...Attrition Grand Canyon University: Nursing 433V 11/22/2015 The Problem Statement This study seeks to know the reasons why nurses are leaving clinical nursing. The current and future nursing shortage is a huge concern. This study was done because the author feels that there is very little research pertaining to nursing attrition. And this is important to know and understand. Because knowledge and change can occur when it becomes known what the factors are that influence nurses to vacate clinical nursing. The bulk of this study was interviews with nurses who were no longer considered to be nursing in a clinical setting. The nursing workforce projections in the U.S indicate that the shortage of nursing could go above 500,000 RNs by 2025 (American Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S. Department of Health and Human Services, 2002). The rate of vacancy was greater than 8% in 2008 (AACN, 2010). It seems astonishing to know that 30-50% of new nurses choose to either find a different position or they decided to no longer practice as a clinical nurse within their first 3 years after graduating from nursing school (AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006; Cowin & Hengsberger-Sims, 2006). This is an important study because by knowing and understanding the reasons for nurses leaving the clinical field of nursing, we can work towards making improvements, and develop better nursing-retention strategies....
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...Running Head: ANALYSIS AND IMPLICATIONS Analysis and Implications of Practice: Quantitative Research Analysis and Implications of Practice: Quantitative Research Why are Nurses Leaving? Findings From an Initial Qualitative Study on Nursing Attrition Carol Isaac MacKusic and Ptlene Minick Introduction/Purpose As the population ages and chronic disease runs rampant, the need for bedside nurses grows. MacKusick and Minic (2010) further tackle the nursing shortage in Why are Nurses Leaving? Findings from an Initial Qualitative Study on Nurse Attrition. The purpose of this study is clearly stated, “to understand the factors influencing the decision of registered nurses (RN’s) to leave clinical nursing” (p. 335). This purpose statement clearly states and highlights its importance to the nursing practice. Interviews were conducted to find out what factors influenced the decisions of the RN’s to leave clinical nursing. The introduction of this study gave a great summation of the entire article which pulled the reader in. Review of Literature In reviewing the article, it was discovered that the authors did a thorough search of bedside RN’s leaving the nursing practice and found that very limited data was available regarding nursing attrition. Their search began with “GoogleScholar and was narrowed to include CINAHL, Medline, PsychINFO, and LexisNexis MacKusic and Minic” (2010 p.335). MacKusic and Minic (2010) found the data search for this topic ended in 2007 when the...
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...her mother were then called into pre-admission. The Pre-operative nurse proceeded to go through the standard steps prior to being taken into surgery. According to the nurse an assessment was completed, the patient was changed into a surgical gown, and her belongings taken care of. An IV was started, appropriate labs were drawn, the informed consent was signed and information about the length of surgery and recovery time were discussed with the patients mother. The mother stated to the pre-operative nurse that she would be leaving the hospital to attend to another child, she left her cell phone number with the Pre-Operative Nurse who proceeded to write this number into a personal notebook that she carries. The specific instructions to the pre-op nurse were to call the mom when the surgery was over. At this point the patient was ready for surgery, at the appropriate time the patient was taken to surgery and care transitioned into the care of the OR nurse, surgeon and the OR staff. Upon completion of the surgery the patient was transferred from the care of the surgeon and OR nurse to post-operative nursing care. She was then transferred to the care of the recovery nurse. At the point that the patient arrived in recovery the patient’s mother could not be located. Standard procedures are such that the recovery nurse, “pages” or calls for the recovering patient’s family or guardian. According to the recovery nurse the mothers name...
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...virtues you feel are important for nurses to attain, and describe why you feel they are important. • Can different ethical theories be utilized in making an ethical decision? Why or why not Chap3 * What are the ethical principles and implications? • Should the nurse notify security of the potential hazards of patient endangering self and others? • How does the nurse express fidelity, confidentiality, beneficence, nonmaleficence, autonomy, respect for persons, veracity, and justice in this situation? Module 2 discussion When I took a humanity class in college, there were two male students who were friends with each other that sat behind me. They were quietly and actively involved during the class discussion and created a pleasant mood. However, during an exam, their voices were loud enough to be heard by me and other students. One female student, C, who sat next me had strongly adverse feelings about their cheating and she wanted us to go to the professor and talk about them together. However, I didn’t because I felt kind of embarrassed reporting the classmates to the professor and did not mind it since it would not have affected my grade anyway. In addition, their voice was loud enough for the whole class to hear, so I guessed that the professor already knew about them and might punish their behavior later. C reported them after the end of the class, but the professor did not change their grade and I heard him say, “Oh, I did not know, why didn’t you say at that time?” ...
