Significance of Nurse Mandatory Overtime on Nurse and Patient Safety

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Nurse Mandatory Overtime on Nurse and Patient Safety by : Wendy Kinney

Download or read book Significance of Nurse Mandatory Overtime on Nurse and Patient Safety written by Wendy Kinney and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Overtime, including both mandatory and voluntary, is associated with nurse's fatigue, job injury or illness, increased patient mistakes, and patient mortality. There are limitations to the current literature that show correlations between long hours worked and poor nursing outcomes, which likely understate the issue. A nurse working past their regular shift either mandatorily or voluntarily, is at increased risk for injury to themselves and their patients. These risks grow the longer each nurse works without adequate rest. The solution is for a standard of Nurse Mandatory Overtime Regulation be adopted nationally. A national standard is important in order to improve nursing outcomes, as current standards vary and are used differently in each state. This new National Safety Policy on Nursing Mandatory Overtime Regulation will define safe hours that nurses should work, ensure nursing facilities follow mandatory overtime regulations, and recommend it be adopted by all states. Findings are based from current studies of multiple sources; including cross-sectional studies using qualitative and quantitative data from 2004 to present, in multiple cultures and regions that primarily studied hospital registered nurses. Results of this research show that further study is warranted which better track multiple jobs and roles of nurses, their total work hours, shift lengths, risks to health, and patient mistakes or injury. Implementing the solution to nurse mandatory overtime regulations will include finding those measures that are both popular and needed in order to garner further support from stakeholders and legislators. These measures will undergo an evaluation plan that will set out the proposed details of what will be required, who will need teaching, how, and when. Dissemination to all stakeholders will highlight the significance and impact on mandatory regulations for nurses, with outlined proposals for policy changes, budget costs, how to continue to monitor the affects of overtime changes, and monitor if changes have been made. The United States "Congress in 2007 did not pass a bill that would have prohibited mandatory overtime for nurses on a national basis. As of July 2010, the bill has not come before Congress again" (Nichols, 2010, para.6). This paper shows there is a need for nurse mandatory overtime regulation at the federal or national level. Nurses have a responsibility to work safely and have a voice to say "no" to extra work hours or shifts when their health or that of their patients may be affected.

Keeping Patients Safe

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Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Effects of Extended Work Hours and Patient Safety

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Effects of Extended Work Hours and Patient Safety by : Sean Cifranik

Download or read book Effects of Extended Work Hours and Patient Safety written by Sean Cifranik and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extended work hours and mandatory overtime have become the norm in hospitals and throughout the health care field. Research shows that when working more than twelve hours, the number of errors and near errors increases, as well as the adverse effects on the individual nurse. (Bland, and others, 2006), Ethical issues relating to the health effects of long working hours, states that working overtime increases the likelihood of on the job injuries to the employer as well as increases errors and near errors to the patient. This paper will explain in detail the concern that arises when extended hours or mandatory overtime is worked. The problem description, along with a review of literature, theories involved in the change, a solution, implementation plan, evaluation plan, and dissemination plan will also be discussed. Mandatory overtime and extended hours are constantly being utilized to improve improper staffing. Due to this, errors and near errors are increasing, as well as adverse health concerns increasing to those that care for them. A review of literature was done that supports the theory that the amount of time one works directly affects the errors and health conditions of the nurse. Change theory will be used in order to implement the required knowledge needed to change the status quo. The dissemination plan and evaluation plan will enable monitoring of the effects of proper staffing and its direct effects on patient safety as well as the individual nurse.

Does Nurse Fatigue Related to Work Schedule and Mandatory Overtime Impact Patient Safety?

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Does Nurse Fatigue Related to Work Schedule and Mandatory Overtime Impact Patient Safety? by : Cynthia Rodriguez

Download or read book Does Nurse Fatigue Related to Work Schedule and Mandatory Overtime Impact Patient Safety? written by Cynthia Rodriguez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is nurse fatigue affecting patient safety? The answer is yes. Nurses are an observation system that detects signs and symptoms early on. Nurses activate and respond quickly to prevent adverse events and save patient's lives. Work related fatigue can wear away at a nurse's observance. This is why it is imperative to decrease nurse fatigue in the clinical setting. Nurses often feel a responsibility to be there for their patients, or at times there is no one available to relieve them from patient care, but studies show that we may be doing our patients a disservice. Healthcare organizations need to look closely and project staffing levels more accurately in an effort to decrease the amount of burnout that nurses are experiencing. Fatigue can also affect the health of nurses costing employers additional funds in workman's compensation. Lawyers are starting to take note of nurse fatigue when litigating cases of patient injuries. Medical errors, omission errors, 'call sick', high turnover rates and high litigation costs are all symptoms of work related fatigue. Mandatory overtime should not be used as a staffing strategy. It should only be used as a last recourse or in emergency situations. There is scientific evidence that supports that nurses should not be scheduled to work more than 12 hours in a twenty-four hour period (American Nurse 2012). All of the evidence will be presented to stakeholders in an effort to implement the proposed solution.

