Pediatric Nursing Shortage Essay

The bon ton of paediatric entertains (SPN) has been instrumental in advocating for spunky quality, culturally sensitive, and comprehensive c atomic number 18 for children and families. The health direction inescapably of pediatric patient ofs usher in unique challenges due to different developmental stages, limited communication skills, and differences in epidemiology and approaches to treatment as compargond to adults. Nurse facultying is a focus of major line of cast because of the impact of mental facultying patterns on patient safety and quality of take. The advent of managed feel for, cut down hospital stays, and usual reporting of quality measures demand that health electric charge organizations objectively define and assess the quality of supervise delivered to children and families. Registered Nurses are the primary caregivers deep down the healthcare setting and are the essential link in assisting patients and families with navigating and humanizing a heights ly technical and impersonal healthcare system. An organizations loyalty to high quality pediatric care is dependent upon distinguish staffing directs with adequately prepared nurses and the implementation of collaborative, evidence-based practice (Schwalenstocker, Bisarya, Lau, & Adebimpe, 2007).In 2007, members of the Public Policy commissioning developed the Safe Staffing Position Statement. This roll outlined recommendations for safe and effectual care for care for children and their families. The position statement was recently updated and is intended to set as the framework to assist organizations providing care to children in the implementation of show based staffing plans to promote high-quality care. It is imperative that schools of nursing, healthcare institutions and pediatric nurses utilize this document as a resource to manipulate that appropriate education, training, resources and effective staffing plans are provided to ensure the provision of safe, quality, customer focused care to pediatric patients and their families. difficulty StatementFollowing a sexual relationional request in 1993 for the engraft of Medicine (IOM) to study the adequacy of nurse staffing in hospitals and nursing homes, a 1996 IOM report recognized the immenseness of determining the appropriate nurse-patient ratios and distribution of skills to ensure patients receive quality care. A family 1999 IOM report first called the publics attention to the occupation of maturationd patient morbidity and mortality rate related to errors occurring within healthcare delivery systems. Since that time there has been a growing emphasis on patient safety, process improvement and the say-so effects of adequate staffing.Rationale and Supporting InformationResearch has act to show the association between nursing staffing and modify patient outcomes (Aiken, et al, 2010 Kane, et al, 2007 Needleman, et al, 2006 Stanton, 2004 the Statesn Organization of Nurse Executives, 2003 Aik en, et al, 2002). In 2007 the Child Health Corporation of America is association with the National affiliation of Childrens Hospitals and associate Institutions (NACHRI) and medical exam prudence Planning/BENCHmarking Effort for Networking Childrens Hospitals plunge increased nurse staffing was associated with improved patient/family experience with care and a reduced incidence of ominous outcomes. NACHRI also reported that The Joint Commission found staffing levels had been a unfavourable factor in 20 percent of sentinel events occurring over a ten year period from 19952005 (Schwalenstocker, Bisarya, Lau & Adebimpe, 2007). Stratton (2008) found a reduction in the rate of pediatric central line blood stream infections with an increase in nursing staffing hours.Research conducted by Mark, Harless and Berman (2007) showed a statistically probatory reduction in postoperative cardiopulmonary complications, pneumonia and infections in the pediatric existence with increased RN st affing. In addition, nurse staffing levels have also been found to be a critical determinant of nurse job bliss (American Organization of Nurse Executives, 2003). During the 108th Session of Congress (2003-2004), The Registered Nurse Safe Staffing solve was first introduced. The intent of the act is to hold hospitals accountable for the implementation of reasoned and reliable nurse staffing plans, taking into consideration each hospital wholes unique needs and strengths. The Registered Nurse Safe Staffing Act was reintroduced in the 110th Congress (2007-2008) and further refined and reintroduced on June 15, 2010 under S.3491/H.R.5527 during the 111th Congress (American Nurses Association, 2010).The Society of Pediatric Nurses (SPN) believes the side by side(p) additional factors are of critical importance regarding safe staffing for pediatric patients There are unique challenges with caring for children. These challenges overwhelm o Infants and young children are dependent upo n adult caregivers and require juxtaposed supervision. o Many children have not yet acquired the communication skills to warn clinicians about a potential mistake or verbalize contingent adverse effects about their care. Medication administration is much to a greater intent complex since