High Turnover Rates Impact Public Hospitals

High employee turnover, where workers frequently leave and must be replaced, leads to increased spending on recruitment and training and can indicate management problems. Employees often have good reasons for moving on but if too many are leaving an organisation, can be very disruptive.

In terms of resources and finances, inpatient care is the most costly form of healthcare. It not only requires the medical supplies, but basic care supplies such as food, bedding, etc. It requires more practical resources in terms of electricity and other services, as well as more human resources, as the patients require round the clock care and availability. Hospitals and centers providing inpatient care therefore need a minimum of two shifts, and possibly three in order to avoid unnecessary and costly mistakes due to the workers’ exhaustion.

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.

This issue is important to address because having an increased workload can have detrimental issues such as mental frustration and physical exhaustion. The conclusion of this study is that it calls for action to take place in the health care system. It is important to investigate these problems, so there can be modifications made by management to the health care systems to overall decrease the nursing shortage.

Nurse staffing have an effect on a variety of areas within nursing. Quality of care is usually affected. Hospitals with low staffing tend to have higher incidence of poor patient outcomes. Martin, (2015) wrote an article on how insufficient nursing staff increases workload and job dissatisfaction, which in effect decreases total patient care over all. When nurse staffing is inadequate, the ability to practice ethically becomes questionable. Time worked, overtime, and total hours per week have significant effect on errors. When nurses works long hours, the more likely errors will be made. He also argued that inadequate staffing not only affects their patients but also their loved ones, future and current nursing staff, and the hospitals in which they are employed. An unrealistic workload may result in chronic fatigue, poor sleep patterns, and absenteeism thus affecting the patients they take care of.

aging populations will put big financial burdens on the government as older people will need more health care and translation services. More home care. As the number of elderly people increases, the health care system is short of medical doctors, nurse. So it can be said that doctors and nurses are a great field of study to attract

Stress has been linked to hypertension, heart attacks, diabetes, asthma, chronic pain, allegeries, headaches, skin disorders, cancer, immune system weakness and decrease blood count (Cummings et al, 2005). It has also been linked to an increase risk of alcoholism and drug use. High levels of stress can lead to higher absenteeism, larger staff turnover and low productivity. The symptoms are evident in the quantitative data, with an

Due to dramatic changes in healthcare such as new medications, advancement in medical device use, increase numbers of aging population and the supply of physicians to meet the demands, etc., nurses are required to have more

There have been are strain on the increase number of patients who are acutely sick patients. This is due to more people surviving cancer, heart attacks and stroke and lives on into old age. Nearly two-thirds of the patients now being admitted to hospital are over the age of 65 and many are much older. At night or over the weekend acute hospitals mostly have a junior doctor who may be in their first two years of training as cover. Studies show patient deaths rise by 10% over weekends. In a survey a third of the respondents said their hospital was "average" at delivering high quality of care 24 hours a day, seven days a week and over 10% said it was "poor".

A Nurse Practitioners is a licensed registered nurse who has had advanced preparation for practice that includes 9to 24 months of supervised clinical experience in the diagnosis and treatment of illness. Most contemporary NP programs are the master’s degree level: graduates are prepared for primary care practice in family medicine, women’s health, neonatology, pediatrics, school health, geriatrics, or mental health Nurse practitioners may work in shared practice with physicians of indecently in private practice or in nursing clinics. (Taber’s Cyclopedic Medical Dictionary, pg 1646) There are a number of factors to consider such as industry, company size, location, years of experience and level of education. While putting into consideration

Nursing is the powerhouse in the delivery of safe, quality patient-centered care in the healthcare industry. To ensure continued safety of the patient and nursing staff, the issue of inadequate staffing must be addressed. Consequently, patient’s mortality rate has been linked to the level of nursing staff utilized in ensuring an utmost outcome (Aiken, 2011). This paper will outline the issue associated with inadequate nurse to patient staffing ratios in the hospital setting; essential factors such as economic, social, ethical and political and legal affecting the issue will be established; current legislature and stakeholders will be ascertained and policy option, evaluation of bill and the results of analysis will be reviewed.

Nursing is not a solitary kind of job therefore turnover will be affected by the kind of relationships at the workplace as well as the relationships with management. Staff wants to know that they are being heard and that their opinions and suggestions are taken into consideration. This allows for nurses to grow as leaders and have influence on their peers. Job satisfaction I also influenced by the wages given for the job done. If nurses feel like they are underpaid then they will leave their positions in search of greener

In conclusion, to be able to care for our patients to the best of our abilities, we need more nurses in the field. And to make that happen we need to better the working environments so that nurses will love coming into work and we also need more nurses on staff so that every single patient can be treated with the proper care that they deserved. We also need a mandatory ratio of nurses to patients to better the nursing system especially for the night shift. With this we can safe more patients’

To provide high-quality care for the patient it is essential for the nursing staff to have enough time for recovery from long hours of demanding work. Eight-hour shifts for hospital nurses have become a standard of the past. Nowadays, 12-hour shifts for three days a week have become typical in most hospitals as recommended by the Institute of Medicine (IOM) (Stimpfel, Sloane & Aiken, 2012). The length of the shifts and the working days; however, are often unpredictable due to increased demand for patient care and high census episodes. Nursing shortages, along with a weak economy, have left hospital nurses with no choice, then to work extended hours and overtime. Long hour shifts, as well as mandatory overtime, has become an increasing

Stress is an elusive concept of an internal retort to an external stimulus (ref). A certain level of stress is certainly required and beneficial in short term use but when prolonged and in excessive amounts, it can cause stress reactions burnout and mental health issues such as, depression, anxiety, insomnia and PTSD (ref). The job description of a paramedic is inclusive of a multitude of stressors; such as responding to highly stressful, life threatening situations in compromising and complex situations. Quick appraisals of the situation need to be made in timely manner in order to administer lifesaving aid prior to transport to higher medical facilities