Impact of Extended Work Hours on Patient Safety

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Impact of Extended Work Hours on Patient Safety by : Angie Andrews

Download or read book Impact of Extended Work Hours on Patient Safety written by Angie Andrews and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandatory overtime has been a standard for most healthcare organizations, and was brought into the spotlight by the Institute of Medicine in the 2004 report Keeping patients safe: Transforming the work environment of nurses (Monahan, 2012). The report showed extended work hours resulted in slowed reaction times, lapses in attention, reduced motivation, compromised problem solving, and decreased energy (Monahan, 2012). The focus of this paper is to identify how extended work hours relate to patient care errors. One facilities mandatory oncall program puts nurses at a high volume of work hours. This facilities on-call shifts are identified as a potential problem. A solution to change the call program and limit work hours is examined as a way to potentially reduce patient related errors. The rational for the solution is the direct correlation that has been seen in extended work hours and fatigue. The implementation of the solution is carefully detailed with step-by-step plans. Important steps that are discussed are the approval process, the implementation of a committee, and the logistics of the implementation process. How the data will be analyzed using the difference-in-differences approach is explained. Variables that need to be considered include causes of the incidents, quality of the report, and organizational factors. Finally how the information is shared with the stakeholders, nursing community, and other facilities is described.

Overtime

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ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis Overtime by : Mary Adebowale

Download or read book Overtime written by Mary Adebowale and published by . This book was released on 2015 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adequate and safe staffing in both clinical and non-clinical areas is important to nurses and Registered nurses have brought up concerns and acknowledged that staffing issues influences safety of nurses and patients alike (American Nurses Association (ANA), 2014). It is therefore important that something be done about staffing. Fewer studies have been conducted to examine the association between the hours or length of work per week and the negative effects and outcomes these have on the health of nurses and patients, despite that there are talks and needs to regulate mandatory overtime for nurses. Therefore, planned change is necessary because the issue of overtime in healthcare is important, this becomes necessary because overtime issues has implications on the health of nurses, patients safety and quality of care provided to patients (Olds and Clarke, 2010). There are several ways that evaluation findings can be presented or communicated to the organization leaders and managers (Bruner foundations, 2014). The results of tools used to collect data such as surveys, questionnaires, observations and interviews can be communicated to key stakeholders using various methods and tools such as PowerPoint presentation, tables and graphs (Public, health foundation, 2015). Some of the interventions that may be needed to decrease the incidence of overtime is use of strategic scheduling, limiting mandatory overtime to cover the shift, hiring part time nurses, allowing nurses to decide when they are able to work overtime and many more. This research project presents, description of the issue, some article reviews about overtime, proposed solutions, evaluation, implementation, dissemination, and tools used to educate key stakeholders.

The Shift

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Publisher : Algonquin Books
ISBN 13 : 1616206020
Total Pages : 273 pages
Book Rating : 4.6/5 (162 download)

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Book Synopsis The Shift by : Theresa Brown

Download or read book The Shift written by Theresa Brown and published by Algonquin Books. This book was released on 2016-05-03 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital’s cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift’s end, we have witnessed something profound about hope and humanity.

The Future of Nursing

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Publisher : National Academies Press
ISBN 13 : 0309208955
Total Pages : 700 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Future of Nursing by : Institute of Medicine

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Keeping Patients Safe

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Publisher :
ISBN 13 :
Total Pages : 496 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine (U.S.). Committee on the Work Environment for Nurses and Patient Safety

Download or read book Keeping Patients Safe written by Institute of Medicine (U.S.). Committee on the Work Environment for Nurses and Patient Safety and published by . This book was released on 2004 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book lays out guidelines for improving patient safety by changing nurses' working conditions and demands.

Proposal for Ending Mandatory Overtime

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Proposal for Ending Mandatory Overtime by : Naomi N. LaBoo

Download or read book Proposal for Ending Mandatory Overtime written by Naomi N. LaBoo and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Study after study has shown the dangers of mandatory overtime. It has been linked to adverse patient outcomes. Studies have shown that nurses who are mandated make more medication errors and other medical errors some leading to devastating consequences. This also leads to burn out for nurses who must stay over to help cover another shift. Evidence has shown it is not the nursing shortage that causes mandation, but lack of planning by management to fill the nursing holes. Despite the evidence that exist, hospitals in Kentucky continue using mandatory overtime to feel in the void for nurses. This has caused many nurses to look for jobs outside of acute care, thus causing further staffing issues. Offering incentives for nurses may help to attract qualified nurses to apply for jobs to help fill the void. Starting a nurse residency program may not only attract new nurses, but also help retain them. This proposal explores the dangers of mandatory overtime, and offers evidence based suggestions to end this practice. This project uses one hospital in Louisville Kentucky.

