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Thanks for the excellent assignments that you write for us and finish within the given time. Wonderful work guys, well done! These can be done in the following ways; An organizational code of ethics should be set and no diversions should be made, repeated, regular and effective communication should be done and the ethical issues should be discussed at a safe place, outside the usual hierarchy of power. The work system factors contributing to nursing workload should be identified.
According to the Balance Theory of Carayon and Smith: The Balance Theory proposes an alternative approach aimed at compensating for or balancing out the negative aspects of work. The work system is a key concept for defining workload. For example, For instance, work hour limits for physicians affect the nurse schedules. Nurses are often required to work increased overtime to compensate for reduced physician hours.
To resolve the problem of workload, the following strategies should be adopted. The situational workload should be measured. The work factors contributing to the workload should be identified and worked upon. The situational workload impacts on the final outcomes should be carefully observed and analyzed.
Strategies should be devised for the the problem of situation workload. The main aspects of a workload management system are as follows: Nurse Managers should be given the opportunity to shape risk-management policies in their organizations. In the state of Victoria, the nurse to patient ratio has become mandatory after the year This legislation was supported by the Victorian Branch of Australian nurses federation.
The top down approach is done on the basis of calculating the health needs of a population. It may be done on the basis of calculating the health needs of a population, or by calculating the satisfactory levels of service needs. The Bottom up approach consultative approaches; activity based regression methods and various bottom-up workload assessment systems.
The Telford consultative approach developed in , in which Telford proposed a three step solution. According to this, the ward staff should set safe and acceptable levels of staff for each shift on each day. These should be documented. Secondly, numerical assessments should be transposed into grades of staff and whole time equivalents. Thirdly, appropriate allowances for trained and permanent staff should be allocated based on the grades. The activity based regression methods assesses the activity of direct care as a whole rather than as an aggregate of a number of tasks.
The use of occupied beds as a measure of workload is regarded with disfavor by some nurses, because it ignores the severity of the condition of individual. The Dependency-activity based methods are designed to balance the available nursing hours in the ward with the required nursing hours. The purpose is to match nurse staffing to the peaks and troughs in ward activity. It is used to deploy the staff when the needs of the patients are the greatest.
The individual care plans may also be used as a way to assess the workloads. According to Bell et al. Benchmarking is a comparatively new way to assess the requirement of nurse staffing.
Databases are available which enable comparisons between the budgeted staff establishments and levels of staff employed in similar hospitals. In this, the staff is a mix of trained and untrained, qualified and unqualified and supervisory and advisory staff. While cost effectiveness and efficiency are the two concerns, this idea is still in the developmental phase.
There are many factors and ideas which need to be developed for the purpose of reducing the workload, as it is very important and urgent. Strategies need to be devised according to the situation and the conditions. The nurses and nurse managers should be considered important and included in the decision making procedures. The work system factors should be considered and management systems developed for the solution to the problem of workload. Nursing resource intensity is also an important criterion for determining the staffing problems.
Whatever way, the final aim has to be the solution to the problem of workload as it is not only a nuisance for the patients and the nurses, but the society as well. In Australia, the number of nurses being lost is more than the number which can be replaced. All this and the continuous increasing demands lead to patient error and the implications are overwhelming. At a time of increased patient complexity and acuity, health care facilities need to be excellent, rather than putting forward the problem of staff shortage and workload.
The benefits of a healthy workplace for nurses, their patients and the system, Ottawa: Canadian Health Services Research Foundation. Performance obstacles and facilitators of healthcare providers. Korunka C, Hoffmann P, eds.
Change and quality in human service work. Carayon P, Gurses A. Nursing workload and patient safety in intensive care units: Intensive Crit Care Nurs ; Factors influencing job satisfaction on specialty nursing units. Canadian J Nurs Adm, ;11 3: Therapeutic intervention scoring system: But you can order it from our service and receive complete high-quality custom paper. If you like one, you have an opportunity to buy a similar paper.
QUESTION Task description This individual assessment item provides students with an opportunity to research and critique one Contemporary Nursing issue as identified in an interview with a newly registered nurse graduate in a clinical health setting.
Practical application Part A — Interview refer to Structured Interview Guide below Use the Structured Interview Guide provided to develop more detailed and specific interview questions, add these questions to your interview guide to assist you with the interview process.
During your clinical placement, interview a newly graduated registered nurse within one year of graduation using the Structured Interview Guide with your specifically developed questions which should be attached to your submitted essay. Based on information gathered during the interview, identify one contemporary nursing issue that the graduate nurse highlights to discuss in more detail Analyse the influence of this issue on nursing practice, nurses and the nursing profession.
Part B — Essay refer to Essay Marking Criteria below Clearly identify the contemporary nursing issue you have chosen and the pertinent topics surrounding it. Identify opinions and recommendations from the literature surrounding the issue. These can be done in the following ways; An organizational code of ethics should be set and no diversions should be made, repeated, regular and effective communication should be done and the ethical issues should be discussed at a safe place, outside the usual hierarchy of power The work system factors contributing to nursing workload should be identified.
Health Service Manpower Review, 5 4.
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