weight based dosing is required o for most medications (Kaushal, et al, 2001). The asperity and intensity of nursing resources required to care for children have been growing steady (Monsen & Finley, 2007 NACHRI, 2003).Of the 14.1 million children in the US living in poverty, 1 in 10 lack health care coverage (Childrens disproof Fund, 2010). Childhood poverty contributes to deficits in primary and preventative health care and results in increased healthcare issues and higher acuity for these children (Childrens confession Fund, 2002). Pediatric nurses practice in many settings including hospitals, schools, homes, clinics, long term care facilities, and public health centers. The multitude of settings and the wide range of resources available in each setting greatly affect the type and number of nursing staff required to care for any given patient population. The level of experience of nursing staff, unit layout, and level of ancillary support essential be considered when establishing the staffing needs and assignment plan for any given unit (Institute of Medicine, 2010 American Nurses Association, 2007).Society of Pediatric Nurses Position/RecommendationsSPN believes that all children and their families should receive safe, high quality, culturally sensitive, family-centered care in an environment that supports the development of the child and promotes chastity in nursing care. As an advocate for patients, families, and the pediatric nursing profession, SPN endorses the following recommendations 1. Staffing is a complex issue composed of multiple variables (American Organization of Nurse Executives, 2003). No single published ratio for nursing staffing is automatical ly relevant in all settings where children receive care. Published recommendations for staffing ratios must be carefully evaluated for the particular pediatric setting since these ratios may inadvertently minimize the complexity and multitude of issues that must be considered in the care of pediatric patients and their families.2. The master registered nurse must be considered an essential member of the team providing care for children and their families staffing plans must reflect this vital role (American Nurses Credentialing Center, 2003). 3. Healthcare institutions should develop binding and reliable staffing plans (American Nurses Association, 2010) and patient assignments should promote developmentally appropriate, high quality care for children and families. Nursing leadership, registered nurses and other designated nursing staff should be involved in the development of staffing plans and proper preparation of staff for the patient populations cared for within the prepa redness (Joint Commission, 2010).4. While the specific details of these staffing plans will vary with individual patient needs and facility resources, SPN believes the following factors should be considered in all staffing situations modus operandi and acuity of the patient population. a. Assessment of patient needs including special developmental, physiological, psychosocial, and encyclopedism needs of children and their families. b. Availability of specialized pediatric equipment and supplies to provide the necessary care and the availability of other support helpings such as respiratory care, child life, social services, and spiritual care (American honorary society of pedology, 2006, 2004a, 2004b, 1998). c. Level of education, competency, and the extent of experience and specialized pediatric training of available staff. d. Family involvement and/or the familys special needs related to meeting the healthcare needs of the child (American Academy of pedology, 2006 Lewandowski & Tessler, 2003).e. Comparable pediatric staffing benchmark data and/or staffing guidelines from other pediatric focused professional organizations should be integrated into maturation staffing plans if at all possible (National Association of Neonatal Nurses 2008 American Nurses Association, 2008 American Academy of Pediatrics 2006, 2004a, 2004b, 1998 NACHRI, 2003). 5. Nurses caring for pediatric patients must have appropriate education and experience to demonstrate competency in the care of this highly specialized patient population.The core concepts as cited in the following sources should be included in education and training Pediatric Nursing telescope and Standards of Pediatric Nursing Practice (American Nurses Association, 2008) Position Statement on Family revolve around safekeeping Content in the Nursing Education Curriculum (Society of Pediatric Nurses, 2008) Position Statement on Child Health Content in the Undergraduate Curriculum (Society of Pediatric Nurses, 2007) Core Curriculum for the Nursing Care of Children and Their Families (Broome & Rollins, 1999) Standards and Guidelines for Pre-Licensure and Early Professional Education for the Nursing Care of Children and Their Families (Woodring, 1998).6. Organizations and nursing staff providing care for pediatric patients should commit to ongoing maintenance of nursing staffs clinical competency through continuing education that ensures a current knowledge base of issues and trends in pediatric care delivery. 