Nursing Shortage Risk Management Plan
Nursing staff scarcity constitutes a widespread issue across several segments of the healthcare sector. It is often a challenge to find an adequate number of qualified nursing professionals for meeting staffing requirements. Nursing professionals represent a crucial part of healthcare teams and facilities. A dearth of qualified nurses may leave a healthcare facility vulnerable. Furthermore, because of staff shortages, existing workers are usually expected to work more than normal. A key concern with regard to this shortage and the resultant workload on the existing workforce is: Continuance of safety practices within healthcare organizations may be impacted eventually. This may successively lead to perpetual hospital vulnerability. Overworked nursing staff members or those who are made to take care of a greater number of clients (patients) have to typically make sacrifices. They can't focus sufficiently on individual patients, as is necessary for ensuring satisfactory nursing care. Thus, patient safety is impacted, as are the healthcare organization and its stakeholders, from a broader perspective.
Quality and risk management are an essential and basic element of several healthcare facilities. Personnel turnover and satisfaction are major issues for all organizational risk mitigation strategies. Several research works have been performed on this subject, thus enhancing the possibility that mitigation strategies will prove more effective; also, one can construct implementation strategies on sound evidence-based research. Improving satisfaction levels of workforce ensures low personnel turnover rates; turnover leaves organizations susceptible. A large number of best-practices have been devised, which have proven their ability to enhance job satisfaction. For instance, employee training levels have been found to correlate to overall satisfaction of individuals with their jobs (Schmidt, 2007). Thus, a study of factors linked to personnel satisfaction may be the perfect basis for developing a hospital risk management strategy.
Major Issue
A key problem linked to patient care rationing is the associated negative publicity. In numerous circles, the 'healthcare rationing' notion is frequently a politically and emotionally charged topic. People fail to understand implicit rationing pattern frequency. But irrespective of people's views regarding care rationing, it is quite a common process. In a Texas research, nearly all participants reported some level of rationing in a minimum of one nursing activity, while a majority of the participants rationed several activities. Moreover, rationing preference trends support the accomplishment of tasks aimed at meeting the immediate physiological requirements of patients over other tasks (Jones, 2015). Nursing staff has to personally decide on the areas it is best to commit their time to, at different points in their entire workday, as well as how to prioritize specific issues they are faced with.
Despite implicit rationing now being a widespread practice, one will come across numerous situations wherein it may be exaggerated because of inadequate resources, thereby making the organization susceptible. For instance, researches into this area suggest that nursing staff constantly ration their care and time, and this seriously threatens patient care quality and, subsequently, patient safety. Areas like hygiene, patient mobilization, patient assistance, feeding, communication, discharge planning, patient education, care documentation and surveillance are frequently omitted or inadequately handled (Papastavrou, 2013). Often, appropriate patient care levels represent a somewhat subjective measure, but with resource shortage, implicit care rationing will more likely be interpreted as a practice more in keeping with patient neglect and inferior health outcomes, resulting in organizational and stakeholders susceptibility towards major connected issues or errors.
Care rationing by nurses -- a term used to refer to holding back or failing to perform specific care activities owing to scarcity of resources -- is a moral as well as economic challenge. The challenge is economic in nature because patient care delivery occurs within numerous socioeconomic constraints; further, multiple nursing components have to be budgeted. Rationing has a moral aspect to it as it entails judgments potentially at odds with professional and personal standards (Papastavrou, 2013). As per the 'missed care' theory, the choice of completing, delaying or omitting care elements is governed by an inner factor that includes attitudes, beliefs, and values held by nurses, with regard to their responsibilities and roles, shaping their behaviors.
Three Potential Impacts of Risks and How They Affect...
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