Nursing Shortage in the pre-op area
It is evident that there are critical nursing shortages in many hospitals, which affect patients, nurses, physicians, as well as, hospital administrators (Buerhaus, 2000). After conducting a random survey to determine the impact of the shortage of nurses in my department, I concluded that it is something critical due increase in the number of preventable deaths. The situation has affected nurse-patient relationships, communication, quality of care and overall efficiency. More often than not, nursing shortages have effects on patient safety as it impacts on early detection of their complications (Buerhaus, 2000). I realized that there was urgent need to develop team collaboration so as to improve patient care, as well as, their safety. However, it has not been easy to increase the number of nurses to the required level due to many other factors, including financial constraints.
Hospital administrators and nurses need to work as a team and come up with ways of dealing with the shortage as they work more closely than before. Generally, patient care should be a shared goal that needs discipline and teamwork (Buerhaus, 2000). Since we cannot reverse the shortage of nurses immediately, there should be communication to help strengthen the relationship between the existing nurses and improve on the quality of patient care.
The effects of the Nursing Shortage
Nursing shortage is currently a big problem caused by lack of new students joining the nursing career, an aging workforce, and rapid population growth thereby resulting in an increased need for better healthcare (Buerhaus, 2000). It is evident from several other reports that a significant percentage of patient death or injury is as a result of inadequate nurse staffing. It is a problem that also affects the nurses; they are overworked due to increased workloads, working for longer hours, and most importantly, there are limited resources needed to provide a high quality of healthcare to the patients. This has a toll on the assessment of patients, diagnosis as well as treatment.
The number of nurses required in a hospital depends on its size and number of patient beds present. This means that on a daily basis, the patient to nurse ratio depends on the number of patients that each department has. My department has lots of patients daily, which results in understaffing as the hospital doesn’t have the required finances to hire new nurses. A nurse has lot of work when you consider patient history, the time and attention a single patient requires and medications. So if there are many patients in a department like ours, there will be lots of work required as patients will end up receiving less attention and care. Getting more nurses has become a problem because of inadequate nursing programs, as well as, instructors to guide them. Addressing the shortage of nurses will go a long way into addressing the current weaknesses seen in patient care.
Inadequate staffing levels impact on the nurses and patients together, but most importantly on the finances. Many deaths are caused by increase in costs of treating some diseases. The cost of care that goes into treating these patients will increase. Notably, nursing shortages affect the hospital in terms of fiscal management; not many patients will get the quality care they deserve hence a rise in the cost needed to treat them.
Solutions to the Nursing Shortage
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For many years, nursing shortages have been solved by hiring or recruiting nurses from other states or countries such as Canada, India, and English-speaking African countries, as well as increasing their wages (Clifford, 1988). However, after conducting a survey, the current shortage of nurses in the hospital requires long term planning and solutions since short term solutions have little or less impact (Clifford, 1988).
Short term and long term solutions to the current shortages need recruitment of new nurses, retaining the current ones, and increasing the capability of nursing schools. I suggest that the hospital invests in supplying various educational facilities and funding or financial aid to specific students as scholarships in nursing, which will encourage them to work in the institution in the future. Other strategies should include retaining the current nurses in the hospital by providing a suitable working environment. The management should also encourage those who had left the nursing career by promising them even better working conditions. In general, the hospital should improve its working conditions as well as improve professional development of the nurses in the hospital.
I also propose the following provisions: scholarships for a number of nursing students; public service announcements and community education programs aimed at encouraging more students to pursue careers in nursing; career ladder programs for those who want to climb up the nursing career ladder; a fast-track faculty loan repayment program for those who wish and agree to join the hospital’s workforce; practice grants for the administration; and long term training grants to those joining the nursing program within the hospital.
The hospital should also strive to improve the current working conditions for nurses by banning compulsory overtime practices and improving the staff ratios. In general, there should be a structural and cultural change within the hospital. Notably, there is a huge gap between the supply of nurses and their demand in hospitals, which will spill into the future. However, in trying to deal with this problem, the hospital needs to be concerned about the impact it would impact on the finances they have.
Importantly, all hospitals should form a team to help in training of students in the nursing profession and encourage nursing orientation as well (Hodgman, 1999). I propose to the hospital that they should come up with an in-service and continuing education besides setting staff levels within, that are based on nurse proficiency and skill mix. It is important that all health care organizations invest in nursing services.
Hospitals face a lot of pressure when it comes to controlling their finances, and the nurses are the ones who account for large chunk o the hospital budgets. I propose hiring of more nurses as a short term solution because it could actually save the hospital some money. A large number of patient deaths and wasting of valuable time could actually be avoided if the number of nurses is increased. However, it iis impossible to get new nurses because of lack of teachers to teach them. Patients nowadays require even more nursing care, but the situation is bad when there are fewer nurses to give them the necessary care.
Implementing the above goals will go a long way into improving the current situation. An increase in staff will take care of shortages as the other proposals act for the long term. It is important that we take care of the future. The current workforce will eventually retire and hence leave a gap which may not be easily solved (Hodgman, 1999).
Specific strategies to solve the Nursing Shortage
I propose the development of educational partnerships with other relevant institutions, promotion of bedside nurse retention programs, training of current staff and new and emerging leaders, initiation of various scholarship programs and clinical academies as well, reduction of costs such as registry and traveler costs, initiating programs that support creativity, and also developing a plan that will redesign the patient care delivery model.
Developing educational partnerships
Reduced--$ 300,000 per year
The grant that provides the hospital with funding for education programs will be consolidated to generate savings. Partnerships in the education department will reduce the money used for training and retraining of nurses.
Slashing registry and traveler costs
Reduced--$ 500,000 per year
The budget reduce guaranteed funding for overseas travel expenses for the hospital executive officers, as well as, reducing the number of the officers who travel out of the country for conferences and other official functions. The budget envisions giving saving the greater priority.
Forming a Frontline Leadership initiative that fosters creativity
Frontline leadership development initiatives will reduce funds, which were traditionally spent by the hospital due to poor leadership and misappropriation of funds
Promoting bedside nurse retention
The budget should be increased in order to save the amount used to care for very sick patients who will be left to go home and return after words when the sickness increase
Training staff and molding leaders
Reduced--$ 2 million
Training of staff on the modern equipments will help reduce cost caused by mishandling and destruction of these equipments. Some of them are quite expensive and training of the employees will be important in reducing the cost of repair and maintenance.
These are all short and long term goals, which will take up to ten years. In evaluating the effectiveness of the proposals, it is important that the management evaluates every single plan I have discussed after every year. They should be able to note that there is a reduction in the overall cost of treating patients.