Raising the costs of treatment might be necessary to hire new nurses. Dialysis clinics, because of their small size, often have fewer resources than large hospitals and the increased cost of wages of new hires would place a an additional stress on the unit's already limited budget, perhaps if estimates by the American Hospital Association are correct, as much as $270 million dollars a year.
Elaborate on potential negatives that individuals or groups might bring up in discussions and how you would counteract this.
Some nurses, despite their generally strong feelings in favor of the proposal because of their workload, may fear having to take a pay cut, or have overtime hours cut, because of the increased costs and influx of new nurses. Administrators may adopt a different type of change-resistance technique, and simply assert that it cannot be done, given the current nursing shortage, although effective recruiting techniques could be deployed, like tuition assistance, for example, flexible hours, as well as sign-in bonuses, to attract current students looking for jobs upon graduation as well as career nurses.
Based on change theory, how long do you anticipate that it would take to socialize the idea, propose the specific change, and initiate implementation?
The difficulty with persuading others to adopt the change is that it requires a long-range view. Trying to save on costs by increasing nursing workloads is a classic example of being 'pennywise but pound foolish.' Although there may be initial cost savings on nurses' salaries, the costs that will be incurred because of increased rates of patient ailments, increased duration of hospital stays because of complications, and even the costs of potential lawsuits because of the deaths that arise in a clinic with a less-than-desirable staff to patient ratio will far outweigh the initial costs of hiring more nurses.
Nurses already overburdened and overstressed in terms of the demands made upon their time, will likely welcome this initiative, even after initial temporary resistance to possible pay and overtime cuts. Introducing new people...
Nurse Patient Ratios and Quality of Care This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there
Nurse-Patient Ratios. This is a legislator information sheet on nurse-patient ratios (as adapted from Aikan et al. 2010) for a busy legislator who will only have time to read bullet points: The ratio of nurse patient is lower in California than in other states with nurses in CA having at least one patient less than nurses have in other states (as for instance in New Jersey and in Pennsylvania as mentioned
Acute care facilities try to maintain low costs and employ quality nurses. Within this statement is a double standard. How can we have quality nurses and cut costs at the same time? This is where the skill mix comes into play. In the skill mix, there are Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and unlicensed staff. If the lesser skilled staff free RNs they can be better able to
Nurse-Patient Ratio on Care Quality Nurse Patient Ratio The Impact of Nurse to Patient Ratio on Healthcare Quality The Impact of Nurse to Patient Ratio on Healthcare Quality It would be hard to understate the importance of a high nurse to patient ratio (NPR) for patient and staff safety, as well as quality of care. While there are a number of different nursing factors that can influence these outcomes, including nursing education, experience,
Inpatient Ratio and Morale ER: INPATIENT RATIO AND MORALE Emergency Room: Nurse to Patient Ratio and Morale Nurse to patient ratios in health institutions is one of the most influential factors in health providence, in any country's health sector. Two states of the aforementioned aspect would comprise of either high or low ratios. The former demonstrates poor patient outcomes that would imply high mortality rates and dissatisfied clientele. On the contrary, the latter
Evidence of this can be corroborated with a study conducted by the California Nurses Association, which found similar positive effects. At the same time, researchers found that reducing these ratios in various specialty environments inside the hospital (such as the ICU), improves the underlying amounts of care being provided dramatically. This is important, because it is verifying the positive effects that nurse to patient ratios are having on the
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