Thứ Năm, 8 tháng 8, 2019

[Discussion] Too few nurses = lives at risk. Best summary yet of the dangers of understaffing?

Saw this image in the nursing subreddit. Had almost 2,000 upvotes:

https://i.redd.it/4bnhkvr1ni931.jpg

I recognized it, cause it's gone viral before. Seems to have been originally posted on Facebook last November by NurseRecruiter, who in turn seem to have gotten the idea from an earlier r/nursing post.

NurseRecruiter later devoted a blog post to the many heartrending responses the image provoked. For example:

"I wish I could clone myself to have some help. It feels like we’re being set up to fail. We are stretched so thin as it is on top of being short staffed every shift. They can’t keep the new nurses they hire and the ones who have stuck it out are burning out. I can’t blame anyone that moves on for places with better staffing and pay. I just wish someone would hear us.

And:

It was scary! Too many patients on one nurse, they are all sick, on numerous meds, no way to do everything that needed doing. Couldn’t find needed equipment. It was awful. The patients need more care and attention than they are getting … I was running as hard as I could, not stopping for anything. I still felt I needed to do more.

The research, they write, "has stubbornly kept confirming" that understaffing endangers the lives of patients, with a recent study finding "that the hazard of death increased by 3% for every day" a patient experienced below-average nurse staffing levels.

A previous blog post on nurse-to-patient ratios highlighted studies that found that "when one nurse has to take care of more than four patients .. the likelihood of the patient dying within 30 days increased by 7% for each extra patient" and "that the average patient experiences three shifts where nurses are clearly understaffed, and with each of those shifts their mortality risk grew by 2%".

And yet, efforts to guarantee proper nursing care keep coming to nothing. California successfully implemented mandatory maximum numbers of patients per nurse, but it's still the only state to have done so. A ballot initiative to get minimum nurse-to-patient ratios in Massachusetts ran aground on a massively funded counter-campaign by hospitals and other employers. A push for federal legislation went nowhere.

So instead, we keep getting these cries for help upvoted to the top of /r/nursing and going viral on Facebook or Instagram... and nothing changes?



https://ift.tt/eA8V8J Submitted August 08, 2019 at 12:16AM by goodbyeto1999 https://ift.tt/2KleAQX

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