Essay - Registered Nurses and Mandatory Overtime Introduction the United States is...

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Registered Nurses and Mandatory Overtime


The United States is experiencing a huge short*****ge in reg*****tered nurses who constitute the backbone of ***** health care sector. As a nation with an aging population and around 1/3rd ***** the registered nurses above fifty, *****re is currently a 15% unfilled vacancy for RN, which ***** slated to increase further to 20% by 2020. [Gorenberg]. Compounding the problem is ***** increasing trend of downsizing ***** which many hospitals have reduced their nursing staff. Under the present scenario of an aging population requiring ********** hospitalization, a de*****rth of nursing ***** only translates to more burden on the limited number of Nursing staff. In ***** hospitals, m*****atory overtime is a comm***** trend and ***** are literally *****ced to work ***** or lose ***** benefits or, even worse, r*****k being fired. Though several studies have indicated dangerous consequences ***** mandatory overtime, it is unfortunate that not much has been done to avoid this and ***** continue to be exploited. Despite evidence from studies suggesting the dangers involved, only a few states have passed regulations against m*****atory overtime for nurses while in most states the *****ing hours of nurses is largely unregulated. A brief overview of the problem and some studies pertaining to it would provide us *****tter insight.

***** Overtime

With ***** number of patients requiring inpatient c*****, nationwide, hospitals are faced ***** a stiff resource crisis. Invariably, this shortage of ***** is met by implementing m*****a*****ry overtime ***** for ***** nursing *****. However, this ***** proved to be an unhealthy *****d dangero***** practice affecting the quality of patient care as well as overburdening ***** ***** staff. Providing extended hours of service on a regular basis, nurses become tired and stressed out which not ***** increases the attrition rate but also affects the *****come of the patient. Foley of ***** ANA says, "By far the riskiest result of understaffing is the abuse of m*****atory overtime as a staffing tool," [Robert Steinbrook]. Over extended, burnt out and even underpaid, nurses develop job d*****satisfaction and as statistics indicate one out of five nurses are contemplating on quitting the profession altogether. Further the increasing patient/ nurse ratio directly implies a serious compromise on personal ***** to patients. Let us now look into some recent research ***** that also confirm the negative effects of mandatory overwork among nurses.

Quality ***** Patient C*****

Evidence from research studies suggest ***** the quality of patient care is considerably compromised by continuo***** mandatory overtime duty allocation for *****. "Physiological factors such as fatigue, system variables such as increased work intensity, or a combination of fatigue and increased work ***** may contribute to the errors ***** near errors we observed," [**********]. A nationwide study conducted by the California Nurses Association has *****d that nursing errors can be *****ed if ***** working ***** are limited ***** a healthy maximum of 8 hours. As per the research nurses ***** work for more than 12.5 ***** on a day ***** thrice as likely to commit ***** compared *****


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