7. Organizations should work to establish practice environments characterized by open communication, teamwork, and effective collaborative problem solving to phone nurse staffing issues and ensure safe, effective care for children and families. 8. Nurses are encouraged to assume professional business for their own practice. Nurses have accountability for the following organism an advocate for the role of the registered professional nurse Being knowledgeable of state practice acts Being k nowledgeable of the mechanisms available to address potential staffing issuesReferencesAiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., Spetz, J. & Smith, H. L. (2010). Implications of the California nurse staffing mandate for other states. Health operate Research, 45(4), 904-921. Aiken L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288(16), 1987-1993. American Academy of Pediatrics(2006). Child life services. Pediatrics, 118(4) 1757-1763. American Academy of Pediatrics (2004b). Levels of neonatal care. Pediatrics 114(5) 1342-1347. American Academy of Pediatrics (2004a). Guidelines and levels of care for pediatric intensive care units. Pediatrics 114(4) 1114-1125. American Academy of Pediatrics (1998). Facilities and equipment for the care of pediatric patients in a community hospital. Ped iatrics 101(6) 1089-1090.American Nurses Association. (2010). Safe staffing saves lives. Federal legislation Registered nurse safe staffing act. Retrieved on-line(a) February 13, 2011. http//www.safestaffingsaveslives.org/whatisANAdoing/federallegislation.aspx?css=print American Nurses Association (2008). Pediatric nursing Scope and standards of practice. majuscule DC Author. American Nurses Association. (2007). Acute care staffing. Nursings legislative and regulatory initiatives for the 110th Congress Appropriate staffing. Retrieved on-line February 13, 2011. http//www.nursingworld.org/MainMenuCategories/ANAPoliticalPower/Federal/legis/AcuteCare.aspx. American Nurses Credentialing Center. (2003). The magnet recognition program for excellence in nursing service health care organization, instructions and application process. Pub MAGMAN03. Washington, DC Author. American Organization of Nurse Executives (2003). AONE policy statement on mandated staffing ratios. Retrieved on-line Jan uary 21, 2011. http//www.aone.org/aone/ advocacy/ps_ratios.html. Broome, M. & Rollins, J. (Eds.). (1999). Core curriculum for the nursing care of children and their families. Pittman, NJ Jannetti Publications. Childrens falsification Fund. (2010). The state of Americas children 2010. Retrieved on line February 13, 2011. http//www.childrensdefense.org/child-research-data-publications/data/state-of-americas-children2010-report.html. Childrens Defense Fund. (2002). Basic facts on poverty. Child Poverty FAQs. Washington DC Author. Institute of Medicine. (2010). The future of nursing leading change, advancing health. Report abbreviated 2010. Washington DC Author. Institute of Medicine. (1999). To err is human Building a safer health care system. Washington, DC Author. Joint Commission. (2010). Joint commission accreditation resources Accreditation passenger car plus. Retrieved on-line February 21, 2011.http//qvcsql01/JCRAMP/Frame.aspx.Kane, R. L., Shamliyan, T. A., Mueller, C., Duval, S., Wilt, T. J. (2007). The association of registered nurse staffing levels and patient outcomes. Systematic review and meta-analysis. Medical Care, 45(12) 1195-1204. Kaushal, R., Bates, D.W., Landrigan, C., McKenna, K. J., Clapp, M. D., Federico, F., Goldman, D. A. (2001). Medication errors and adverse drug events in pediatric inpatients. Journal of the American Medical Association, 285(16), 2114-2120. Lewandowski, L. A. & Tessler, M. D. (Eds.). (2003). Family-centered care Putting it into action The SPN/ANA guide to family-centered care. Washington DC American Nurses Publishing. Mark, B. A., Harless, D. W., Berman, W. F. (2007). Nurse staffing and adverse events in hospitalized children. Policy, Politics & Nursing Practice, 8(2) 83-92. Monsen, R. B., Finley, S. (2007). shortfall of nurses and child health. Journal of Pediatric Nursing, 22(3), 231-232). National Association of Childrens Hospitals and Related Institutions. (2003). Clinical practices service program Benchmark data. Available from www.childrenshospitals.net/nachri. National Association of Neonatal Nurses (2008). Minimum RN staffing in NICUs. Retrieved online February 11, 2011. http//www.nann.org/pdf/08_3009_rev.pdf. Needleman, J., Buerhaus, P. I., Stewart, M., Zelevinsky, K., Soeren, M. (2006). Nurse staffing in hospitals Is there a business case for quality? Health Affairs, 25(1) 204-211. Schwalenstocker, E., Bisarya, H., Lau, S. & Adebimpe, O. (2007). Nursing-sensitive indicators for childrens hospital care quality Indicators are essential, but further testing is needed for use in comparing hospital performance. A innocence paper prepared by the Pediatric Data Quality Systems (PediQS) Collaborative. September 2007. Retrieved on line February 8, 2011 http//www.childrenshospitals.net/AM/Template.cfm?Section=Site_Map3&Template=/CM/ContentDisp lay.cfm&ContentID=29730. Society of Pediatric Nurses. (2008). Position statement on family centered care subject field in the nursing education curricul um. 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