FOR PHYLLIS YOUNG

Running Head: Health Care and Nursing Policies 0

Health Care and Nursing Policies

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Abstract

From the previous weeks, we have identified that nursing is a critical issue in defining the quality of care in hospices and the nature of patient effects. Nurse staffing is a critical health policy subject on which there is an inordinate deal of consent on an abstract close (that nurses are a significant component of the health care provision system and that nurse enlistment has effects on protection) (Kalisch, Friese, Choi, & Rochman, 2011). This paper will evaluate the efficiency of healthcare and nursing policies in the nurse staffing and patient care. The article will also show the extent to which the strategies address the nurse staffing and patient care. The ethical concerns connected to this policy and nurse staffing issue will also be discussed. The present state of affairs concerning the policy issue will be discussed. Some recommendations about the policy changes and approaches of making change in the judicial, legislative and regulatory process will also be included (Royal College of Nursing, 2012).

Introduction

In the previous weeks we learned that, in the United States of America, the matters of staffing policies are the dominant concern that can affect the safety of the nurse and the patient. Each facility of the healthcare has a difficulty of getting the optimal patient-nurse ratio to confirm the outcomes of patients that are secure (Needleman et al., 2011). The patient safety and quality of care is connected to the nurse to the ration of patients. Nurse staffing and patient safety is one of the major priority of the healthcare amenities and the entire healthcare contain numerous rules with the accord to safety of the patient. Every healthcare facility contain diverse rules therefore all the patient policy and nurse staffing rely on an appropriate setting. The major policy that is of concern is the sum of nurses staffed in a specific part at a particular time, or the patient to nurse ratio, each nation and each healthcare contains their individual nurses to ratio of patients (Hairr, Salisbury, Johannsson, & Redfern-Vance, 2014). In the New York, the ratio of nurse to the patient is always one to eight patients on the surgical unit from the research which backs the theory that the ratio of patient to nurse has an effect on the safety of patients and staffing of nurses.

The efficiency of healthcare and nursing policies in the nurse staffing and patient care

The patient safety and quality of care is connected to the nurse to the ration of patients. There is a nursing policy that states that, for care to be provided accurately, the number of patients a nurse is nursing in her or his turn ought to be grounded on the level of insight of care. The policy of reducing the workload of nurses, it is very attentive to the patients since their scores will raise and also the job satisfaction of nurses will improve (Mark, Harless, Spetz, Reiter, & Pink, 2013). The healthcare in the United States currently is accessible, reasonable and suitable because the nurses are able to spend time together with the patients and the investigation of patient care is on time and actual. For instance, presently, the California state passed the legislation, government bill394, that has reduced the workload of patient ration for precise units in the hospitals. Closing ratios as of July 1, 2003 comprise Labor and Delivery 1:2, ICU 1:2, Pediatrics 1:4, Telemetry, Emergency Room 1:4, and Medical/Surgical 1:5. This bill has seen the healthcare consumers benefit from the outcomes(Mark et al., 2013).

The extent to which the strategies address the nurse staffing and patient care

The American Nurses organization is responsible for confirming that care is offered to those in need. Rendering to the American Association, 42 code of Centralized Regulations, needs the hospital to contain sufficient numbers of the nurses that are verified, the verified vocational nurses and other workforce to deliver nursing care to the entire patients as required (Cimiotti, Aiken, Sloane, & Wu, 2012).

The act also says that civil fiscal and going against the act there are penalties and offers guard to whistleblowers alongside discrimination and revenge concerning patients or personnel of the hospice for their complaints, grievances, or participation in inquiries connecting to such strategy (Flynn & McKeown, 2009).

The ethical concerns connected to this policy and nurse staffing

There are some ethical concerns linked to this policy and nurse staffing. An enhanced number of patients per nurse are gotten to be expressively related with a greater occurrence of organization of the wrong medicine or dose, patient falls with injury, and pressure ulcers, with injury (Cimiotti et al., 2012). An improved work atmosphere had an important inverse association with hostile events; the probabilities of reporting a greater incidence of opposing occasions were closely 50% lesser for management of the incorrect medication or quantity, trailed by a decline for pressure ulcers, and a reduction of falls with harm after admittance.

The ethical matters that the policy raise in the provision of care and in the upkeep of creation of well-being disparities is that, there is a civil fiscal and drawbacks for violation of the needs and offers safety to informers from discrimination and revenge comprising workforces or patients of the hospitals for their complaints, grievances, or association in research associated to the same strategies (McHugh & Ma, 2014).

