Movie Analysis: Code Black

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.

According to L.H. Aiken et al., there is strong evidence that supports a connection between better nurse staffing and better patient outcomes. Scientists argue that a higher amount of nurses on staff allows for a lower rate of overall patient mortality. The reasoning behind this point is the fact that higher nurse rates correlate with “better nurse care environments.” Patient to nurse ratio, highly educated nurses, and increased nurses on staff during a single period of time effects the environment that allows for proper patient care. If there are too many patients assigned to a single nurse it will lead to increased patient complications (medical care/ medication errors, mortality rates, etc.) increased nurse fatigue, and decreased nurse retention/job satisfaction. Scientists argue that these issues must be looked at immediately because there are “numbers of lives that would be saved through improved care environments.” Scientists also argue that the way to improve care environment is by having hospitals become “magnet

The purpose of this article is to discuss appropriate nurse staffing and staffing ratios and its impact on patient care. Although the issue is just not about numbers as we discuss staffing we begin to see how complex the issue has become over the years. Many factors can affect appropriate nurse staffing ratios. As we investigate nurse staffing ratios we can see the importance of finding the right mix and number of nurses to provide quality care for patients.

Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia, shock or cardiac arrest increases when patients receive fewer hours of nursing care. Medication errors and unsafe hand washing techniques were found more in increased patient workloads. Unsafe staffing gave more job dissatisfaction, job burnout and more nurses quit or drove nurses away from nursing. This increased mandatory overtime and increased nurse shortage. According to survey of California state

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.

Patient quality of care becomes severely compromised without adequate staff availability. Low staffing not only affects the patient, but the nurse providing care as well.

Issues such as staffing levels affect nursing sensitive outcomes negatively by causing increases in medical errors, patient infections, increased mortality, increased injuries to the patient and staff, and cause longer hospital stays. The positive side of staffing levels occurs when staffing is at an optimal level. This allows nurses to give better patient centered care, increases opportunities to educate the patient, and advocate for the patient more. In essence, staffing levels can ultimately affect patient safety outcomes and quality of care.

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.

When watching The Hateful Eight it’s clear that Quentin Tarantino was inspired by John Carpenter’s The Thing. There are quite a few subtle nods to the classic horror film as well as some not so subtle similarities. One could watch one right after the other and immediately see the similarities between the two films. While most people would not consider The Hateful Eight a horror film it takes the greatest horror aspects of The Thing and uses them to its advantage. Quentin Tarantino took quite a few ideas from John Carpenter’s The Thing and modified them so they fit seamlessly in to his western film, including actors, characters, and even some music that was originally written for Carpenter’s film but was never used.

There are three staffing models, budget based in which nursing staff is allocated to nursing hours per patient day. Another method is nurse to patient ratio in which the number of nurses per number of patients. Lastly, and I think most importantly is patient acuity in which patient characteristics are used to determine a shift’s staffing needs. My organization uses a combination of methods and taking the overall staffing approach to their specific needs of the unit. There can be concerns about appropriate and safe staffing when only financial approach is taken without considering such as patient acuity, and

As a nursing student I haven’t thought a lot about staffing issues, but it is a huge deal in nursing. Without the right amount of staff member’s patients cannot get the care they deserve. Not having enough help on the floor also makes life as a nurse more stressful. This problem can lead to burnout and multiple other issues like patient satisfaction rates. “Staffing decisions should be based on the number and needs of the individual health care consumer, families, and population served” (Weston et al, 2012, p. 250). Since the clinical site I attend is a small community hospital they don’t have as many employees as say Children’s Mercy would because it’s a larger facility. Nurse staffing depends on numerous items, which we came to learn more

I really enjoyed reading your post and I agree that optimal staffing is essential in order to provide optimal patient care. Being one of the major concerns of nursing today, research studies demonstrate that appropriate nurse staffing ratios decreases patient mortality, incidents of cardiac arrest, hospital-acquired infections, and other adverse events (Hertel, 2011). Inappropriate staffing and excessive overtime hours produces a number of detrimental effects, including increased stress levels, job burnout, back and needlestick injuries, all leading to decreased job satisfaction ultimately resulting in nurse turnover. As health care leaders, it is important to ensure the delivery of effective and efficient care while simultaneously

Staffing is probably the most challenging and certainly the most important to the delivery of patient safety and quality of care. Staffing ensures that appropriate number and level of staff members are available to provide care. Otherwise, surrounding issues will result such as staff dissatisfaction and compromised patient outcomes. The article presents a brief list of strategies on how to cope with short staffing and reference other articles to help manage short staffing.

Heavy nursing workload has a negative impact on the health of the nurse and clients. It compromises the ability of the nurse to care for the clients. Nurses are affected emotionally, mentally and physically. The most important thing from this situation is that everyone needs to be treated equal regardless of the race, gender, age, religion and profession. The workload needs to be divided fairly. Everyone needs to be considerate and respectful to one another. Moreover, the working environment and nurse workload needs to be adjusted and improved. To have adequate number of staff to work on the floor to care for the clients is one of the changes that I would like to see. In my opinion, sufficient staffing can reduce the stress and pressure due

With an increase in the amount of people needing/wanting medical treatment, there will be a shortage of medical staff. This will cause longer wait times, limited resources, as well as not having enough doctors and specialists to meet the demand.