What Is Nursing Shortfall?

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

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.

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, prisons today have little capacity do deal with the issues of care. The prisoners are the responsibility

The government responds to The Francis Report in 2014 accepting all but 9 of the 290 recommendations issued in their initial response named ‘The Hard Truths’. They introduced a new legislation with an immidiete effect implimenting the toughest inspection regime covering all care services. Chief nursing officer Jane Cummings and Director of Nursing Viv Bennett introduced a 3 year strategy and vision that aims to promote values known as the NHS’s 6C’s. These 6 areas of action focuses on improving care for all patients which connects to the ‘WE CARE’ campaign. In brief, both state that competence; to have the ability to sucessfully enhance and improve lives. Compassion; to see through someone elses eyes and have an intent to act to change things for the better. Commitment; to be fully devoted to provide quailty care at the highest standard. Care; ensuring that every person counts whether it’s the service user, their families or the wider community. Communication; being open and honest with a mutual trust whilst working with others to take care of the patients physical and mental health as a whole. Courage; to have the ability to speak up if unethical practice is discovered whilst keeping in mind the respect and dignity of the patient. The government responds to The Francis Report in 2014 accepting

High Prison population and Overcrowding also lead on to the fact that there will be problems within the prison concerning staff. One of the problems in terms of staff will be the numbers available. With the increasing numbers, and the reductions in the prison budget, means the staff to prisoner ratio will continue to worsen. With this means that the supervision of prisoners will be less available which will reduce time out of cells and time in classes working towards rehabilitation. This also leads on to another problem within staff in prisons, in terms of their relation with the home office. The more prisoners coming into prisons increases the workload for the staff, this is without the relief of additional staff being employed. Staff unrest can lead to industrial action, which will lead to the breakdown of the prison service.

These detention centers are proven to be beyond poorly equipped and lack properly trained medical personnel. Dora Schriro, a former Homeland Security advisor says...

Each day, men, women and children are put behind bars suffer from lack of access to medical health care. Chronic illnesses go untreated, emergencies are ignored, and patients with serious illnesses fail to receive needed care. A small failure to medical care can turn in to death of an inmate if left untreated. Prisoners are humans whether inmates or not, with normal health issues or diseases. Even a common cold is an example of an illness that needs treatment. A lot with what is wrong with the health care system today, in the United States deals with money. Within prisons, it is an entire different story. The mission of medical care is to diagnose, comfort and cure. These goals are not being achieved within the prison system. Care needs to be given to every inmate, even the most despised and violent one among them all.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

Other ongoing problems were the failure of prison staff to provide adequate medical care for these prisoners and the inability of police to identify the particular cultural factors which may have placed these prisoners at greater risk.

According to the American Nurses Association, an impaired nurse is unable to meet the requirements of the code of ethics and standards of practice of the profession. This nurse has cognitive, interpersonal or psychomotor skills affected by psychiatric illness and/or drug or alcohol abuse of addiction (American Nurses Association, 2010). Not only do these nurses create a potential threat to their clients, but they have also neglected to care for themselves.

Having poor heath care within the prison system is something that is very dangerous. It can lead to things such as accidental deaths, worsening pre-existing conditions, and conditions occurring that could have been prevented if the proper care was

Private prisons face fierce criticism on how they deal with inmate’s health care. According to a nurse within one of these facilities, “private

It is imperative to distinguish that errors can yield throughout the healthcare structure. Underlying failures, occasionally termed the ‘blunt’ end, starts after conclusions that assume administrative guidelines, practices, and distribution of assets. Operational flops transpire at the border of interaction with the patient, for example during treatment with the wrong patient. These mistakes are occasionally denoted to as the ‘sharp’ end. Administrative structure letdowns, or incidental failures, are associated to organization, structural philosophy, procedures/processes, conveying of awareness, and outside influences, for example conclusions concerning recruitment and scheduling. Practical failures are the ancillary failure of services or

Nursing is universal in the sense that nurses can be found almost in all countries around the world (Henderson, 1978). They are in the hospitals, in school clinics, in the community centres, residential homes and even play major roles in some of the popular soap operas in television. There are even television shows that mainly revolve around nurses and which chronicles what they do at work - both the positive and the negative. It is one of the most visible and easily identifiable occupations as compared for example to other occupations such as engineers, managers or even pharmacists, medical technologists and other health related occupations. This is partly because of what nurses do and most especially how nurses look - with some still