Nursing Fatigue : What Is The Blame Game And How Can It Be Prevented?

One of the most critical factors which contribute to the number of preventable cases of healthcare harm is the culture of silence surrounding these cases. The fear of medical providers to report incidences is related to the possibility of punishment and liability due to a medical error (Discovery, 2010). The criminalization of some acts of medical error has resulted in job dismissal, criminal charges and jail time for some healthcare workers. This is despite the fact that the system they are working in helped to create the situation which led to the error in the first place. Human error, due to fatigue and system errors can result in deadly consequences, but by criminalizing the error it effectively shuts down the ability to correct the root problem. Healthcare workers, working at all levels within the medical system, can provide valuable input on how to improve the processes and prevent harm from occurring (Discovery, 2010).

Culture of blame is said to be pervasive in healthcare system CITATION. When handling life-death situations in the hospital, if something did not go well with our skill and practice, it is fatal. As a nursing student, I would probably expect from myself a fear of fault, shame, and discipline to be the top reasons why I took “hide and blame” approach. When making a med error for example, instead of saying, “I didn’t read that,” or, “I am totally forgot about that,” culture of blame probably would say something like, “the nurse didn’t tell me,” or, “the pharmacy should’ve warn us.” Again, it may be the truth, but it addresses the problem, not

Over time the health care industry has become more complex. Health care is rapidly evolving and continuing to complicate our delivery of care, which in turn has the same effect on quality of care. This steady evolution and change results in nursing shortages and an increase in the prevalence of errors being made. In hopes of preventing these errors and creating safe and high quality patient care, with the focus on new and improved ways of thinking, The Quality and Safety Education for Nurses (QSEN) initiative was developed. The QSEN focuses on the following competencies: patient-centered care, quality improvement, safety, and teamwork and collaboration. Their initiatives work to prepare and develop the knowledge, skills, and attitudes that are necessary to make improvements in the quality and safety of health care systems (Qsen.org, 2014).

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

Learning about patient safety is a quality that all nurses and future nurses need to have instilled in them before they

In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does

Provision three of the American Nurse Association (ANA) Code of Ethics states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Within this standard, it specifies that nurses have a professional responsibility in promoting a culture of safety (American Nurse Association [ANA], 2015). As nursing students, we have the privilege of working with nurses in different departments during clinical rotations. Nursing students are able to observe the ethical application and inattention/negligence of this provision through the use of evidence based practice as well as unhealthy practices, respectively. While on clinical rotation, the most common unsafe actions I witnessed

Nurses’ are to ensure patient safety in all aspects of care provided. Sometimes, this is found outside of what is considered “actual” care, such as a physical assessments and administration of medications. Every day nurses’ are given assignments to follow, which includes which patients to take care of. What happens when this assignment is unsafe for all involved? Administrative Codes have been established by each state Board of Nursing to guide nurses’ in different situations. Safe Harbor Peer Review assists nurses to know how to handle an unsafe assignment.

With all of these regulations and standards in place, one would think that all nurses work at the same standard that has been outlined and therefore safety is of no concern. Yet, a peer review conducted a study on the safety of student and graduate nurses. They concluded that unprofessional image consisted of repetitive errors, disrespect, anger, defensiveness, overconfidence, low confidence, and apathy.

Detailed and timely communication among registered nurses (RNs) and other team members, leads to improved quality measures and outcomes. In fact, studies have shown that negative outcomes were often linked to communication errors. As such, safety, delegation, and quality of care are dependent on one another. In other words, effective teamwork among the nursing staff directly impacts overall employee satisfaction and staff morale which leads to positive patient outcomes.

Errors pervade in our lives whether it is our home, in our workplace, or in our society. The effects of healthcare errors have impacted all our lives either directly or indirectly. Patient safety and quality care are at the core of healthcare system which strongly depends upon nurses. “To achieve goals in patient safety and quality, thereby improve healthcare, nurses must assume the leadership role. Nurses need to ensure that they and other healthcare providers center healthcare on patients and their families. Even though the quality and safety of healthcare is heavily influenced by the complex nature

The broad research problem leading to this study is the belief that nursing shortage in facilities leads to patient safety issues. The review of available literature on this topic shows strong evidence that lower nurse staffing levels in hospitals are associated with worse patient outcomes. Some of these outcomes include very high patient to nurse ratio, fatigue for nurses leading to costly medical mistakes, social environment, nursing staff attrition from the most affected facilities. The study specifically attempts to find a way to understand how nurse

Limited attention has been paid to the hours worked by nurses, or the effects of these hours on patient safety (Rogers, 2008). Even though most nurses favor 12- hour shifts and overtime, it is associated with difficulties staying awake during times of duty, reduced sleep times, and triple the risk of making an error (Rogers, 2008). The most significant risk of making an error occurred when nurses were scheduled to work 12.5 hours or more.

Nurses should be aware that their negligence causes very bad effects on patients and should be anxious about medical malpractice because nurses are held answerable for their own negligence and could find themselves being charged for malpractice. (Elis, 2012).

The risks of making an error were significantly increased when work shifts were longer than twelve hours, when nurses worked overtime, or when they worked more than forty hours per week. (Trossman, 2009). Working longer hours in a high stress area will always increase the error rate. Designating an adequate number of RN positions to ensure nurses work an appropriate schedule without overtime and that their workload allows for breaks. Managerial staff must work to develop specific policies about the length of work times based on the setting, patient and provider needs. Those policies should limit nurses from working more than 12.5 consecutive hours. Provide education for all care providers on the hazards and causes of fatigue. Continue to document unsafe staffing conditions and work with others to change the current work culture so that it recognizes the effects of fatigue on patient safety, as well as the nurse. (Berger, et al. 2006)