I believe the question posed is one of worthiness. I believe most of the blame falls on the decrease in staffing, hospitalwide on the weekends and night shifts. I don’t believe nurses are to blame for the increase in poor outcomes on those shifts. I would be interested to hear the final outcome of nationwide studies. Even the CEO, David J. Shulkin, M.D. admits the problem lies in the decrease in workforce on off-peak hours, even though 50 to 70% of patients are admitted to the hospital on these off peak hours. I believe the blame falls in administration for not recognizing and accommodating these shifts for the workload. I disagree with the statement made regarding that “more-experienced nurses understanadably choose desirable day shifts.” We all have an internal clock and day people are not the only experienced, good nurses.
I did not realize the majority of nursing hours were off-peak. I did not really think of weekend days as off peak, but there is limited access to ancillary staff, managers, and physicians during this time. Can the lax environment be a cause? No managers, administrators, and a decrease in physician presence so the staff maybe less by the book?
I don’t agree that off-peak hours jeopardize patients’ safety and care they received. Maybe in some areas. I guess it depends on the place you work at. Where I work, we had gotten use to not having ancillary staff (respiratory therapists, etc.) so that we as nurses give our own treatments, do our own EKGs and stuff and if needed some X-rays done, then we send them to radiology. We have our physician on call 24/7 and have supervisors available for our unit at night and weakends. We have rotations with our nurses so that everyone get to work weekends including the senior and more experience nurses. Our staffing ratio does not change on weekends either. I guess we can consider ourselves lucky.
I am in the middle of a Masters Program and I found this topic by accident. I could not make up my mind what I wanted to examine with my research paper. I will be spending time today looking at your resources and potentially we will cross paths at some point because I work at a Dallas hospital and I am attending TWU at the moment. Thank you for the resources, it is much appreciated.
I also watched your You tube videos at the direction of my professor Dr. Maria Teitze. I find that this topic of the nurse at night when it impacts patient safety is one that we all should focus on to improve.
Good information. I am interested in knowing if support is available to implement to assist with implementing strategies in the workplace.?
I believe the question posed is one of worthiness. I believe most of the blame falls on the decrease in staffing, hospitalwide on the weekends and night shifts. I don’t believe nurses are to blame for the increase in poor outcomes on those shifts. I would be interested to hear the final outcome of nationwide studies. Even the CEO, David J. Shulkin, M.D. admits the problem lies in the decrease in workforce on off-peak hours, even though 50 to 70% of patients are admitted to the hospital on these off peak hours. I believe the blame falls in administration for not recognizing and accommodating these shifts for the workload. I disagree with the statement made regarding that “more-experienced nurses understanadably choose desirable day shifts.” We all have an internal clock and day people are not the only experienced, good nurses.
I did not realize the majority of nursing hours were off-peak. I did not really think of weekend days as off peak, but there is limited access to ancillary staff, managers, and physicians during this time. Can the lax environment be a cause? No managers, administrators, and a decrease in physician presence so the staff maybe less by the book?
I don’t agree that off-peak hours jeopardize patients’ safety and care they received. Maybe in some areas. I guess it depends on the place you work at. Where I work, we had gotten use to not having ancillary staff (respiratory therapists, etc.) so that we as nurses give our own treatments, do our own EKGs and stuff and if needed some X-rays done, then we send them to radiology. We have our physician on call 24/7 and have supervisors available for our unit at night and weakends. We have rotations with our nurses so that everyone get to work weekends including the senior and more experience nurses. Our staffing ratio does not change on weekends either. I guess we can consider ourselves lucky.
I am in the middle of a Masters Program and I found this topic by accident. I could not make up my mind what I wanted to examine with my research paper. I will be spending time today looking at your resources and potentially we will cross paths at some point because I work at a Dallas hospital and I am attending TWU at the moment. Thank you for the resources, it is much appreciated.
I also watched your You tube videos at the direction of my professor Dr. Maria Teitze. I find that this topic of the nurse at night when it impacts patient safety is one that we all should focus on to improve.