Direct Cause Of Long Waiting Times

The problem of inadequate nurse staffs is associated with disadvantages both to the patients and the nurses. The benefits to the patients include reduced mortality rates, improved health, disease prevention, proper patient care among other benefits. On the other hand understaffing has contributed to poor nurse outcomes like job dissatisfaction, fatigue, high workloads, turnovers, and others (Burnes Bolton et al., 2007). The staffing policy will help in solving all the benefits. The national and the local government should fully support this policy as it will health the government’s agenda of providing quality and affordable care. The plan addresses a neglected area that negatively affects the provision of quality healthcare. Although the policy is associated with some costs like salaries and wages its, the benefits outweighs the costs. This study recognizes that personnel is an essential element that cannot be ignored in the health care. Quality health depends on the availability of adequate staffs. Thus, the adequate nurse-staffing policy will help in solving the problems affecting quality health

Physicians located within wealthier and more populous areas have slightly better access to equipment and infrastructure, but the conditions differ only slightly. Doctors are extremely rushed with a constant overflow of patients and consistently working in hot rooms with little air circulation. This is problem does not only exist in the public clinics of general physicians. Specialist physicians have a persistent flood of patients who do not need a specialist’s care, but seek the specialist because there is no general physician available.

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.

Nurse-to-patient ratios is not a new topic of debate for all of us who deliver care to patients every day. Only lately it has been a big issue that have caught the attention of many. Demands by the medical community for changes concerning staffing, asking for the government interventions in minimum staffing laws. Registered nurses have long acknowledged and continue to emphasize that staffing issues are an ongoing concern, one that influences the safety of both the patient and the nurse. (ANA, 2015) .nowadays hospitals are running for profit and the emphasis is not put on job burnout, stress, and endangerment of patients. Nursing shortages is a very pertinent problem, it will be optimum to have laws in place to help with the issue, however meanwhile leadership and management methods to the matter can help to mend the nursing situation and avoid many of the damaging effects of unfitting nurse-to-patient ratios.

The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing

With a shortage of nurses, the care and safety of patients may become compromised. The nurses themselves may be having feelings of dissatisfaction, overwhelm and distress. Nurses who may become overwhelmed with the high number of patients may become frustrated and burnt out. And inadequate staff of nurses may lead to a negative impact on the patient’s outcome. The quality of care the patients may receive in facilities with low staffing may be poor.

Moreover, the office visit length will be shortened due to the high demand of customers making it harder to provide good quality of care to patients as well . On the other hand, from the physician point of view it is predictable that doctors will change practice patterns from private offices to hospital services because the facilities pay salaries with less expectations in the number of patients seen per day. Furthermore, due to the elevated number of patients, time left for clinical documentation and record keeping will be nulle.

Another secondary issue is the weakened employee expectations and employee performance, which adversely affects good patient care as well. The person in charge of patient registration is unprofessional to staff and patients. The facility is not clean because maintenance is slow in performing assigned duties. The parking is unsafe and unattended. The staff lacks the motivation to perform well.

In this paper I will be playing the part as a chief operating officer (COO) and I am responsible for a 15-bed Emergency Room (ER). In this scenario I am facing many complaints within the last year regarding inadequate care, poor Emergency Room management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. I am asked to (1) Thoroughly diagnose the root causes of the complaints about the clinic, (2) thoroughly devise a strategic plan for overcoming the problems associated with the current Emergency Room, (3) thoroughly justify how the “Good

Lengthy time wait can result in an individual becoming more sick, due to the lack of attention they are receiving. In the province of Alberta, a women says “her life is wasting away after a series of miss communication.” Its been almost 10 years, and she still hasn’t received her treatment. As a country viewed as one of the best countries in terms of healthcare, the government fails to provide the citizens with proper care. However, analyzing Canadian wait time from a decade ago to the present day, Canada is ranked number 11 on the lowest wait time according to First minister accord. Canada advance to the top of the ranking by improving on some steps, such as diagnosing problems fast. By diagnosing the problem first, health care worker are able to aid patients to get the best and most efficient health services. Also, the main foundation to a a shorter wait time is the a strong and cooperative staff. With a great staff that are communicating, its easier to get through many patients in a day. (https://secure.cihi.ca/free_products/HCIC2012-FullReport-ENweb.pdf) If majority of our taxes is contributing into healthcare, we should be provided with fast and efficient service. Another alteration with having a lengthy wait is it affects individual who are in need of a

I think it is important to assess my performance each time I clerk a patient in order to ensure that I am utilising the experience as a learning opportunity. If I were to clerk a patient and not assess my performance, I would not be considering my strengths and weaknesses and I would have wasted a valuable opportunity to recognise mistakes and to learn from them. In order to assess my performance when clerking a patient, I try not to look at the notes or speak to other medical staff too much about the patient before I start. This ensures that I take a non biased history from the patient, and that my examination findings are real and not based on what I have already read or heard. As I clerk the patient, I have a mental checklist that I try

Normally , the life of a health care professional is filled with an overwhelming amount of information, countless paper works , physical distractions and patient's query. Tension is present the minute their shift begins and prolong exposure subsequently results in job dissatisfaction , work overload and burn-out . Such is true in the case of Joe Downs , who failed to complete the filling of all the daily request for patient's medication in his desire to meet all the demands of his colleagues . It negatively resulted to delay of performing his duty , dissatisfaction of his supervisor and ultimately, occupational stress.

Over the last several years, hospitals have been dealing with an increase in the total number of patients. This is because a larger percentage of people are living longer and there is more demand for these services. As greater amounts of the population is reaching the age of 65 and beyond (i.e. the Baby Boomers). This is placing strains on existing facilities to meet the needs of patients. The results are that health care providers and professionals are becoming overworked. This is leading to reduced response times. (Giganete, 2010) (Dowd, 2012)

Upon arrival a patient should have been made aware about a delay therefore he/she would not get inpatient. The appointment itself should not be rushed. A health proffessional should have explained everything in a clear and precise manner giving patient the opportunity to voice any concern or ask any additional questions. In regards to the appointment itself, the

Neighborhood’s hospital is filled with patients who are ill with exacerbations of asthma and emphysema related to the poor air quality and smoke. The hospital’s emergency department calls for in-patient beds but there are no beds available. There are more patients needing beds than there are beds available. The emergency room nurses keep calling the floors to request beds, and none are available. The staff morale is low because they all feel the stress related to the pressure of early discharge for patients to make beds available. The nurses are kept busy with discharges and admissions, and are feeling overwhelmed and under-staffed. Hospital administration has decided to implement mandatory overtime adding to the stress of the staff.