Question

P) ER Nurse burnout (i) Continued education: changing ER nurse to patient ratio working in high acuity patients; (c) Burnout; other solution; more paid time off for nurses; hire more nurses for more resources available; (o) Reduced propensity of nurse burnout occurrences.

Choose a quantitative study that addresses: Would change ER nurse to patient ratio working in high acuity patients with low staffing have a similar incidence of nurse burnout?

• 1st sentence: design and sample size/description
• 2nd sentence: intervention, comparison, and outcome variables
• 3rd sentence: how outcome variables are measured (unless already clear)
• 4th sentence: quantified results for intervention and comparison group(s), confidence interval if desired, p-value, and/or effect size, or NNT
• 5th– 6th sentences: Interpretation of clinical significance and strength of findings

The summary must be substantive and in scientific voice. Write summary, link to article, and references.

Answer 1

Work stress and burnouts have been become a subject for discussion for being decades. The demand for acute care services is increasing concurrently with changing career expectations among potential health care workers and growing dissatisfaction among existing hospital staff. responses from 611 RNs on 50 inpatient nursing units in four southeastern U.S. Hospitals showed that group cohesion was higher and job stress lower when nurse managers used a more participative management style.

The nurse-to-patient ratio in a critical care unit must be 1:2 or fewer at all times, and the nurse-to-patient ratio in an emergency department must be 1:4 or fewer at all times that patients are receiving treatment, the law states.

When nurses are forced to work with high nurse-to-patient ratios, patients die, get infections, get injured, or get sent home too soon without adequate education about how to take care of their illness or injury. So they return right back to the hospital, often sicker than before.

A high nurse-patient ratio has had risky consequences, including high stress levels and mental exhaustion among nurses and has led to an increase in mistakes and accidents, and resulted in a surge in malpractice suits (Rassin & Silner, 2007). The United States (US) population qualified for Medicare totaled 35.1 million. By 2030, the same population has been estimated to increase to 69.7 million and by 2050 to 81.9 million (Holdren, Paul, & Coustasse, 2015). The US Bureau projected between 2012 and 2060, the U.S. population will expand from 314 million in 2012 to 420 million in 2060, an increase of 34% (U.S. Census Bureau, 2014). A large contributing factor to the rise of nurse burnout has been inadequate nurse-patient ratios a condition that has amplified due to high demands in a progressively aging population and because of changes to the health care model (McHugh, Kutney-Lee, Cimiotti, Sloane, & Aiken, 2011).