The Future of Nursing 2020-2030 Report created by the National Academies of Sciences, Engineering, and Medicine produced a consensus report via an ad hoc committee that maps a path for the nursing profession to help our nation create a culture of health, reduce health disparities and improve the health and well being of the U.S. population.
Review the chapter that is ATTACHED (BRIFLY READ IS LONG) In relation to health policy development, identify an advanced practice nurse initiative, policy, law, regulation that is being promoted by a state or federal nursing organization. Research the area of concern and discuss two of the following.
THE POLICY I PICKED IS: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (DOCUMENT IS ATTACHED)
ANSWER THE FOLLOWING ALSO DO SOME BRIEF RESEARCH.
- The goals of the goals of the recommended action.
- Target possible stakeholders who would benefit from the recommendations and those organizations which may become allies.
- Describe tactics that advanced practice nurses could implement to improve political engagement of their coworkers.
MUST BE APA 7TH EDITION. AT LEAST 1 REFERENCE ARTICLE (NOT COUNTING ATTACHMENTS AND ARTICLES MUST BE 5 YEARS OR NEWER) use credible sources such as pubmed, CINALH
NO PLAGIARISM
EXAMPLE ATTACHED (FOLLOW THE EXAMPLE ATTACHED)
AT LEAST (1 PAGE AND HALF)
There are no federal mandates regulating the number of patients a registered nurse can care for at
one time in U.S. hospitals. As a result, registered nurses (RNs) are consistently required to care for
more patients than is safe, compromising patient care and negatively impacting patient outcomes.
This legislation would protect patients and improve health care by setting mandated, minimum,
registered nurse-to-patient staffing ratios.
Low nurse staffing levels are extremely dangerous for patients
» Studies show that when RNs are forced to care for too many patients at one time, patients are
at higher risk of preventable medical errors, avoidable complications, falls and injuries, pressure
sores, increased length of stay, and readmissions.1 In addition, RNs experience higher burnout
rates and job dissatisfaction.2
» For each additional surgical patient in an RN’s workload above the baseline nurse-to-patient
ratio of 1:4, the likelihood of patient death within 30 days increases by 7 percent.3
» A 2006 study showed that if all hospitals increased RN staffing to match the best-staffed
hospitals in the country, 5,000 in-hospital patient deaths and 60,000 adverse patient outcomes
could be avoided.4
Studies on California’s RN-to-patient ratios statute — the only law of its kind in the
country — confirm the significant impact minimum staffing ratios have on improved
patient safety and outcomes
» Compared to California, New Jersey hospitals would have 13.9 percent fewer patient deaths
and Pennsylvania 10.6 percent fewer deaths if they matched California’s ratios in medical-
surgical units.5
» Compared to states without ratios, California RNs report having more time to spend with
patients and that hospitals are more likely to have enough RNs on staff to provide quality
patient care.6
Safe RN-to-patient ratios are cost-effective for hospitals
» Ratios will reduce spending on temporary RNs and overtime costs,7 lower RN turnover,8
improve patient outcomes,9 and shorten patient lengths of stay.10
» A 2009 study estimated that adding 133,000 RNs (the
number of RNs needed to increase nursing staff to the
75th percentile) to the U.S. hospital workforce would
result in medical savings of $6.1 billion on health care
spending, not including the value of increased productivity
when RNs help patients recover more quickly.11
» Combining medical savings with increased productivity,
the addition of 133,000 RNs would result in an economic
value of $57,700 for each additional RN.12
Nurse Staffing Standards for Hospital
Patient Safety and Quality Care Act
S. 1567 Senator Sherrod Brown
H.R. 3165 Representative Jan Schakowsky
OUR PATIENTS. OUR UNION. OUR VOICE.
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