methodist University Literature Review: Increasing Nurse to Patient Ratio Introduction There are many studies that examine the number of patients a single nurse can take care of safely. Many of these studies results show that the more patients a single nurse cares for, increases the likely hood that the patients’ will have a negative outcome. The three articles reviewed here, also conclude that by having fewer patients a single nurse cares for, the patients have a better outcome then those whose nurse is caring for more patients. When nurses are required to care for an unsafe number of patients, they are not able to provide adequate...
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...concerned with quality of patient care, is now concerned with the quantity of dollars received. John Kariben (2017), the executive director of the Michigan Nurses Association, explains that administrators of hospitals are balancing budgets without much thought of what’s going on at the bedside. As a result of this nurses and patients are suffering. Kariben (2017) goes on to describe some of the profit driven cuts, one of the major cuts being nurse staffing. Poor nurse staffing has been directly linked to poor patient outcomes. The Minnesota Department of Health (2015) found, “strong evidence that...
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...Overhead Ratio: An overhead ratio will show the cost of the office overhead. It is calculated by taking the total expenses, subtracting physician expenses, and then dividing by adjusting receipts. It is very important to monitor these figure every month and every year to year. This will help to make it easier to see any trends in the cost of an overhead. Cost Ratio: To calculate the cost of any performing procedure or service in the office, by dividing the total expense for the month by the number of procedures performed in the month. Revenue Ratio: Revenue Ratio is to calculate the revenue ratio, is divide the total revenue by the number of procedues that are performed in any given period. Profit Ratio: Profit ratio is the amount of the...
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...global nursing shortage. A recent evidence-based practice report sponsored by the Agency for Healthcare Quality and Research concluded that a relationship exists between lower levels of nurse staffing and higher incidence of adverse patient outcomes . Nurses’ working conditions have been associated with medication errors and falls, increased deaths, and spread of infection . RN staffing levels have been associated with the spread of disease during outbreaks. However, increasing nurse-to-patient ratios alone is not adequate; more complex staffing issues appear to be at work. Many studies have found that the times of higher ratios of “pool staff” (i.e., nursing staff who were members of the hospital pool service or agency nurses) to “regular staff” (i.e., nurses permanently assigned to the unit) were independently associated with healthcare-associated infections . The skill mix of the staff, that is, the ratio of RNs to total nursing personnel (RNs plus nurses’ aides), is also related to healthcare-associated infections; increased RN skill mix decreases the incidence of healthcare-associated infections . In a recent comprehensive review of the literature, the authors concluded that evidence of the relationship between nurses’ working environment and patient safety outcomes, including healthcare-associated infections is growing. They also concluded that stability, skill mix, and experience of the nurse workforce in specific settings are emerging as important factors in that relationship...
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...achieve its goals and downsizing their workforce to avoid bankruptcy. “The single most important policy for solving the problem of overworked and understaffed hospitals is the establishment of staffing ratios, mandating both a minimum ratio of RNs to patients and controlling the ratio of RNs to lesser-trained hospital staff. While management generally opposes staffing ratios, evidence suggests that they have proven effective in the recruitment and retention of nurses. Linda Aiken, founder of the magnet hospital program and perhaps the most widely respected author in the field, argues that unless "a floor for staffing is established, we are not going to be able to stop the flight of nurses from hospitals."169 Similarly, JCAHO President Dennis O'Leary notes, "While mandated ratios are controversial among health professionals, there are established relationships between nurse staffing levels and patient outcomes." He also stresses "achievement of mandated ratios will be meaningless until controls are placed on the numbers of non-nursing tasks that nurses are required to perform."170 Management in hospitals that have adopted such ratios has come to appreciate them. Cape Cod Hospital in Massachusetts, which signed a collective bargaining agreement in 1997 mandating a 1:5 staffing ratio for...
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...ACTPACO INDIVIDUAL BUSINESS CASE 1T AY 2013-14 Reference: Accounting 2nd edition. Waren,C., Reeve, J.,and Duchac, J. ( with slight modifications) Case 1. Partnership agreement Jose Reyes, M.D. and Joseph Luke, M.D. are sole owners of two medical practices that operate in the same medical building. The two doctors agree to combine assets and liabilities of the two businesses to form a partnership. The partnership agreement calls for dividing income equally between the two doctors. After several months, the following conversation takes place between the two doctors: Reyes: I have noticed that your patient load has dropped over the last couple of months. When we formed our partnership, we were seeing about the same number of patients per week. However, now our patient records show that you have been seeing about half as many patients as I have. Are there any issued I should be aware of? Luke: I see. Well, I find that I am working as hard as I did when I was on my own, yet making less that I did previously. Essentially, you are sharing in half of my billings and I am sharing in half of yours. Since you are working much less than I am, I end up on the short end of the bargain. Reyes: Well, I don’t know what to say. An agreement is an agreement. The partnership is based on a 50/50 split. That’s what a partnership is all about. Luke: I that is so, then it applies equally well on the effort end of the equation as on the income end. Answer...
