- NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue.
Identifying a Local Health Care Economic Issue
The healthcare organization is one of the essential areas with various goals to guarantee everybody acquiring administration from it has the best care. One goal of optimal healthcare is to offer patients safe, predominant grade, and capable health administrations (McFarlan, 2020). Because of the astonishing outbreak of the Coronavirus pandemic, drastic demand issues have been met by concentrated care units (ICUs) all over the world, specifically neonatal ICUs, in my experience.
The healthcare climate in NICUs is encountering economic issues regarding the organic market. Patient capacity and acuity remain at an all-time high, with inadequate nursing staff to cover each patient, safely achieving an unsafe nursing workload.
Coronavirus contamination did not habitually taint neonates; NICUs oversaw increased patient capacity as they admitted flood patients throughout the kids’ hospital. By doing this, pediatric units had space to admit coronavirus-tainted patients. Other than the patient capacity increasing at this time, so did the acuity; staffing numbers did not account for this drastic change. During the pandemic, contract travel nursing had an outrageous increase in demand.
Impact of Travel Nursing
Rather than permanent staff positions, travel medical caretakers encountered a significantly drastic increase in salary because of the essentials for hospitals around the country. As a travel medical caretaker of almost four years, I find the pay increase an outrageous drive to happen with this career path. From personal consideration of various hospitals’ NICUs, travel nursing has left dangerously high permanent staff positions open, leading to a low staff asset to care for the high patient volume.
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
Medical attendants in permanent positions acknowledge the prerequisite for more significant compensation and recommendation motivations to increase staff maintenance and decrease work dissatisfaction and staff burnout. This concern is a key focus of NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue. Staff shortages and financial incentives are crucial in maintaining a stable and efficient healthcare workforce (McHugh & Ma, 2017).
When I first entered my career as a bedside support in the neonatal emergency unit, ratios were frequently 1:1 to 3:1. If the patient were on a high-repeat ventilator and requiring hourly care, an attendant would be paired with only a solitary patient. If one of the patients were on a ventilator, the medical caretaker would be in a 2:1 assignment. Assignments would be significantly increased on the off chance that the patients were not generally on oxygen support.
Challenges in NICU Staffing
While caring for three patients, they regularly dealt with taking care of and creating and were of the most decreased acuity on the unit. On my latest assignment, I experienced patient assignments that felt unsafe. Because of the lack of staff on the unit, attendants wind up having 2:1 patients, who are both on ventilators with a more elevated level of care, 3:1 pairing with at least one on a ventilator, or even 4:1 patient with one at times requiring some minimally invasive oxygen support.
For a level 4 NICU, these assignments introduce themselves as upsetting. The workload on staff is significantly higher than in an adult unit, where an attendant may have seven patients. Still, it does not do various head-to-toe assessments throughout the shift, administer medications, hang intravenous liquids, obtain labs, and substantially more. Studies have shown that a high nursing workload is straightforwardly related to an increased repeat of medication messes, unplanned extubations, increased disease rate, increased patient mortality, and decreased parent satisfaction (Banda et al., 2022).
NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue
From speaking to staff on the unit, the hospital’s economics has yet to improve to account for the nursing-to-patient workload. While comparing the travel sustain salary for this particular NICU to the permanent staff on the unit, contracted labourers generally make the amount to play out the same work on various occasions. In the last eight months, the unit has lost a quarter of its staff to travel nursing, other nursing positions, and non-nursing-related careers. With this significant decrease in staff, patient assignments have become demanding, and the staff keeps being exhausted and not adequately compensated.
Neonatal Nursing Shortage Crisis
A persevering gap exists in the neonatal emergency unit. A lack of healthcare support for staff has caused a nursing shortage, affecting patient care and staff satisfaction. Another report in 2021 by Unruh and Hofler states that the annual turnover rate across escalated care nursing has increased from 18% to 30%, with an increasing rate for 2022. These examinations have shown that inside the predictable decade, there will continue to be a lack of significance in bedside nursing that projects 1.2 million newly picked medical caretakers adequately cover inpatient numbers (Unruh & Hofler, 2016).
The gamble of ghastliness and mortality remains pushed with increasing attendant-to-patient ratios in the NICU and higher patient acuity. This issue aligns with NURS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue, as staffing shortages directly impact patient outcomes and financial sustainability in healthcare facilities. Quality staffing inside the unit will require the aggregate activity of hospital and medical caretaker managers to guarantee staff maintenance by offering serious pay, a steady workspace, quality advantages, and staff motivators (Aiken et al., 2018).
References
Aiken, L. H., Cerón, C., Simonetti, M., Lake, E. T., Galiano, A., Garbarini, A., … & Smith, H. L. (2018). Hospital nurse staffing and patient outcomes. Revista Médica Clínica Las Condes, 29(3), 322- 327. https://www.sciencedirect.com/science/article/pii/S0716864018300609
Banda, Z., Simbota, M., & Mula, C. (2022). Nurses’ perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi: a qualitative study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-00918-x
McFarlan, S. (2020). An experiential educational intervention to improve nurse managers’ knowledge and self-assessed competence with health care financial management. The Journal of Continuing Education in Nursing, 51(4), 181- https://journals.healio.com/doi/abs/10.3928/00220124-20200317-08
McHugh, M. D., & Ma, C. (2017). Wage, Work Environment, and Staffing: Effects on Nurse Outcomes. Policy, Politics, & Nursing Practice, 15(3-4), 72–80. https://doi.org/10.1177/1527154414546868
Unruh, L., & Hofler, R. (2016). Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Services Research, 51(6), 2258–2281. https://doi.org/10.1111/1475- 6773.12468