NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

One of the issues in my organization is the long length of hospital stay with patients. This was an important issue as it does not only affect the increase in cost, it also affects the patient’s health. Unnecessary days in the hospital may lead to increase hospital-acquired patient complications (e.g., healthcare-associated infections, falls) and increased costs for patients and healthcare systems (Tipton, 2021). One of the practice changes that we adopted was the throughput method to help with this issue. According to CenTrak (2023), the throughput method is described as the movement of patients from arrival to discharge. This method involves the care, resources and the decision that is being made to move patients through the hospital. When this method is implemented well, it improves the quality-of-care patients receive as well as their level of satisfaction with their experience. Another practice change that was helpful was the adoption of interdisciplinary rounds. This helped with communicating the plan for the patient’s care which in turn improves patient’s outcome. According to Reduced Hospital Days and Dollars With Interdisciplinary Rounds (2018b), according to a study, when compared, the outcome for patients receiving interdisciplinary rounds as opposed to traditional rounds found that length of stay was reduced from 6.1 to 5.5 total days, for an overall cost reduction of 17%.  Communication is important with both the throughput method and interdisciplinary rounds. The use of technology is very important in other to get a faster and more reliable result from both. DNP graduates are distinguished by their ability to use information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and/or academic settings (AACN, 2006).

Another issue that the organization is facing is staffing shortages. With these shortages, we are witnessing healthcare workers at the bedside with less knowledge and experiences. Prognosis based on knowledge and experience and multidisciplinary treatment and care may not only save lives of ICU patients with severe and complex conditions but may also influence their subsequent activities of daily living and quality of life (Fukuda et al., 2020). With this issue, continuous education was implemented to help with the constant change in healthcare. According to Green (2022), continuous education is important because it helps ensure that medical professionals are up to date on the latest treatment and procedures. It also helps healthcare providers maintain their licenses and sharpen their skills. Another change that was implemented was incentives for healthcare employees. Some incentives might require employers to dig a bit deeper into their annual budgets to help attract and retain valuable staff (Walid & Walid, 2023). This helps staff feel as they valuable and paid for their worth. It also helps retain experienced nurses with greater knowledge.  Knowledge of the disease process and how patient’s respond to the treatment is very important when it comes to healthcare providers. DNP graduates possess a wide array of knowledge gleaned from the science and have the ability to translate that knowledge quickly and effectively to benefit patients in the daily demands of practice environment (AACN, 2006).

 

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Reference

Tipton, K. (2021, September 1). Introduction. Interventions to Decrease Hospital Length of Stay – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK574438/#:~:text=Unnecessary%20days%20in%20hospital%20may,for%20patients%20and%20healthcare%20systemsLinks to an external site..

CenTrak. (2023, January 19). How Busy Hospitals Can Increase Patient Flow: 6 Tips. CenTrakhttps://centrak.com/resources/blog/increase-patient-flowLinks to an external site.

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Fukuda, T., Sakurai, H., & Kashiwagi, M. (2020). Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists.Links to an external site.Links to an external site. PLOS ONE, 15(6), e0234879. https://doi.org/10.1371/journal.pone.0234879Links to an external site.

Green, E. (2022). The Importance of Continuous Education in Healthcare. Caregiver Support Serviceshttps://www.caregiversupportservices.com/the-importance-of-continuous-education-in-healthcare/

Walid, & Walid. (2023). Incentives For Healthcare Employees: Retention Strategies (Healthcare Reward). Conference Sourcehttps://conference-source.com/nursing-incentive-programs/

You mentioned incentives. These are a double-edged sword. Although there are positives to incentives there are also

NURS 8002 BLOG THE DNP-PREPARED NURSE AND THEIR COMMUNITY
NURS 8002 BLOG THE DNP-PREPARED NURSE AND THEIR COMMUNITY

negatives and these must be considered when initiating such a program for employees or departments. Positives include increased performance and retention as you identified. Negatives include creating an environment of hostility in the workplace. Based on the nature of the department some may never meet the incentive threshold. This is due to the requirement of a team approach to the incentive and some team members may never promote the level required for the team as a whole to meet requirements and obtain the incentive. Individual incentive requirements may also not be met by some employees and they too can grow resentful as they see others reach and exceed the threshold and reap the benefits of the incentive. Such programs must be thoroughly reviewed prior to and following implementation in order to ensure that they promote the intended outcome. Thanks for your post. Dr. M. Revell

Manage Discussion Entry

Thank you Dr. Revell. I absolutely agree that incentive is a two-edged sword, as awesome as it sounds to reward employees, there are also disadvantages that comes with it as you have mentioned. According to Incentive Bonuses in Business: The Pros and Cons PerkUp (n.d), there are many other ways that one can reward employees for their efforts apart from incentives like spending one-on-one time with them, offering developmental opportunities to employees that show promise and rewarding productive behaviors that are not typical or expected. Being in leadership, I have used each of these methods and seen it work with my staff.

Overall, implementing incentives will generally have a positive effect on your organization, provided that are well thought out. Rewarding your people creates a happy and healthy working environment with high productivity (Incentive Bonuses in Business: The Pros and Cons | PerkUp, n.d.). According to AACN (2006), As DNP graduate, one will have the capacity to engage proactively in the development and implementation of health policy at all levels, which includes advocating for the nursing profession within the policy and healthcare communities.

 

References

Incentive Bonuses In Business: The Pros And Cons | PerkUp. (n.d.). https://www.perkupapp.com/post/incentive-bonuses-in-business-the-pros-and-cons#:~:text=There%20are%20many%20benefits%20to,and%20loyalty%20to%20your%20business.&text=It%20may%20also%20bring%20forth,unethical%20behavior%20to%20meet%20targets.

 

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Great post. The issue of staffing shortage has become a serious problem. During my MSN practicum in the psychiatric hospital, I cannot belief what the nurses in the acute unit were going through, it is ridiculous, but not to the fault of the management, the shortage of nurses is a national emergency and requires immediate action. I cannot belief the burned on the nurses and how overwhelmed they are with the acuity of the patients, and they also must deal with the family who are naïve and inquisitive due to lack of knowledge of the health care system. Having witnessed this in the center during the holiday, I strongly belief that the shortage of health care providers and especially nurses is a serious problem that requires urgent solution.

Among the many effects they have on nurses, two are more outstanding, the mortality rate and the rate at which nurses get burnt out. According to a study published in the Journal of the American Medical Association, more nurses at the bedside could save thousands of patients lives each year. Nursing researchers at the University of Pennsylvania determined that patients who have common surgeries in hospitals with low nurse-to-patient ratios have an up to 31% increased chance of dying. Funded by the National Institute for Nursing Research, the study found that every additional patient in an average hospital nurse‘s workload increased the risk of death in surgical patients by 7%. Having too few nurses may cost more money given the high costs of replacing burnt-out nurses and caring for patients with poor outcomes.

Reference

American Association of Colleges of Nursing. (2016) the impact of Nursing Shortage on Patient

Care. Retrieved from. American Association of Colleges of Nursing | Nursing Shortage Links to an external site.