Taking Action Against Clinician Burnout

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Publisher : National Academies Press
ISBN 13 : 0309495474
Total Pages : 335 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Taking Action Against Clinician Burnout by : National Academies of Sciences, Engineering, and Medicine

Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

The Nexus between Nursing and Patient Safety

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Publisher : Springer Nature
ISBN 13 : 3031531582
Total Pages : 335 pages
Book Rating : 4.0/5 (315 download)

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Book Synopsis The Nexus between Nursing and Patient Safety by : Cynthia A. Oster

Download or read book The Nexus between Nursing and Patient Safety written by Cynthia A. Oster and published by Springer Nature. This book was released on with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Nursing Pathways for Patient Safety E-book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323079350
Total Pages : 192 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Nursing Pathways for Patient Safety E-book by : National Council of State Boards of Nursing

Download or read book Nursing Pathways for Patient Safety E-book written by National Council of State Boards of Nursing and published by Elsevier Health Sciences. This book was released on 2009-09-25 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: With a wealth of helpful guidelines and assessment tools, Nursing Pathways for Patient Safety makes it easy to identify the causes of practice breakdowns and to reduce health care errors. It provides expert guidance from the National Council of State Boards of Nursing (NCSBN), plus an overview of the TERCAP® assessment tool. The book systematically examines the causes of practice breakdowns resulting from practice styles, health care environments, teamwork, and structural systems to promote patient safety. An overview of the NCSBN Practice Breakdown Initiative introduces the TERCAP® assessment tool and provides a helpful framework for understanding the scope of problems, along with NCSBN’s approach to addressing them. Coverage of each type of practice breakdown systematically explores errors in areas such as clinical reasoning or judgment, prevention, and intervention. Case Studies provide real-life examples of practice breakdowns and help you learn to identify problems and propose solutions. Chapters on mandatory reporting and implementation of a whole systems approach offer practical information on understanding TERCAP® and implementing a whole systems approach to preventing practice breakdowns.

Making Health Care Safer

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 744 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Making Health Care Safer by :

Download or read book Making Health Care Safer written by and published by Department of Health and Human Services. This book was released on 2001 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.

Nursing Leadership and Management for Patient Safety and Quality Care

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Publisher : F.A. Davis
ISBN 13 : 1719641803
Total Pages : 684 pages
Book Rating : 4.7/5 (196 download)

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Book Synopsis Nursing Leadership and Management for Patient Safety and Quality Care by : Elizabeth Murray

Download or read book Nursing Leadership and Management for Patient Safety and Quality Care written by Elizabeth Murray and published by F.A. Davis. This book was released on 2021-11-08 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take an evidence-based approach that prepares nurses to be leaders at all levels. Learn the skills you need to lead and succeed in the dynamic health care environments in which you will practice. From leadership and management theories through their application, you’ll develop the core competences needed to deliver and manage the highest quality care for your patients. You’ll also be prepared for the initiatives that are transforming the delivery and cost-effectiveness of health care today. New, Updated & Expanded! Content reflecting the evolution of nursing leadership and management New! Tables that highlight how the chapter content correlates with the core competencies of BSN Essentials, ANA Code of Ethics, and Standards of Practice or Specialty Standards of Practice New!10 NCLEX®-style questions at the end of each chapter with rationales in an appendix New & Expanded! Coverage of reporting incidents, clinical reasoning and judgment, communication and judgment hierarchy, quality improvement tools, leveraging diversity, security plans and disaster management, health care and hospital- and unit-based finances, and professional socialization Features an evidence-based and best practices approach to develop the skills needed to be effective nurse leaders and managers—from managing patient care to managing staff and organizations. Encompasses new quality care initiatives, including those from the Institute of Medicine (IOM) Report, AACN Essentials of Baccalaureate Education, and Quality and Safety Education for Nurses (QSEN) Report which form the foundation of the content. Discusses the essentials of critical thinking, decision-making and problem solving, including concepts such as SWOT, 2x2 matrix, root-cause analysis, plan-do-study-act, and failure mode and effects analysis. Demonstrates how to manage conflict, manage teams and personnel, utilize change theory, and budget Uses a consistent pedagogy in each chapter, including key terms, learning outcomes, learning activities, a case study, coverage of evidence, research and best practices, and a chapter summary.

Patient Safety and Quality: sect.IV: Working conditions and environment

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Publisher :
ISBN 13 :
Total Pages : 664 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality: sect.IV: Working conditions and environment by : Ronda Hughes

Download or read book Patient Safety and Quality: sect.IV: Working conditions and environment written by Ronda Hughes and published by . This book was released on 2008 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Looming nursing shortage

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ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.:/5 (327 download)

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Book Synopsis Looming nursing shortage by : United States. Congress. Senate. Committee on Veterans' Affairs

Download or read book Looming nursing shortage written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 2002 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: