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


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Registered Nurses and Mandatory Overtime

Introduction

The United States is experiencing a huge short*****ge in reg*****tered nurses who constitute the backbone of ***** health care sector. As a n*****tion 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 the increasing trend of downsizing ***** ***** many hospitals have reduced their nursing staff. Under the present scenario ***** an ***** population requiring increased hospitalization, a de*****rth of nursing ***** only translates ***** more burden on the limited number ***** Nursing staff. In many hospitals, mandatory overtime ***** a common trend and ***** are literally ********** to work ***** or lose ***** benefits or, even w*****se, risk being fired. Though several studies ***** indicated dangerous consequences of mandatory overtime, it is unfortunate that not much has been done to avoid this and Nurses continue to be explo*****ed. Despite evidence from studies suggesting the dangers involved, only a few states have passed regulations against mandatory overtime for nurses while in most states the *****ing hours of nurses is largely unregulated. A brief overview of ***** problem and some studies pertaining to it would provide us better insight.

M*****atory Overtime

With increasing number of patients requiring inpatient c*****, nationwide, hospitals are faced ***** a stiff resource crisis. Inv*****riably, this shortage of nurses is met by implementing ***** overtime regulations ***** the nursing *****. However, this has proved to be an unhealthy and dangerous practice affecting the quality of patient care as well as overburdening ***** ***** staff. Providing extended hours of service on a regul*****r basis, nurses become tired and stressed out which ***** ***** 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 ***** manda*****ry ***** 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 altoge*****r. Further the ***** patient/ nurse ratio directly implies a serious compromise on personal c***** to **********. Let us now look into some recent research studies that also confirm the negative effects of mandatory overwork among nurses.

Quality ***** Patient Care

Evidence from research studies suggest that the quality of patient care is considerably compromised by continuous mandatory overtime duty allocation for nurses. "Physiological factors such ***** 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," [CAN]. A nationwide study conducted by the California Nurses Association has *****d ***** nursing errors can be *****ed if ***** *****ing hours are limited to a healthy maximum ***** 8 hours. As per the research nurses ***** work for more than 12.5 hours on a day are thrice as likely ***** commit ***** comp*****d to

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