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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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...Fran Benedetto, a woman who was enduring domestic violence from her police officer husband, Bobby. Fran runs away with her son Robert, leaving behind her job as a nurse and the only support she had in her family and friends. She utilized a network service that was committed to helping battered women. Through their help she was able to leave her home in New York and move to Florida. She adopted the name Beth Crenshaw and developed new identities for herself and her son. The book chronicles the early years of their marriage, why she chose to stay, how she hid the abuse, and how she tried to protect her son from knowing the truth about his father. While in hiding, the only job that she could find that would help conceal her identity was an in-home caretaker. Fran and her son Robert are able to adjust to their new life. However, Robert makes a call to his father revealing their location. Bobby finds them and abuses her one last time. Bobby takes their son Robert and Fran ever sees him again. At the end of the book Fran is able to remarry and has a daughter named Grace. Nonetheless, she questions herself on whether or not she made the right choice in leaving Bobby. She then goes on to state that children make it impossible to regret your past. They’re its finest fruits (Quindlin, 1998). This book has given me more understanding of why women choose to stay in these destructive relationships. After watching someone I love endure brutal beatings and verbal abuse, this...
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...I agree, nurse retention is always a "hot topic" especially from a management perspective. I believe that a nurse's willingness to stay at a facility is multifaceted, and range from overall job dissatisfaction, poor interpersonal relationships, and personal career goals. Magnet hospitals are notorious for their high standards of care and educational requirements for their nursing staff. However it is a little known fact (at least to me) that Magnet hospitals also have a higher nurse retention rate. So why are their nurses staying for the duration while other facilities continue to lose nurses left and right? How can other facilities mimic the success of the magnet nurse retention model? The magnet model is provide nurses with ALL the things they need in order...
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...accountable care organizations (ACO), nurse-managed health clinics and medical homes (home health). What is an accountable care organization? A basic definition of an accountable care organization is a network of doctors and hospitals that have the responsibility to provide care to patients (Gold, 2011, para. 4). What makes an ACO most effective is the ability to bring different areas of the care team together such as: home health care, specialists, primary care, etc to make sure that the patient is receiving...
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...the shortage of nurses? There is not just a shortage of nurses, but a problem with retaining nurses after they have graduated from school. Furthermore, how does the shortage effect nursing education. The Nursing Shortage Nursing is a crucial part of healthcare. Historically, nurses were at the bedside and monitored patients on a twenty-four hour basis. Nurses would collaborate with all aspects of the healthcare world in order to provide quality and efficient patient care. Today, the nurse’s role is continually changing with increasing responsibilities made complicated with the ongoing introduction of new-age technology. With so many recent changes and advances realized, it is not hard to imagine the predicated changes that are in store for the nursing profession in future years. Many mechanisms will come into play in the molding of nursing in the future, but a significant key component that could essentially inhibit the growth in the future of nursing lies in the impending nursing shortage. Will we be ready for this? Currently, worldwide research is being conducted in an effort to evaluate the cause of this looming challenge that we are currently facing and are likely to face in the future. Research has shown that the solution to this prolonged shortage is problematic in the sense that there are many contributing factors; it is not just about the decrease in the number of nurses that are employed in our country and all over the world today. Aging Nurses According to the...
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...importance of patients’ care and developed a sense of responsibility. Why do you want to work in the healthcare Department. I believe that with this profession, I can make a difference, and make people feel better. Seeing so many people in pain and misery motivated me to practice nursing. Why are you leaving your current job? My previous job taught me so many things and developed necessary qualities required to be a proficient nurse. But now, there is no room for growth, and I am looking forward for new challenges to thrive in nursing. Where do you see yourself in five years? In 5 years, I would like to have profound knowledge of nursing by way of earning a doctoral degree, so that I can serve people with more advanced techniques. Why should I hire you? You should hire me because I have 4 years of experience in nursing that equips me with the ability to handle critical cases with utmost patience. I can be an asset for your health care center and strength in times of weakness. I will do my best to bring innovation in nursing that can improve health care outcomes. How would you handle a patient, who complains about everything? The major reason of complaints is their diseases, which makes them unhappy. As a nurse, I would understand their situation, listen and reassure them that the best possible services are given to them. What is the most difficult part of being a nurse? According to me, the most intricate part of being a nurse is having a patient, who suffers from an incapacitating disease...
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...in the past and that are still occurring in the present. There hasn’t been a single deciding factor on why people are refusing to come into the field of nursing or leaving sooner than expected. But, what is known by all healthcare providers is that the shortage has a negative effect on many of the aspects of the healthcare setting and recruitment processes. To be able to fix this problem, education, healthcare system, policies, and image must change. The Historical Perspective Many external problems are helping cause the nursing shortages now, and have influenced past shortages as well. Since the 1800’s, many specialized practices have come into play (West,Griffith,Iphofen, 2007, p.124). For example, therapists, X-ray and lab technician, were all newly evolving, and were seen as skilled practitioners. Nursing was never seen as a highly proclaimed occupation, just another labored job. This was because it was viewed as a “women’s job”, and that most, if not all, of the nurses were female. During the nineteenth century, Florence Nightingale strongly proposed that education for nurses meant employing hospitals with a labor force that practiced under physicians. She believed this was the right thing, because it was based off of the preexisting relationships already in the institutional settings. But this created an environment that was too harsh to produce enough nurses to meet the climbing demands. Even despite its obvious disadvantage, this model stayed around until...
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...nursing. Why should it be studied? Justify your rationale. Please include references. Thanks. Providing quality health care in rural settings is a continuing problem that will only grow as America ages. The people living between the Mississippi and the California / Nevada border are experiencing a trend often referred to as the "Diaspora of the Plains." The children graduate, move away and never return, leaving small communities with aging populations substantially higher than the rest of the nation. These aging populations are often served by public health care nurses or small family practice centers with one or two physicians and a very overworked local nursing staff. The vast distances of these communities from regional hospitals necessitates complicated life flight procedures with helicopters, flight nurses and aircraft but even these prospects are often limited by the severe weather common to mid-America. One solution proposed and funded by the United States Department of Agriculture are community grants in their Distance Learning / Telemedicine division. Grants of up to $500,000 have been used in rural Wyoming, Nebraska, Colorado and Montana to provide local medical facilities with compressed video contact with specialists at regional medical centers. Nurses are at the forefront of care with this technology as they are trained to use the equipment to such a high level that the technology becomes transparent and the distances between specialist and care nurse dissolve...
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...2014 Annete Marget Scarce Resources Article For many years now the shortage of nurses has been a difficult global issue that is affecting many countries. Ever since I started high school about 11 years ago, we always here that there is a shortage of nurses. Even till this day, there is a shortage of nurses and it continues to grow. According to (Buchan, 2008), “A nursing shortage is not just an organizational challenge or a topic for economic analysis; it has a major negative impact on health care (Buchan 2006). Failure to deal with a nursing shortage – be it local, regional, national or global – will lead to failure to maintain or improve health care.” Influencing factors to Nursing Shortage There are several reasons why there is such a shortage of nurses that are available. This can be due to heavy population growth resulting in the need of more health care services, not enough nursing students, budget cuts in the hospitals, stress levels that are affecting current nurses which impact job satisfaction which causes them to leave and also the aging of the current nurse workforce. From experience, nurses usually leave their profession due to dissatisfaction. Dissatisfaction can be caused from nurse’s inability to provide excellent quality of care to patients, insignificant change in job performance. Another reason why there is shortage of nurses is due to the lack of students that are unable to take certain classes to meet nursing...
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...Although, when it comes to our healthcare, everyone should be able to receive the same care no matter who they are, or what language they speak. This is why we need cultural competence. If culturally competent healthcare doesn’t occur, then there are many problems. One of the biggest pitfalls if it doesn’t occur is people won’t get the care they need because they feel like they’re either not being understood or they’re being discriminated against. This is definitely not how anyone want’s a patient to feel and could be detrimental to his or her health. Having a lack of knowledge of a culture is the main issue that can cause these pitfalls that need to be stopped. In the video, Cultural Competence for Healthcare Providers, presented by the Jefferson center, there was a patient that didn’t speak English and was getting frustrated when he couldn’t communicate with the nurses or doctors. At the same time, the nurses and the...
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...Within the role of a veterinary nurse, routine dental hygiene procedures may be carried out under the direction of a veterinary surgeon, however the extraction of teeth using instruments is not considered as ‘minor surgery’ therefore the RCVS states that within the Code of Professional Conduct for Veterinary Surgeons, only veterinary surgeons may extract teeth (RCVS, 2012b). There are many dental procedures and treatments which can involve a veterinary nurse or student veterinary nurse, due to the schedule 3 amendment, veterinary and student veterinary nurses are able to carry out dental procedures and become specialised in this area. Veterinary nurses may carry out routine procedures providing that they are under the direction of a veterinary surgeon. ‘’As long as a VN is confident in his or her capabilities, and recognises when a case needs to be referred to a vet, no reason exists as to why they cannot be heavily involved in dental procedures. This can include conducting oral assessments, scaling and polishing teeth, and/or radiography and suturing.’’ Caffull (2017). The veterinary nurse can assist in the many stages of dental procedures, charting is the examination of the oral cavity, this should be the first step of a dental procedure to check for any abnormalities; these are scored appropriately...
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