DQ: Nursing research is used to study a dilemma or a problem in nursing
DQ: Nursing research is used to study a dilemma or a problem in nursing
Staffing has always been a problem in nursing, and it is still a problem 25 years later. COVID19, of course, has played a role in the recent issues, but more so by shining a larger spotlight on it (Kerfoot, 2022). Inadequate staffing has resulted in nurse turnover, burnout, and feelings of unappreciation and dissatisfaction with their jobs. This is a worldwide issue, not just in the United States (Kerfoot, 2022). When they brought nurses over from the Philippines in the late 1980s and early 1990s, the hospital where I worked housed them in apartments a few blocks away. They worked double shifts all week, not only to help with the staffing shortage, but also to send money home. Today, about 4% of nurses in the United States are Filipino, and 26.4 percent of nurses who died from COVID19 were Filipino (Econar, 2021).
This issue must be researched in order to promote positive health outcomes by employing positive people in the healthcare industry. Educated on new trends, self-assured, and appreciative of their own worth. Kerfoot, 2022 sees it as a reset, beginning with leadership and progressing through investment in frontline staff, treating all as an interest and not assigning a monetary value to it. They must provide training, support, and demonstrate loyalty. Technology training, providing efficiency and effectiveness to ensure patient safety, and, most importantly, how nurses are perceived in the industry with competence and appreciation. POCT – Point of care testing – is a data management system that could provide some relief to already overworked and stressed nurses. It allows for faster testing and may improve patient outcomes, and as staffing shortages persist, all available resources are welcomed (Nichols, 2003).
Another issue to consider when looking at the nursing staffing shortage is job satisfaction. It is critical that employees feel appreciated. If leaders invest in ways to reduce stress and improve the work environment, morale may improve. Leadership must also consider the impact of patient satisfaction on the workforce in order to initiate changes and improve patient outcomes (Lu, 2019).
The process of exchanging vital patient information between nurses in order to ensure safe continuity of care is known as nursing handoff. Ineffective communication methods result when health care workers fail to communicate comprehensive, consistent information.
opportunities for errors (Tacchini-Jacquier et al., 2020). In nursing, I’ve observed a problem with insufficient hand-off communication. Effective communication is essential in the healthcare field. Effective communication is required when passing a patient from one caregiver to another to ensure that vital information is shared. While working in the recovery room, I frequently receive handoffs from the OR nurse and anesthesiologist. I frequently get incomplete or brief handoffs. Details such as whether the patient is diabetic or has dementia are critical when transferring responsibility for a patient’s care. The patient’s safety is jeopardized when information is incorrect or missing.
Ineffective handoffs should be investigated because effective communicated handoffs are required to maintain continuity of care and patient safety. Nurses work in environments where patient safety requires constant attention. During a patient interaction, nurses use surveillance to gather, analyze, and synthesize a large amount of information (Rhudy et al., 2019). Interruptions in communication and activities that prevent a nurse from performing a critical task result in a shift in concentration, which can lead to errors and negative outcomes. As a result, when communication breaks down during a handoff, it affects patient safety and care quality. Understanding the challenges of handoff communication and determining risk strategies are critical for reducing medical errors and threats to patient safety. Handoff communication can be improved by reducing interruptions, standardizing handoff communication, and providing effective handoff communication training. In hospitals, the SBAR instrument is used (Situation, Background, Assessment, Recommendation). The SBAR is a valuable communication tool; however, it must be taught to all employees to ensure clear communication, and it must be embraced as a standardized communication style, which necessitates a willingness to change.
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