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The head of the Safe Staffing Alliance has said new draft guidance on nurse staffing on acute adult inpatient wards in England ‘does not go far enough’.
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Earlier this year we were shocked and bewildered to learn that medical errors are now the third leading cause of death in the United States, according to Johns Hopkins patient safety experts. Knowing the importance of a culture of safety to promote best practices that keep people safe, ANA has conducted a yearlong campaign, “Safety 360 It Starts with You” to inform and coach nurses about organizational and personal approaches to eliminate the risk of harm and support peak performance of every nurse.
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Examining literature related to nursing turnover, retention and job embeddedness has implications applicable to employer and patients. Turnover is expensive and can lead to adverse patient outcomes and few studies focus on rural nurses.
Keywords of nurse, rural, turnover, retention, and job embeddedness entered into three search engines produced 39 references from 1995-2015. Predominance of convenience samples, lack of discussion ofreliability and validity information, and lack of theoretical or conceptual frameworks accompanied by lack of studies focused on rural nursing highlight the gaps in knowledge regarding what keeps nurses in their jobs.
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High turnover rate among nurses is regarded as a big problem leading to a shortage which does not only affects the quality of patient care but also affects the cost of recruitment and training new staff. Actual turnover is predicted by turnover intention and employee intention mark the most immediate motivator of task performance and an individual’s choice of behavior is influenced by their intentions. From the literature review, work climate is the highest predictor of turnover intention and there are challenging situations faced by nurses regarding their work climate and turnover intention levels in The Gambia.
The article concludes with a recommendation to study other factors related to work climate and turnover intention, such as payment, gender, education level, and work department.
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This review of research literature found the causes of burnout to be excessive workload, poor pay, poor conditions of work and emotional instability. The authors then suggest the need for information booklets which discuss this syndrome of burnout and the creation of conversation rounds amongst professionals to share experiences and seek solutions.
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More than 15,000 claims were made against the NHS in England in 2015-16 for incidents involving patient harm, clinical negligence and non-clinical injuries or accidents, according to the NHS Litigation Authority’s (NHS LA) latest annual report.
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Hospitals in Wales will be legally obliged to implement safe nurse staffing levels from April 2018, the Welsh Assembly has announced.
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A large and increasing number of studies have reported a relationship between low nurse staffing levels and adverse outcomes, including higher mortality rates. Despite the evidence being extensive in size, and having been sometimes described as “compelling” and “overwhelming”, there are limitations that existing studies have not yet been able to address. One result of these weaknesses can be observed in the guidelines on safe staffing in acute hospital wards issued by the influential body that sets standards for the National Health Service in England, the National Institute for Health and Care Excellence, which concluded there is insufficient good quality evidence available to fully inform practice.
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In August, the Welsh assembly said hospitals in Wales will be legally obliged to implement safe nurse staffing levels from April 2018. Scotland are set to follow but not England.
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NHS Improvement chief executive Jim Mackay recently came under fire from the RCN for his comments suggesting finances are more important than patient care.
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