Preview

Impact of Nurses Shortage on Patient Care at Kabwe General Hospital

Powerful Essays
Open Document
Open Document
12611 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Impact of Nurses Shortage on Patient Care at Kabwe General Hospital
IMPACT OF NURSES SHORTAGE ON HOSPITAL PATIENT CARE AT KABWE GENERAL HOSPITAL

October 2011

Consultancy Report submitted to Oxford Brookes University for the partial fulfillment of the requirement for the degree of MASTER OF BUSINESS ADMINISTRATION

Executive Summary
The nurse is one of the most important components of the health care hierarchy in that they see to the moment to moment care needs of patients after the doctor has performed his diagnostic and or services. Their responsibilities broach a wide spectrum of services with one of the most important being administration of acute care. This type of care is one rung below critical care; however it is just as important in the recovery of a patient. The decline in nursing services over the past years coupled with the increase in population and other medical complications in Zambia and globally, has created a crisis in the health services whereby the number of patients per nurse has increased to unmanageable proportions.
The hospital has made progress in delivering health services to the population of central province, despite challenges it is facing in meeting the millennium development goals (MDGs). One of the contributing factors to the challenges is the critical shortage of human resources for health, especially of nurses and midwives, who form close to 75% of skilled health work force. In an effort to contribute towards the attainment of MDGs for the country, the hospital is under significant pressure to reduce the disease burden and improve the health of citizens accessing health services from it.
The provision of health care is seen by most countries as high priority. The degree of accountability for health care services and the concept of care are at the forefront of most political discussion. However, accountability becomes difficult when there is an inadequate supply of health care



References: Buchan J, Parkin T & Sochalski J (2003). International nurses mobility Buchan, J Blegen MA, Goode CJ & Reed L (1998) Nursing staff and patient outcomes Carey B Denscombe, M. (2003) the good research guide. Dilorio C, (1994) Focus group: an interview method for nursing research. Krugger R. (1994) Focus groups: A practical guide for applied research. Lang TA, Hodge M, Olson V, Romano PS & Kravtiz (2004). A systematic review on the effects o nursing staffing on patients, nurse employees and hospital outcomes Mwanga J (1998) Focus group discussion on schistosomiases in mau, Tanzania Needleman J Buerhaus P Mattke S, Stewart M & Zelevinsky K (2002). Nursing-staffing levels and the quality of care in hospitals. Pretzlik U. (1994) Observation methods and strategies. Nurse research 2(2), 13-21. J Needleman et al, (2002) Nurses staffing and quality of care in Hospitals Yin, R. (2009) Case study research methods (4th edition)

You May Also Find These Documents Helpful

  • Good Essays

    References: Needleman, J., Buerhaus, P., Mattke, S., Stewart, M. & Zelevinsky, K. (2002). Nurse-staffing levels and the quality of care in hospitals. The New England Journal of Medicine, 346, 1715-1722. DOI: 10.1056/NEJMsa012247…

    • 1083 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    acute hospital setting: A review of recent literature. Nursing Management, 18(7), and 804- 814. Doi: 10.1111/j.1365-2834.2010.01131.x…

    • 1255 Words
    • 4 Pages
    Powerful Essays
  • Good Essays

    References: Aiken, L.H. (2007). Nurse staffing impact on organizational outcomes. In D. J. Mason, J. K. Leavitt & M.W. Chaffee (Eds.), Policy & politics in nursing and health care (pp.550-559). St. Louis, MO: Elsevier Inc.…

    • 809 Words
    • 4 Pages
    Good Essays
  • Good Essays

    staffing, nursing activities and adverse patient outcomes in the acute care setting as reported by…

    • 952 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Nurse Leader Survey

    • 2559 Words
    • 11 Pages

    Buerhaus, P. I. (2010). It’s time to stop the regulation of hospital nurse staffing dead in its tracks. Nursing Economic$, 28(2), 110-113.…

    • 2559 Words
    • 11 Pages
    Best Essays
  • Good Essays

    Nurse staffing levels have been directly linked to decrease retention (Hairr, Salisbury, Johnannsson, & Redfern- Vance, 2014, p. 142). Job satisfaction is a key factor in retaining the experienced nurse. If a nursing unit has a large vacancy, secondary turnover becomes a concern. Quality patient care is negatively impacted by a decreased nursing staff. According to Buffington, Zwink, Fink, DeVine, Sanders (2012) some of the factors that affect retention are unhealthy work environments, scheduling and the ability to self-schedule, rewards/recognition, leadership, and availability of…

