Showing posts with label dangerous staffing conditions. Show all posts
Showing posts with label dangerous staffing conditions. Show all posts

Friday, April 29, 2011

Tough Demands on Nurses Adversely Affect Patients

Better working conditions and better staffing of nurses can significantly improve the care of patients with serious conditions, according to the latest nurse labor study by the University of Maryland School of Nursing.

Several troubling trends in patient outcomes surfaced as researchers analyzed survey data from 633 nurses in 71 hospitals in North Carolina and Illinois concerning patient outcomes, says lead investigator Alison Trinkoff, ScD, FAAN.

For example, pneumonia deaths were significantly more likely in hospitals where nurses reported increased psychological demands and more adverse work schedules. Trinkoff says they measured high psychological demands by very fast work, lack of time to complete work, excessive required work, being slowed by delays from other workers, and frequent interruptions. Another trend was that patients were more likely to develop deep vein thrombosis after surgery in hospitals where nurses reported high psychological demands. Staffing also was controlled in the analysis, so that the effects occurred independent of staffing.

Click on the "via" link for the full article.

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Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Thursday, March 17, 2011

The #1 stressful thing about being a nurse, Scrubsmag.com

So, we all know there are a million things that ‘stress’ us out during our shifts. Do I really need to list them? Here are just a few that come to mind:

Causes of Stress

  • Inadequate staffing
  • Nurse-to-staff ratio overload (does the word unsafe come to mind)
  • Lack of teamwork
  • Lack of effective and fair management
  • Coworker strain
  • Paperwork
  • Endless charting – repeating information on multiple forms
  • Miscommunication or the lack of communication
  • Census overload and strain (revolving door of admissions and discharges)
  • No time to even use the bathroom

Click on the "via" link for the rest of the article.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Wednesday, March 16, 2011

Don't bring stress home with you, Scrubsmag.com

As a nurse, I don’t think we will ever be able to eliminate stress. I think a certain amount of stress is expected in our line of work. I mean, let’s get real. We’re in the business of saving, and improving the quality of lives here. Stress is just part of the game.

But, just like an athlete playing a ‘game’, we need to leave it all on the field. Yeah, it’s a loose analogy, but it goes a long way. Athletes leave it all on the field and we nurses should leave it all at work.

Bringing stress-related issues home with you just compounds the original problem(s). We have a tendency to take that high-octane paced environment and just keep on driving until we drive it on home. Then you’re ‘wired for sound’ for your significant other or family member. You end up being unpleasant and short-fused with persons who really have nothing to do with your stress. Yet, these are the people that usually have to figure out how to deal with it? So then your level of stress gets even higher since you have no solution.

Click on the "via" link for the rest of the article.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Friday, March 11, 2011

Safe Staffing Saves Lives - ANA's National Campaign to Solve the Nurse Staffing Crisis

Nurses everywhere rank staffing as their biggest problem. Research shows it is a problem – for patients: Insufficient nurse staffing is linked with poorer patient outcomes, lengthened hospital stays and increased chance of patient death.

ANA’s Solution to Staffing

ANA advocates solving the problem by requiring hospitals to set nurse staffing plans for each hospital unit based on changing conditions:

  • Patient acuity (severity of illness)
  • Patient numbers
  • Nurse skills and experience
  • Support staff
  • Technology

Click on the "via" link for the rest of the article.

******************************************************
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Monday, February 21, 2011

Are 12-hour shifts safe? Donna Cardillo, MA, RN - American Nurse Today

Are 12-hour shifts safe?

Donna Cardillo, MA, RN

 

12-hour shifts have become the norm in hospitals and most nurses love them. One can work 3 days and have 4 days off, there is one less major shift change to contend with, and patients have fewer names and faces to get acclimated to in a 24-hour period. It all makes sense on the surface.

 

But is working 12 consecutive hours in a fast-paced, high stress, physically and mentally demanding environment a good idea? Does it support the clear judgment, quick thinking and reflexes, and life and death decisions that we must make in the acute care setting?

 

I know a few nurses who do three 12-hour shifts a week, at least two of the shifts on two consecutive days. Some nurses do three consecutive 12s. Factor in commuting time, shift transition (it can sometimes take 1-2 extra hours to actually finish up), time to get ready for work—never mind making time (if at all) for family or self and they’re lucky to get 5-6 hours of sleep if that. Compound that with the fact that many nurses no longer take meal breaks or even short breaks during their shift to rest and refresh because they believe they don’t have the time or they don’t make the time. This is a recipe for disaster. 

Click on the "via" link to read the rest of the article.

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Any questions, please drop me a line.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Sunday, February 20, 2011

Can a nurse be too old to work at the bedside? Donna Cardillo, MA, RN - American Nurse Today

Let’s consider the facts: Many nurses are still working at the bedside in their 70s and a few even in their 80s. Granted, every nurse is different and age alone is not an indictor of ability. But the inevitable truth is that the older we get the more we are prone to age-related ailments ,such as Parkinson’s and dementia, which are often undiagnosed. And since nurses, like the rest of the population, are living and working longer (many out of sheer necessity), will those nurses be able to recognize when they are no longer able to do their bedside job to the best of their ability? Can we even see in ourselves when our slowed reflexes, diminished critical thinking skills, and lessened agility hamper our practice and potentially endanger our patients and ourselves?

 

This does not imply that all nurses should stop working at the bedside at a certain age or that they should stop working at all. It simply raises the question about one’s own ability to continue competent and safe bedside practice indefinitely. This concern comes at a time when 10,000 baby boomers are turning 65 each day  — that’s right, each day. And many of them are in the current bedside nursing workforce and are being required to work 12-hour shifts. (See post dated 10/26/10 “Are 12-hour shifts safe?”)

Click on the "via" link to read the rest of the article.

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Any questions, please drop me a line.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
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http://www.nursingexperts.com

Thursday, May 29, 2008

Alaska State: Nursing overtime spurs safety concerns

Alaska: Monday, March 24, 2008: Nursing overtime spurs safety concerns: By Alan Suderman | JUNEAU EMPIRE:"Lawmakers in the Senate Finance Committee heard continued testimony Friday on a bill that would outlaw mandatory overtime for nurses except in a few cases. Some nurses, nursing groups and other supporters of the measure say overworked nurses in Alaska pose a serious threat to their patients and themselves, and a state law is needed to protect them from being forced to work overtime. "Mandating that nurses work overtime could be unsafe," said Sue Behnert, a nurse at the Southeast Alaska Regional Health Consortium. But hospital administrators say mandatory overtime isn't a problem in Alaska, and the bill is an unneeded extra regulation that would bog down hospital staff."
http://www.juneauempire.com/stories/032408/loc_261108448.shtml

Category: Nursing Shortage: Alaska State, Short Staffing, http://www.nursefriendly.com/shortage/

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.4nursing.com info@nursefriendly.com ICQ #6116137, AOL “nursefriendly”
856-415-9617, (fax) 415-9618

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