The present state of affairs concerning the policy issue

Currently, if one has worked as a nurse, regardless of the setting, there is an occasion that one realized so things ought to be altered for one to advance the healthcare. Currently, the state of affairs encourages its workers to review their self-interest, buy-in, leadership and political sophistication (Paek, Zhang, Wan, Unruh, & Meemon, 2016). The workers ought to consider the state they are in and where they need to go, they also need to consider the phase they are presently in and where they require to go. The nurses are powerful advocates and they operate in numerous advocacy functions on a daily routine. In the current state of affairs, the basic nursing education prepares the nurses for communicating with people, groups and families, analyzing compound data, critical thinking, applying diverse techniques for excellent outcomes, multitasking, and studying substantiation. In the present state of affairs, professional maturity is highly enhanced when a person contains a mentor. One ought to consider their role models and mentors (Blegen, Goode, Spetz, Vaughn, & Park, 2011).

Recommendations about the policy changes and approaches of making change in the judicial, legislative and regulatory process

Having appropriate nurse to patient ratios has a large impact on nurses and is extremely important in providing appropriate nursing care. Nursing care is one of the most important areas for quality of health care and patient safety. The legislation laws should be changed to ensure that, by having safe nurse to patient staffing ratios, patients have a significantly higher satisfaction outcome (Mark et al., 2013). A high patient load causes many nurses to leave facilities creating high turnover rates. This inevitably creates the domino effect.

In the judicial process, the nurse executives and head managers ought to come up with decisions about numbers of staff to allocate to the diverse parts of the amenities. They too get also found models of care to be applied in upkeep for patients in matters of the collection of tending staff and supply of tasks among specialized nurses and other kinds of nursing workforce.

In the regulatory process, the court ought to ensure, that any particular nurse discriminated against, discharged, or reacted against in violation of subset or against whom a protest or report has stayed filed in defilement of subset may carry a cause of act in a United States district law court (Paek et al., 2016). A nurse who succeeds on the cause of action will be authorized to one or extra of the subsequent: Reinstatement, repayment of lost earnings, recompense, and benefits, attorneys’ fees, court charges and other injuries.

Conclusion

In this project, we have learned that, nurse stuffing and patient care is a critical issue in the hospitals currently, all the policies ought to be observed involving the nurse staffing and patient safety. If these rules will be implemented, the cases of patients and nurses suffering will be reduced and their environment will be improved greatly. Additionally, optimal staffing is important in the delivery of outstanding patient satisfaction and the secured patient outcomes. With sufficient nurse to patient ratios, there will be decline in the errors that are medical, the length of stay, reductions in the medical errors, the patients care charges and the fatigue of nurses. The staffing policy in nursing should be implemented to ensure patient safety and nurse satisfaction in our hospitals.

References

Blegen, M. A., Goode, C. J., Spetz, J., Vaughn, T., & Park, S. H. (2011). Nurse staffing effects on patient outcomes: safety-net and non-safety-net hospitals. Medical Care, 49(4), 406–414. https://doi.org/10.1097/MLR.0b013e318202e129

Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care-associated infection. American Journal of Infection Control, 40(6), 486–490. https://doi.org/10.1016/j.ajic.2012.02.029

Flynn, M., & McKeown, M. (2009). Nurse staffing levels revisited: A consideration of key issues in nurse staffing levels and skill mix research. Journal of Nursing Management, 17(6), 759–766. https://doi.org/10.1111/j.1365-2834.2009.01023.x

Hairr, D. C., Salisbury, H., Johannsson, M., & Redfern-Vance, N. (2014). Nurse Staffing and the Relationship to Job Satisfaction And Retention. Nursing Economic$, 32(3), 142–148.

Kalisch, B. J., Friese, C. R., Choi, S. H., & Rochman, M. (2011). Hospital nurse staffing: choice of measure matters. Medical Care, 49(8), 775–779. https://doi.org/10.1097/MLR.0b013e318222a6df

Mark, B. A., Harless, D. W., Spetz, J., Reiter, K. L., & Pink, G. H. (2013). California’s minimum nurse staffing legislation: Results from a natural experiment. Health Services Research, 48(2 PART1), 435–454. https://doi.org/10.1111/j.1475-6773.2012.01465.x

McHugh, M. D., & Ma, C. (2014). Wage, Work Environment, and Staffing: Effects on Nurse Outcomes. Policy Polit Nurs Pract, 15(3–4), 72–80. https://doi.org/10.1177/1527154414546868

Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse Staffing and Inpatient Hospital Mortality. New England Journal of Medicine, 364(11), 1037–1045. https://doi.org/10.1056/NEJMsa1001025

Paek, S. C., Zhang, N. J., Wan, T. T. H., Unruh, L. Y., & Meemon, N. (2016). The Impact of State Nursing Home Staffing Standards on Nurse Staffing Levels. Medical Care Research and Review , 73(1), 41–61. https://doi.org/10.1177/1077558715594733

Royal College of Nursing. (2012). Mandatory Nurse Staffing Levels. Royal College of Nursing, 0–20. Retrieved from https://www2.rcn.org.uk/__data/assets/pdf_file/0009/439578/03.12_Mandatory_nurse_staffing_levels_v2_FINAL.pdf