    • 549 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nurses follow a mission when providing care to patients who need support and healing. Many times over, the patients outnumber the nurses in many communities and institutions. When these occurrences happen, it puts stress on the nurses, their nursing care, and on the leaders and managers. "Nursing shortages and health care reform have had a strong impact on the creation of current and evolving types of patient care delivery models” (Huber, 2010). In rearranging patient care, adding health care professionals with multiple skills is likely to help the nurse provide better patient care. The new arrangement created an undesirable effect with nurses and on the care of patients. “Nurse staffing intensity, which is expressed as the ratio of RNs to patient census in hospitals, has been associated with lower mortality in hospitals” (Huber, 2010). With an increase in the nurse to patient ratio, the way nurses care for patients can be compromised with undesirable patient results.…

    • 1026 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Welton JM. (2007). Mandatory hospital nurse to patient staffing ratios: Time to take a different approach. Online Journal of Issues in Nursing, 12(3)…

    • 2216 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…

    • 1504 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    There is a diverse range of aspects related to nursing staffing in health care organizations. Staffing levels in hospitals are likely to have a bearing on the assurance in the delivery of safe and reliable care. However, nursing staffing challenges have remained perennial prompting prolonged attention on the allocation of nurse staffing resources to facilitate patient safety (Weston et al., 2012). Nevertheless, focus on staffing levels has particularly increased with the prevailing shortage of nurses (Rochefort, et al., 2015). Furthermore, there have been changes in the manner nursing is approached. Traditionally, it would be assumed that well-trained practitioners were not prone to errors. Such was consistent with the traditional tendency…

    • 192 Words
    • 1 Page
    Good Essays
  • Good Essays

    The nursing profession, and nursing care of patients are a critical part of positive patient outcomes. Nurses are the face of healthcare today and are the link to health and personal care and continued improvement in patient care. The points of this study bring out the need and correlation for quality and sufficient staffing. The need, desire and demand is there to increase patient outcomes and in order to do this we need to start with sufficient staffing on our nursing units. This will then increase nursing satisfaction, decrease the nursing workload and allow for more individual…

    • 1309 Words
    • 6 Pages
    Good Essays
  • Best Essays

    Nurse Staffing

    • 1995 Words
    • 8 Pages

    Two major forms of staffing guidelines will be discussed, nurse-to-patient ratio and staffing by acuity. This paper will discuss the history of each staffing form. It will point out the benefits and negative features of both practices, describe how hospitals deal with staffing and discuss the states that have laws requiring certain guidelines be followed.…

    • 1995 Words
    • 8 Pages
    Best Essays
  • Good Essays

    The familiar phrase of overworked and under appreciated has rang through the nursing field. As health care reform and insurances make critical changes, nurses are forced to keep up. Nursing managers are in a bind to meet the new budget cuts and criteria set forth by these changes, which includes higher patient to nurse ratios. Low staffing can lead to nurse burnout, job dissatisfaction and poor staff retention (International Journal of Nursing Practice, 2014). This article will outline some issues at hand with unsafe staffing ratios and the legislative actions regarding this matter.…

    • 1153 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Nursing Shortage

    • 1392 Words
    • 6 Pages

    The nursing shortage has had a cyclical pattern in the United States for many years. There have been brief periods of time with too many nurses and even longer periods with too few nurses. Previous efforts to increase the nursing population have been made in the past. One such effort included the Nurse Reinvestment Act, signed into law by President Bush in 2002. This act provided loans and scholarships, public services for recruitment, and more, in an effort to alleviate the nursing shortage, the funds were distributed by Health Resources and Services Administration (HRSA). Continuous legislative efforts are being made by the ANA, AHA and other healthcare organizations. Currently, efforts to secure passage of Bills S.71 Registered Nurse Safe Staffing Act of 2005 and H.R. 1372, Quality Nursing Care Act of 2005 are being made by the ANA and their sponsors in Congress. These bills would require the development of staffing systems. With the aging of the nurses and the baby boomers, there is an increase in demand for quality healthcare. With the dawning of the shortage, nurses have to deal with an increase of legal and ethical dilemmas. Some of these issues include an increase in work load, decrease in staff, staying within the parameters of standards, abiding the codes of ethics and giving quality care. Regardless of the shortage, a nurse has a commitment to beneficence and nonmaleficence while maintaining autonomy to him or herself as well as the patient. Nurses have a professional obligation and legal duty to their patients to provide safe and competent care regardless of the current situation one faces. They must put the patient 's needs before their own.…

    • 1392 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…

    • 1122 Words
    • 5 Pages
    Better Essays

Related Topics