The Shouldice Method

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.

Since 1945, Canada based Shouldice Hospital has gained a reputation around the world for their primary performed surgeries and services in hernia repair. Shouldice’s main objective is to take the inconvenience of being diagnosed with a hernia and turn it into a quick and even enjoyable experience for their patients. This is all possible through Shouldice’s service delivery system, consisting of selecting patients that do not hold an overly complicated hernia in order to perform a superior surgical technique established by Dr. Shouldice. The patients endure an active stay to ensure a proper, speedy recovery, and a quaint estate resembling a country club accompanied with a pleasant staff and encouraged socializing with other patients that give them a unique experience. After the patient's stay, Shouldice Hospital invites them back for a yearly gala Hernia Reunion dinner to follow up and provide a complimentary hernia inspection. The lifelong bond that Shouldice has been able to establish and maintain display the above and beyond service they’ve given their clientele for decades.

The research directed by Stalpers, DeBrouwer, Kaljouw, and Schuurmans (2015) explains their aim was wanting to accumulate knowledge in addition to previous studies referring to the outcome measures such as mortality, length of stay, and healthcare associated infections. To systematically review the literature and establish an overview of associations between characteristics of the nurse work environment (nurse staffing ratios and nurse-physician collaboration).

3. Yes, it would be morally justified for a surgeon to have provided the hernia surgery because who knows Roberta W. can survive the surgery. If there is no other option to helping Roberta W. hernia the surgeon should try their best and do the surgery. This option is way better than for Roberta W. to just sit there and refusing hydration at least the surgeon tried to help her. If we look at the teleological theory it says “denotes even if the act was wrong but the outcome turned out good then it is considered good.” So I think if surgeon don’t have any more option to help Roberta W.’s hernia they should just do the surgery because in the outcome who knows it can come out good. In case that this surgeon doesn’t do the surgery, there is millions of surgeon who would gladly do the surgery for Roberta W., it is 50/50 chance that she could die or

Unique and pioneering surgical technique for Hernia operation which reduced the suffering of the patients and led to rapid

Hospitals are organizations, which involve constant movement of people hence suitable structures, planning, and facilities should be put to ensure adequate delivery of services. Hospital structures should allow adequate space for expansion. They should be placed where there are many people and in places where they are easily accessible. Hospitals provide different healthcare facilities, inpatient services and outpatient services; this requires proper planning and appropriate buildings to manage different patients.

While healthcare continues to evolve, the emphasis on patient safety and quality care remains the focus. Healthcare institutions have guidelines to measure how safe patients remain and the quality of care they receive when hospitalized. Essentially any unplanned events during hospitalization that result in increased length of stay or injury to the patient, or any preventable readmission for a chronic illness results in decreased payment to the hospital. As hospitals struggle for money, nurse salaries are the simplest way to accrue the lost funds. However, increased nurse-to-patient ratios directly correlate to these events. Changes to nurse staffing are demanded to improve satisfaction and the quality of care patients receive. While some states have implemented strategies to revise nurse-to-patient ratios, not all states have. There are also variations on which method should be used to mandate staffing. Encouraging all acute care hospitals to obtain Magnet Status is a potentially beneficial means of accomplishing the goals of the patient, the nurse, and the hospital.

A hernia is the protrusion or penetration of an organ through the wall of a cavity that normally contains it. Hernia is Latin for protrusion.

A hernia is classified as Inguinal (groin), femoral (outer groin), incisional (results from the incision), Hiatal (upper stomach area) and umbilical (belly button). However, hernia commonly forms in the abdominal area.

A surgeon is a doctor who performs operations. Surgeons could be physicians, podiatrists, dentists or veterinarians. Patients get operated on for diseases such as cancerous tumors; to treat injuries such as broken bones; and deformities such as cleft palets. The average surgeon works about fifty to sixty hours per week. Each week they make a salary of about $4,433 and they make a yearly salary of $230,540. Surgeons use a variety of instruments. Many surgeon choose to have a specific field for operations. Some specialties include Orthopedic surgery (the treatment of the musculoskeletal system), neurological surgery (treatment of the brain and nervous system) and plastic or reconstructive surgery. Before surgeons are able to operate they must

An inguinal hernia can be described as a protrusion or passage of a peritoneal sac, with or without abdominal contents, through a weakened part of the abdominal wall in the groin (Drake, 2010). Inguinal hernias have been present in the medical literature from the beginning of written history. Documented as early as 1700 BC, the Hammurabi of Babylon described hernia reduction and application of trusses to prevent protrusion (Matthews, 2008). As of 2008, inguinal hernia repair was the most common general surgery procedure in the United States (Matthews, 2008). Patients with an inguinal hernia can present at any age, from birth until the elderly, both male and female; although, inguinal hernias are 10 times more common in men than in women. In

Nursing is a field in which personnel must contend with a wide variance of daily challenges, both specific to the job itself and more generally as a result of labor conditions within the field. The latter issue in particular implicates a nation-wide nursing shortage, where matters such poor nurse-to-patient ratios, long working hours and low morale have contributed to a generally high turnover within this field. The result is that any given medical facility may find itself in the difficult position of having to sustain positive morale within while simultaneously weathering the kinds of labor shortages that can be deleterious to the experience of those working there. This is the required balance which is delineated in the research article by Lavoie-Tremblay et al (2010). According to the scholarly research article, entitled "Retaining Nurses and Other Hospital Workers: An Intergenerational Perspective of the Work Climate" and published in the Journal of Nursing Scholarship,

This field of work has as many satisfactions as it does patients. Dr. William Mackie says, “I like my job because of the variety of surgery, it enables me to practice and gives me job satisfaction” (Ok College Start.org). Learning is a constant part of the job, learn from your mistakes, learn while doing and observing. I personally love learning new things, so this is definitely a job satisfaction for me. Dr. Linda Kiley says, “I like variety, challenging problems, fixing problems and developing a relationship with my patients.” Dr. Kiley finds the stress worth it. She explains, “Being able to save a life, or make a real difference in someone's life or quality of life, that is worth everything” (Ok College Start.org). For me, developing a relationship and saving the life of a patient is the best kind of satisfaction. 13. Even though Dr. J. Wells Wilson says “Don't go into this job with great expectations of making a lot of money,” the money you make being a surgeon is also another job satisfaction. In Oklahoma, a surgeon fresh out of college makes an average of $35,900 yearly, and about $17.26 hourly (Ok College Start.org). While this is not a whole lot of money, with more experience a surgeon can make a lot. The average yearly wage for experienced surgeons in Oklahoma is $218,340 (Ok College Start.org). Talk about making it

Compared to other medical institutions that provide a wide array of medical procedures, Shouldice Hospital specializes in one procedure for patients that suffer from abdominal hernias. This specialization allows each doctor at Shouldice Hospital to perform approximately 600 hernia surgeries per year, while doctors at other institutions only perform 25-50 hernia surgeries per year. As a result, the “Shouldice Method” has been perfected to an unparalleled level for the well-being of the patient. The

An incarcerated hernia causes a bulge that does not go away. It may be tender to touch. The child may also be fussy or irritable.