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Posts from March, 2014

The Dangers of Nurse Fatigue

Written by LeAnn Thieman, CSP, March 27th, 2014

Nursing News: Nurse Satisfaction Correlates with Patient Satisfaction

Written by LeAnn Thieman, CSP, March 25th, 2014

In the last few years, there have been several major studies highlighting the correlation between nurses’ satisfaction with their jobs or working conditions and patient outcomes, including patient satisfaction:

– A 2011 study in Health Affairs by a team of researchers led by Matthew McHugh, PhD, RN, at the University of Pennsylvania, found that patient satisfaction was linked with nurses’ job satisfaction. The researchers found that the percentage of patients who would “definitely recommend” a hospital to their loved ones decreased 2 percent for every 10 percent of the nurses who expressed dissatisfaction with their jobs.

– A 2009 FORUM white paper titled “The Relationship Between Employee Satisfaction and Hospital Patient Experience” found that organizations that made the effort to improve employee satisfaction experienced improved patient outcomes, including increased patient satisfaction and improved care quality.

– A 2008 study titled “Patients’ Perception of Hospital Care in the United States” that was published in the New England Journal of Medicine, using data from the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems ) survey, found that “the same characteristics of hospitals that lead to high nurse-staffing levels may be associated with better experiences for patients.”

Self care is a message that the ANA (American Nurses Association) has been working to get across with efforts such as its Healthy Nurse Initiative, which specifically addressed the importance of nurses caring for their own health and needs.

Nurses need to be reminded that investing in their own well-being as worthwhile, not selfish. Healthy nurse working in a healthy work environment is good for patients.

To increase the physical and fiscal health of your organization, learn about SelfCare for HealthCare™. Please CONTACT ME to discuss bringing this program to your nurses and healthcare staff.

Work Life Balance: Nurture Your Mind, Body and Spirit

Written by LeAnn Thieman, CSP, March 20th, 2014

Nursing News: Advanced Practice Nurses’ Earnings

Written by LeAnn Thieman, CSP, March 18th, 2014

With the changes in health care delivery, more advanced practice nurses are going to be needed to meet the demands for patient care.

According to the Bureau of Labor Statistics, nurse practitioners earn significantly more than most RNs. According to the BLS, their mean annual wage in 2012 was $91,450. Nurse midwives earned $91,070 and nurse anesthetists earned $154,390.

To learn how to recruit nurses and retain nurses to meet these demands, visit SelfCare for HealthCare™. Feel free to CONTACT ME to discuss customizing this program for your healthcare staff.

Nursing News: 4 Factors Affecting the Nursing Shortage

Written by LeAnn Thieman, CSP, March 13th, 2014

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Nursing News: Nurses Engage Patients in Health Care

Written by LeAnn Thieman, CSP, March 11th, 2014

Engaging patients in their own health care and helping them work with the care team is becoming one of the key themes in modern medical practice. The goal is to prevent illness, promote wellness and improve health and nurses have a key role. They are expanding their normal educational role, helping patients care for chronic conditions and make lifestyle changes, sometimes teaching them technology.

“Promoting patient education has always been a part of our nursing role and obligation to the patient,” said Debi Sampsel, DNP, MSN, BA, RN, chief officer of innovation and entrepreneurship at the University of Cincinnati’s College of Nursing in Ohio. “It has been a long-standing practice that nurses involve the patient across the life span in their own care.”

Sampsel knows nurses take great pride in promoting healthy lifestyles, and research has proven that active engaged individuals have much better health outcomes. The University of Cincinnati includes health promotion in the nursing curriculum and gives students an opportunity gain patient-engagement experience while working with the homeless and school age youth.

To learn more about nurse recruitment and nurse retention visit SelfCare for HealthCare™. CONTACT ME directly to discuss how we can customize this program for your healthcare staff.

Nurse Recruitment News: Qualified Nursing School Applicants Turned Away

Written by LeAnn Thieman, CSP, March 6th, 2014

Nurse Retention: Nurses Encounter Moral Distress

Written by LeAnn Thieman, CSP, March 4th, 2014

When nurses encounter ethical dilemmas in situations where they can’t do what they consider “the right thing,” they experience moral distress. Some have the courage to speak up or take action, others do not. This has a profound impact on nurse retention.

“There is such a moral burden to witnessing the suffering of patients and trying to balance the suffering vs. the benefit, and the complexity of decisions that can be made in the acute-care setting,” said Mary K. Walton MSN, MBE, RN, nurse ethicist at the Hospital of the University of Pennsylvania. “The basic questions are ‘What is the right thing to do?’ and ‘What makes it so?’”

Part of nursing is the relief of suffering, but complex interventions often cause patients to suffer while restoring them to health.

Carol Pavlish, RN, PhD, FAAN, associate professor at the UCLA School of Nursing in Los Angeles, has studied early indicators of ethical challenges nurses face and has developed some strategies for helping them.

“Challenges primarily had to do with watching patients suffer, which nurses find is unnecessary suffering,” Pavlish agreed. Nursing interventions may increase the patients’ suffering without necessarily improving an outcome.

Pavlish found nurses were also concerned that patients and families were not fully informed about treatment options and their clinical prognosis. Some question whether the patient voice was represented. For instance, advance directives were not being followed because families wanted something else.

Nurses often come to Walton with concerns about informed consent, pain and going beyond a common goal, but dilemmas in nursing ethics are not limited to end-of-life care.

Moral distress is when nurses and healthcare givers feel they know the correct action but cannot carry it out because of their organizational environment.

The American Nurses Association (ANA) responds to members’ who write in about ethical concerns and then tallies the queries to learn the themes. Martha Turner, PhD, RN-BC, assistant director of ANA’s Center for Ethics and Human Rights, reported that the work environment, integrating genomics and genetics into practice, and end-of-life issues and palliative care round out the top three nurses report.

ANA’s position statements on ethics and human rights can guide nurses and aid in their dealing with the ethical challenges they face in practice.

To tackle moral distress head-on and increase your nurse retention and nurse recruitment efforts, visit SelfCare for HealthCare™. CONTACT ME to bring this powerful program to your nurses.