Overcrowded Hospitals Research

Document Type:Essay

Subject Area:Nursing

Document 1

Overcrowding is experienced in both the outpatient and the inpatient departments. There are many negative effects associated with overcrowding in hospitals which directly affects the patients and the medical personnel. Having worked under a house-wide nurse supervisor, I have a first-hand experience on how busy and demanding the work can be. Being a clinical resource personnel, my supervisor coordinated most of the activities which included; allocating specific duties to different medical staffs, for example, wheeling critically ill patients to the intensive care unit or to the theatre among others duties. Though she seemed comfortable and energetic to coordinate all these activities, it was evident that the work was overwhelming. This project will demonstrate the overall effects of overcrowding in hospitals, both at the inpatient and the outpatient departments.

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It will also address the necessary changes required to control this problem. The major learning objectives of this project include; 1. The overall effects of overcrowding on the patients and the health providers. Factors which promote overcrowding in hospitals 3. A study conducted in China in tertiary hospitals demonstrated that the hospitals were extremely overcrowded. Therefore, resulting in; increased patient waiting time, long dispensing and payment queues and a short physician visit period. Consequently, these factors have greatly contributed towards dissatisfaction and fatigue among the medical workers ( Dia, wang & Ayala, 2016). SECTION TWO OF THE FINAL PAPER Regulatory Standards and agency that controls overcrowding in hospitals The regulatory agencies that are responsible for controlling overcrowding in hospitals are different from one country to the other, for example, the American college of emergency physicians in the United States of America.

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The mission statement of the American college of emergency physicians is to promote the highest quality of emergency care and is the leading advocate for emergency physicians, their patients, and the public. Nurse-initiated orders: use or already set standardized operating norms and procedures, has been proven to improve on time management and reduce avoidable medical errors (Hearther & Richard, 2016). INCREASE OUTPUT- Reverse triage: here the patient who requires the lowest type of medical care is discharged or placed under a slightly lower level of care. In-patient hallway boarding: this involves transferring the patients from the emergency department to the inpatient hall-ways until the beds in the wards are available after discharge. Active bed management: the nurse involved here is expected to direct and control all the inpatients, and be able to maintain a balance between the emergency department admissions against the inpatient discharges.

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Coordination of elective surgeries: these patients require to be admitted before the surgeries. She also managed and supervised the students placed in her department. Assuming the role of a house-wide nurse is not an easy task, it demands total commitment, unwavering spirit, and a high emotional quotient. A sharp clinical acumen is of uttermost importance in any house-wide nurse, coupled with the right knowledge of evidence-based nursing practices. Sharp and quick decision making can save or lose a life. The duties of a supervisory nurse are both challenging and can be frustrating especially in overcrowded hospitals. A recent survey by the Australian emergency department demonstrated that the traditional role of nurses has change; to allow the expansion of their scope to meet the needs of modern healthcare systems (Crawford, Morphet, Jones, Innes, Griffiths & Williams, 2014).

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SECTION FOUR OF THE FINAL PAPER Application of the nursing caring Theory and Project Summary It has been demonstrated that the current health care systems network reorganization has resulted in constant pressure in the working environment, especially to the nursing administration. Moreover, the reorganization has led to structural and managerial changes have negative life-threatening consequences for the nursing managers (Brousseau, Cara & Balis, 2017). The nursing caring theory can best describe my research, as it explains how a nurse can be able to enhance his or her interpersonal relationship, and how she or he can be able to express a caring attitude towards the patients. Therefore, there is need to intensify nursing care, in the overcrowded hospitals as this will translate in to decrease in mortality and morbidity.

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Nursing has both discipline and profession orientation: the art of caring to the others should be extended to the others who direly need our car e, these include the ailing patients, which ultimately makes nursing a “caring profession” (Alligood, 2014). This theory further explains that all the daily activities and plans of the nursing administrator should be geared towards the direct work of nursing, by extending the care to the patients. The nursing administrator is therefore expected to impact the nursing skills to his or her junior colleagues, as this will later translate to improved care of the patients. The nursing managers should be able to assist in creating a community that appreciates, supports and enhances the care of each other (Alligood, 2014) Reference Alligood, M.

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