Grand Canyon University:
We will be discussing safety concerns and employee morale and how they go together.
Safety goes so much farther than practice concerns; being short staffed, abusive patients, can lead to not only clinical safety but can lead to patient safety concerns; clinical errors, overworked staff due to being short staffed.
Having a clinical staff that is overworked not only can cause clinical errors but can also lead to employee morale being down and high turnover.
1. Safety Concerns in a healthcare setting
A. Short staff
B. Abusive patients
2. Patient Safety
A. Clinical errors
B. Overworked staff
3. Employee Moral
B. Monetary Rewards
Some key employee safety concerns can be broken down to short staff and abusive patients. Which opens the doors to increased issues such as clinical errors, patient safety concerns, employee morale decreasing.
Patient Safety can and will become a concern with short staffed clinics and facilities because it can lead to clinical errors.
Employee Moral will decline due to overworked staff and increased amount of clinical errors puts patients and staff in harm’s way. With decreased employee morale
Safety Concerns in a healthcare setting
Safety Concerns in healthcare settings
Research shoed that working nurses short staffed puts patient safety at risk
Cutting nursing staff leads to heavier workloads
Quality of care decreases when nurses are working understaffed
Healthcare has 45% of all nonfatal assaults against workers (Hughes, 2018).
In nursing homes and personal care facilities there is 31.1 per 10,000 vs 2.8 per 10,000 in private sector (Hughes, 2018).
Most common nursing errors are patient falls, infections, medication errors, documenting errors, and equipment injuries (Delamont, 2013).
Failure to communicate is the usually cause of these errors
Other causes include: clarifying orders, inadequate staffing, overworked nurses due to overtime shifts (Delamont, 2013).
Patient Safety Continued
When nurses worked understaffed risk of errors increase from 8% to 32% (Knowels, 2018).
Risk of patient mortality is increased by 43% (Knowels, 2018).
When nurses are working at optimal capacity this risk decreases by 25% (Knowels, 2018).
Moral must be put at a high priority for organizations to have successful and positive patient outcomes (Larson, 2017).
Nurses that are “happy” with their workplace experience greater productivity and lower turnover (Larson, 2017).
Sign on bonuses to ensure a nurse stays with an organization help to lower turnover rate (Abduljawad & Al-Assaf, 2011).
Incentives for better performance have shown positive results in some studies (Abduljawad & Al-Assaf, 2011).
Creating Ideas and Implementation
Quizzes and Tests
Say Thank You
Accountability & Discipline
Nursing Workload and Patient Safety
increased demand for nurses
inadequate supply of nurses
reduced staffing and increased overtime
Address the situation as soon as it happens
Tell the patient that you do not like the way you are being treated
Ask if you have offended them
Acknowledge a job well done
Evaluate strategies before you act
Don’t overwork the nurses
You don’t have to tolerate abuse
Appreciate the staff you have
Thank God that you have a job
Challenges and Opportunities to Safety Concerns
Patient Safety vs Cost of Employees
Short Staffing and high workloads lead to:
Challenges and Opportunities to Abusive Patients
Healthcare workers report an average of 6 violent incidents in a 18 month period (Vogel, 2016)
Verbal, emotional, and physical abuse should not be expected as a nurse
Current mentality of blaming the Nurse for being abused
Inappropriate behaviors need to be addressed
Prevention and support need to be integrated for staff
Affects of Low Morale in the Workplace
Annually, 12 – 34% Nursing turnover rate which affects quality of care (Dewanto & Wardhani, 2018)
Factors that affect Morale
Unsafe working conditions
Hard work going unrecognized and unrewarded
Complaint of co-workers
Patients become unsatisfied with services being provided
Nursing management are tasked with shortages, complaints, rebuilding teamwork
Hospitals have disruption in services leading to decreased revenue
Addressing Morale in the Workplace
Prevent and minimalize turnover rate by establishing a healthy work environment
Equip staff to perform their duties
Seek non-punitive measures when errors occur to help staff develop
Prioritize staff by investing into them early
Significance of Education on Patient Safety
Thorough new employee education
Continued education via in-services
Hands-on classroom education
Prevents workplace injuries such as needle sticks
Help nurses assume leadership abilities
Practice safe techniques with Evidence-Based Practice guidelines
Abduljawad, A., & Al-Assaf, A. F. (2011, May). Incentives for better performance in health care. Retrieved July 13, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3121024/
Carayon P, Gurses AP. Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 30. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2657/
Delamont, A. (2013). How to avoid the top seven nursing errors. Nursing Made Incredibly Easy!, 11(2), 8-10. doi:10.1097/01.nme.0000426302.88109.4e
Dewanto, Aryo and Wardhani, Viera. (2018). Nurse Turnover and Perceived Causes and Consequences: A Preliminary Study at Private Hospitals in Indonesia. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299511/
Education and Training. (2019). Retrieved from https://www.osha.gov/shpguidelines/education-training.html
Fidel, A. (2019) Seven Great Ways to Boost Your Teams Morale. Retrieved from https://www.themuse.com/advice/7-great-ways-to-boost-your-teams-morale
Hughes, R. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. S.l.: Agency for Healthcare Research and Quality (US).
Kavaler, F., and Alexander, R. (2014). Risk Management in Health Care Institutions. Third Edition. Retrieved from https://viewer.gcu.edu/PPQFVX
Knowles, M. (2018, May 4). Study: Overworked nurses may be linked to 40% increase in risk of patient death. When nurses’ workload exceed. Retrieved July 13, 2019, from https://www.beckershospitalreview.com/quality/study-overworked-nurses-may-be-linked-to-40-increase-in-risk-of-patient-death.html
Larson, J. (2017, February 17). The link between staff morale and patient care, and how predictive analytics can help: Healthcare leaders have put an emphasis on having the right workplace ‘culture’ in recent years, as organizations have made the connection that having the right people in the right places is their most valuable resource. Retrieved July 13, 2019, from https://www.beckershospitalreview.com/human-capital-and-risk/the-link-between-staff-morale-and-patient-care-and-how-predictive-analytics-can-help.html
Lee, A., Cheung, Y., Joynt, G., Leung, C., Wong, W and Gomersall, C. (2017). Are High Nurse Workload/Staffing Ratios Associated with Decreased Survival in Critically Ill Patients? A Cohort Study. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413463/
Vogel, Lauren. (2016). Abusive Patients: Is it time for Accountability? Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4978588/
Ways on How to deal with verbally abusive patients. (2017, January 18). Retrieved July 10, 2019, from https://nurseslabs.com/4-ways-deal-verbally-abusive-parients/