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...BBA 14th Batch Fundamentals of Business Finance Course Code B 201 Department of Banking University of Dhaka [pic] [pic] Prepared for Mrs. Hasina Sheykh Associate Professor Department of Banking (DU) Prepared by [pic] |ID NO |Name | |059 |Farhanaz Luna (Leader) | |091 |Nesat Santa Rahman | |099 |Shaharin sultana | |006 |Zarin Tasnim | |102 |Humaira Sadia | |008 |Sajia Akter Moury | [pic] To Mrs Hasina Sheykh Associate Professor Dept. of Banking University of Dhaka Sub: Submission of Term Paper Dear Sir, It is our pleasure to submit term paper on Assessing financial health of banks in Bangladesh: A case of “Dutch Bangla Bank Limited” as a part of our B.B.A. Program. We tried our best to gather relevant...
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...analysis Shouldice hospital is a well-known hospital for its specialization in hernia operations. Last year, Shouldice performed operations on 7500 patients. The greatly developed technique that the hospital uses and the excellent customer service that all staff members and doctors work hard to provide give the hospital a great reputation. Thisincreases demand on the hospital as its exceptional reputation increases patients’ desire to have their hernia operations performed at Shouldice hospital. As per the customer service, the patient should arrive one day before the operation and stay one day after for a total of 3 days. The first day gives the patient the opportunity to understand his or her situation by meeting with other patients and sharing their personal experiences. Inaddition, the patient pairs with another who has similar interests and hopes. As a result, the patient forgets their fear and enjoys their time. The journey does not end by leaving the hospital; Shouldice has a yearly event where all patients are invited to mingle, socialize, and see the doctors and staff. Currently the hospital has 90 beds, 12 full time surgeons, 7 part-time assistances, 5 operating rooms, a patient recovery room, a laboratory, and six examining rooms. The hospital does 150 operations per week, 5 days a week. With each operation, the patient stays a total of 3 days in the hospital.Using the information that we have, the hospital utilization of its beds is: Beds available: 90 beds X 7...
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...care of the basic needs of a resident. As for the time that I have been a nurse aide I have found how hard of work being a nurse aide is and how much many nursing home forget the importance of meeting the basic needs of their residents. You would think that this would be the most important aspect that all nursing homes must meet, but just like every other business a nursing home is also money base, it is not charity. Many times in this hard economy nursing homes have to make cuts, and unfortunately they are cutting all in the wrong places. Many times office jobs in the nursing home are the last to be cut and the nurse aides are the first to be cut, and the reason being is because many states do not have laws stating the aide to resident ratio. Today, a local nursing home has just got a new hope in recovering the problem of the loss of success that their nursing home has encountered. They have begun to cut nurse aides and have begun to run the halls short-handed, unfortunately their complaints have went up and their residents have become very unhappy. The nursing home has now decided to fire the current administrator and hire a new administrator in hope for new ideas and better success for their nursing home. Although the new administrator has many difficult problems to solve she has a lot of faith in recovering the problem the nursing home is now encountering. The new administrated began looking through past experiences working in a nursing home as a nurse aide. She remember...
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...I would be responsible for managing (not 4). The responsibilities continued to pile on at a rate that was rather intense and impeded on my first two weeks of “new-hire training”. Before my hiring, _____________ acted as somewhat of an interim director. She played a pivotal role in my training and understanding of the numerous tasks that seemed endless. During my second week on staff (month/dates), I met with______________, Director of Resident & Family Services, to review my training status. In that meeting, I voiced my concern of being extremely understaffed (4 activities staff to carry out the day’s activities with 100 residents); she sympathized with me and encouraged me with “…it will get better…” and advised that I bring the ratio issue up to my manager, _____________. Later that week, (date), I...
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...to improve patient outcomes. Currently, there is no federal guideline to help determine the appropriate staffing levels needed for optimal patient outcomes. Significant patient outcomes include readmissions to the hospital after discharge and falls occurring during hospitalization. Staffing requirements vary from hospital to hospital based on whatever design the hospital uses to determine staffing levels. The only current federal regulation to guide nurse staffing states that “The nursing service must have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed”(Legal Information Institute,...
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...The SURVIVAL RATE OF GRADUATING BSMT STUDENTS IN NAMEI In Partial fulfillment of the subject RESEARCH Of Bachelor of Science in Marine Transportation Researchers March 2014 DEDICATION PAGE THIS THESIS IS DEDICATED TO: GOD! Our Families and Relatives Our Friends And also Ourselves ACKNOWLEDGEMENT TO OUR PARENTS Who understood and supported our ideas and choices, may they never stop on supporting us. We also thank them for the encouragement that they give us. The familial advices that we should never forget along the way to adulthood TO OUR BROTHERS To those of us that have brothers and or sisters, we greatly thank them for any probable help and any assistance. For those plenty times that they have spent with us and how they kept us awake when we did the research. TO OUR SUPPORTIVE RESEARCH ADVISER; Mr. RAZA On the behalf of us researchers we would like to commemorate this thesis as a gift and proving article as a testimony on how much of a great instructor to us, we would like to extend our thanks to you by getting high grades. TO OUR FRIENDS We would not be here without our beloved friends whom accompanied us on trying times and of good times, without them, everyday life would be boring and dull. We thank them for giving our lives a happy one, our memories of you will never dwindle. TO THE MARITIME/GENERAL INSTRUCTORS THAT WE ADMIRE Furthermore...
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