Nurse staffing ratios

 

Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
1- Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
2- Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
3- Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
4- Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
5- Describe a leadership style that would best address the chosen issue.
6- Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles within 5 years.

Sample Solution

Nurse staffing ratios

Nurses play a critically important role in ensuring patient safety while providing care directly to patients. Nurse-to-patient ratios are setting-dependent: while five patients per RN may be appropriate in the acute medical-surgical units, intensive care units have a ratio of one or two patients per RN, depending on the acuity of the patient. Nurses` vigilance at the bedside is essential to their ability to ensure patient safety. It is logical, therefore, that assigning increasing numbers of patients eventually compromises a nurse`s ability to provide safe care. Nurse staffing ratios and patient maximums are a question of care quality. Advocates for enforced ratios say patient safety and care quality suffers when nurses take on too many patients (Annals of Intensive Care, 2017).

simulative monetary policy to solve the recession. The fall of Keynesianism also credited to the fact that many economists did not take into account the probability of stagflation (Blinder, 2013). Historical data pointed out that high unemployment rates were related with low inflation rates and vice versa, as shown in the Phillips curve (Khan Academy, 2017). The theory was that a high demand for goods increased prices, which in turn stimulated companies to employ more people. Likewise, high employment rates augmented demand. During the 1970s stagflation, it became obvious that the link between inflation rates and employment levels was sometimes unstable. As a result, macroeconomists were unconvinced about Keynesianism, eventually steering to the end of the impact of Keynesian theories in economic strategies. Monetarist economists, such as Edmund Phelps and Milton Friedman clarified a shift in the Phillips curve: they maintained that when companies and workers anticipated high inflation, there was a shifting up of the Phillips curve, suggesting that high inflation can occur at any rate of unemployment (Khan Academy, 2017). Unambiguously, they argued that if inflation remained high for many years, workers and companies would begin emphasizing its consequences during wage negotiations, causing in a quick increase of earnings and firms’ prices, which further quickened inflation. This enlightenment was an extreme case of criticism of Keynesianism, and Keynesians progressively agreed the explanation. This reduced Keynesianism spread and influence on economic policies. To conclude, it is evident that the spread and impact of Keynesianism was largely accelerated by the unmatched economic success and constancy in the post-war period from 1945 until 1973. The basis of Keynesianism was government intervention using active monetary and fiscal actions to normalize aggregate volatility in market economies. Its collapse could have accredited to the 1970s stagflation depicted by an instantaneous increase in both unemployment and inflation rates. Critics maintain that stagflation was an unavoidable heritage of demand management policies associated with Keynesian economy. The critical fall of Keynesianism was noticed by the end of the neoclassical synthesis conventional position because of empirical and theoretical weaknesses. The fall of Keynesianism was also triggered by the fact that many economists of that time did not take into account the probability of stagflation.

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