¶ … Unlicensed Personnel
The use of unlicensed assistive personnel (UAPs) has sent a poor message to nursing professionals. In general, the medical establishment has used UAPs in ways that have disregarded the principles of the nursing practice and that have demeaned the value that nurses provide. Rather than showing a willingness to compensate nurses for years of training and performing a demanding job, health care institutions attempted to replace nurses with UAPs without regard to the welfare of the patient.
The misuse of UAPs rather than the use of UAPs is a having a tremendous negative impact on the nursing profession. Of major concern is the increasing use of UAPs to perform services that should be restricted to licensed professionals. By placing untrained, non-credentialed individuals in a position that affects the patient's health, public protection is being sacrificed for increased profits. UAPs should play a role in providing support services to nurses so that nurses have more time to provide nursing case, but UAPs should not be used to replace licensed professionals.
The current nursing shortage was in part caused by higher paid licensed nurses being downsized in favor of UAPs. As the replacements took place, the stresses and strains of the nursing profession increased. Workloads measured by the number of patients the licensed nurses' care for and the acuity of the care became unmanageable and nurses became subject to mandatory overtime. Nurses also became concerned about their own legal responsibilities for directing an increasing number of UAPs under their supervision. Because of the reasons, licensed nurses began to leave the nursing profession or cut back their hours. Layoffs of licensed nurses led nursing schools to cut back on curricula and expenditures and enrollments in nursing programs dropped.
Now, hospitals are faced with a severe shortage of nurses that is projected to get worse.
LITERATURE REVIEW
There's overwhelming evidence to support that the increased use of UAPs has come at the expense of quality health care. An investigation conducted by the Chicago Tribune found that since 1995 at least 1,720 hospital patients have died and 9,548 others have been injured due to nursing medical errors. Most issues occurred when patients were given...
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