Question

complete a two page paper regarding the dangers of nurses working greater than 12 hours. You need to identify that by not showing up to work, you may cause the previous nurse to work greater than 12 hours, and this is unsafe for patients. You will need five Nursing Journal (peer-reviewed) articles cited to support your claims

Answer 1

Gone are the days when nurse slept in the hospital wards to close to their patients. However,it wasn’t until after world war II that nursing adopted the standard 8 hour a day. Hospitals began using 12 hours a shift a day in 1970 during national nursing shortage as a way of retain nurses today , 75% of hospitals nurses work 12 hour shift

Nurses can work less hours and days, and potentially have an improvement work/life balance . for hospitals the longer shifts means less over time and use of agency nurses greater ease of developing schedules with only two shifts to cover each day and two daily hand offs

Nurses feeling forced out could leads age discrimination lawsuits. But equality important, the exodus of sea soled nurses Association points out that the added expense of recruiting and training employees and the risk of errors may outweigh the initial cost benefits of age hours shift

Fatigue and insufficient / poor- quality sleep for nurses are troublesome factors in 12 hours shifts for nurses of all ages in response to ongoing concerns about the risks for fatigue in relation to patient care, the joint commission issued asentinel event alert or an actual unexpected occurrence of, death or serious injury in the health care setting. The alert urges health care organization to increase their efforts to reduce the risk for medical errors related to fatigue among workers enduring Ex- tended shifts including assessing policies for shift work developing strategies to prevent fatigue, bolster team work and collaboration in providing support for those on longer shifts and ensuring a safe, smooth transition at hand off at the end of a shift

The Hospital Consumer Assessment of health care, HCAHPS survey providing standardized survey instrument and data collection methodology for measuring patient’s perspectives in hospital care nine Key points

1. Communication with doctors
2. Communication with nurses
3. Responsiveness of hospital staff
4. Pain management
5. Communication about medicine
6. Discharge information
7. Cleanliness of the hospital environment
8. Quietness of the hospital environment
9. Transition of care

The proportion of nurse working in hospital more than 13 hours including both of global assessment of care patients rating of the hospital overall and whether patient would recommend the hospital. In other words , increase in the proportion of nurses working shifts of more than 13 hours were associated with increase patient dissatisfaction and decrease the quality of care mainly in ICU those critical ill patients, nurse those who are working long shifts in ICU leads many events cardiac arrest and other some complication why because in ICUs are required close monitoring of the patient