The Nursing Workforce

The Nursing Workforce

1. Nurse Bullying

   • Horizontal Violence (Lateral Violence)
     • Any unwanted abuse or hostility within the workplace.
   • Resources To Prevent Bullying
     • workplacebullying.org
     • osha.gov
     • dcd.gov/niosh
     • bullybusters.org
   • Effects Of Horizontal Violence
     • Depression, Anxiety, PTSD, Stress
     • New nurses leaving profession all together.
     • Bullying not only affects the victim, but the health care team and ultimately the patient.

2. Safe Staffing

   • Appropriate Staffing
     • An ideal nurse-to-patient ratio is 1:4.
     • The lower the nurse-to-patient ratio, the fewer patient deaths there are.
   • Mandatory Overtime
     • Mandatory overtime is often used by employers instead of appropriate staffing.
   • Advocating For Safe Staffing
     • California is the only state with nurse-to-patient ratio laws.

3. Whistle-Blower Protection

   • What Is Whistle-Blowing?
     • The denouncing of wrong-doing in an organization without regard for self interest.
   • Types Of Whistle-Blowing
     • Internal- reporting concerns up chain of command within an organization.
     • External- Reporting concerns outside of organization, particularly involving media or authorities.
   • Reasons To Whistle-Blow
     • Violations Of Human Rights
     • illegal/Unethical Behavior
     • Practices That Cause unnecessary Harm

4. Errors In Healthcare

   • Efforts To Reduce Medical Errors
     • Joint Commission
     • Medicare/Medicaid Act
   • Where Errors Occur
     • Diagnosis
     • Treatment
     • Medication
     • Administration
     • Communication
   • Cost Of Errors
     • Death
     • Extended Hospital Stay
     • Increased Healthcare Cost

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