Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety. Nursing theories have an impact on nursing practice as they …show more content…
The various middle-range theories are preferred over grand theories, as researchers need the generation of testable hypotheses. (McEwen, 2014. pp. 213-214). This discussion will identify how the middle-range theory Interpersonal Relations and how it is applicable in solving nurse fatigue. The assumption is that only nurses who work in the hospital setting are subjected to nurse fatigue, but this problem affects in the rehabilitation facilities, home care nursing, specialized clinics. Nurses work long hours to compensate for the shortage of nursing staff within most healthcare facilities. When nurses are tired to the point of exhaustion critical errors can be made that would not normally occur if they were working regular hours. Peplau theory focuses on interpersonal relations between nurses and patients which is valuable in developing interventions for specific care within the clinical
This phenomenon can be very costly to employers and can result in increased health care and workers’ compensation, disability, and legal fees. (American Nurses Association, 2014). The problem of nurse fatigue is seen in my daily routine, as a Registered Nurse/Case Manager, where other staff members are overwhelmed with an extensive caseload, often resulting in delayed communication of essential information to the physician. The purpose of choosing this problem is to bring an awareness of its existence and the detrimental effects it has on patient safety. Fatigue can be defined as mental or physical exhaustion that stops a person from being able to function normally.
Great job on your post, you made some really good points and subjections to help prevent safety issues related to nurse fatigue. In addition, Middaugh (2016), states that according to the ANA, “nurses and employers have a joint responsibility to reduce risks from nurse fatigue and help create a work-life balance”. In fact, during one of my rotation, I heard a nurse complaining of been tired after working 2 days on the row and was on her third shift back to back. She was supposed to be off that day but another nurse couldn’t be at the hospital so she was called in to replace that nurse.
This in turn can cause fatigue and stress levels to rise amongst patient care workers and as a result may have adverse effects on their patients including increasing risk for errors, failure to rescue, and increased risk of mortality. To put this into reality a study was done regarding how much patients are at risk when a nurses’ patient workload exceeds what is considered safe based on the acuity of the patients the nurse is caring
Each theory has a specific purpose and varies in how abstract, formal, and restrictive it is. There has been a movement from focus on grand theory to middle range theory over time. As the world continues to evolve and develop it is important for nursing theory to do the same. As grand theory is becoming smaller middle range theory is growing. (Smith & Parker, 2015).
The strains on the healthcare field can eventually lead to physical,mental and emotional exhaustion also known as burnout. As caretakers,educators,and lifelines, nurses are responsible for the many roles they carry as they continue to give care to patients day in and day out. One of the most common reasons nurses are stressed is the patient to nurse ratio. For instance, a nurse may be taking care of 6 patients when he or she should only be taking care of 4.
A Compassion Fatigue Among ED Nurses Problem When one thinks about nursing, caring, empathy, and compassion come to mind. There is a link, an unbreakable union, for nurses that "compassion fatigue is the cost of caring for others in pain" (Boyle, 2015, p. 49). Compassion fatigue (CF) and its impact on nurses are predominant problems in many Emergency Departments (ED). Nurses perform a number of procedures throughout the day, but primarily the thing that they deliver the most is themselves (Harris & Quinn-Griffin, 2015).
This approach aids nurses in determining the necessary amount of support and creating suitable care plans to encourage patient autonomy. In contrast, Middle Range theories were created through empirical study to explain events in a particular area of nursing practice (Risjord, 2019). They are more precise and narrowly focused. They are useful for evidence-based practice because they are more open to testing and validation. One illustration of a Middle Range Theory is Katharine Kolcaba's Comfort Theory, which divides comfort into environmental, psychospiritual, and physical components with the goal of improving patient comfort while receiving medical attention.
Five Simple Ways to Fight with Chronic Fatigue Chronic Fatigue relates to a very weariness which is leading from mental or physical action or sickness and a common illness with maximum people. Travel, work, unchanging lifestyle, getting old, etc. can be listed as a few of the reasons of chronic fatigue as well as sicknesses like heart disease ,diabetes, , thyroid, inflammatory disease, etc. Whereas fatigue is familiar, it is definitely not biologically regular. This false statement makes several people settle for feeling terrible and exhausted maximum of the time.
The Effects of Working the Night Shift, written by Julia Tortorice, is an article about it affects health or nurses and how it affects their families. The author also mentions that currently acts are pending to improve staffing and the overall health of nurses. The author successfully uses humor and the logical appeal of pathos to make it easier to understand. She also gives advice of what a nurse can do which will help me brain storm my solutions in my paper. For instance, Tortorice (2014) says, “Studies have suggested that napping nurses suffer from less fatigue than non-napping nurses” (p. 3).
“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable
The fatigue can range from acute to chronic(Barker & Nussbaum, 2011). The journal also stated that the fatigue is directly related to work related stress that the nurses had to go through so basically with greater demanding job the risk for fatigue increases greatly as well (Steege & Pinekenstein, 2016). Planning The first step of this model is to carry out the planning phase to develop a hypothesis, this step is used to plan a change or to conduct a test aimed at improvement of the process.
Nursing in the United States and around the world is often associated with twelve-hour shifts and fatigue. As individuals enter into the field of nursing they are often well aware that they will work a twelve-hour shift, at least once throughout the duration of their career. Many new evidence-based research articles have surfaced in the past few years, that may signal that twelve-hour shifts are not ideal for the nurse nor their patients. The increasing length of a shift often signals a positive correlation to overall poor job satisfaction, quality of care, and patient safety (Ball, J., Day, T., Murrells, T., Dall 'Ora, C., Rafferty, A. M., Griffiths, P., & Maben, J., 2017). Other articles suggest that the twelve-hour shift allows for more
Many factors influence the nurse ability to provide safe, effective, and high quality patient’s care. Among these factors, nurse fatigue. Nurse fatigue occurs generally as a result of a lack of adequate sleep, working extended shift hours, 2-3 back to back 12 hours shifts with no inadequate time to sleep. As a soon to be novice nurse, we need to be aware of the impacts that fatigue can have on the delivery of our care and most importantly the safety of the patients, coworkers and self. In fact, fatigue greatly decrease the nurse ability to provide safe care through increased likelihood of medical errors (e.g; administration of the wrong medication or dose to the wrong patient) causing harm.
An ordinary day of a nurse is filled with enduring hours of physical, mental, and emotional work. A nurse always has to be on their feet and ready to go. They must be ready face the obstacles placed upon them, and make life and death decisions in the snap of a finger. This is not an easy job by any means, and can leave you run-down at the end of the day. It may feel as though the day is a never-ending cycle, but it is so worth the health and happiness of others in
Self-scheduling gives satisfaction and loss of shift change which benefits the nursing but many of their preferences didn’t match requirements. Endurance is important between health-care professionals working together as a team allows a chance of safety and care. Behalf of the patient in a respectful manner. Accountability clinical expense and effective communication skills allow nurses to