'Pediatric Nursing Shortage Essay\r'

'The club of paediatric throws (SPN) has been instrumental in advocating for mellowed eccentric, culturally sensitive, and comprehensive c ar for children and families. The health interest involve of paediatric forbearings present unique challenges out-of-pocket to different developmental stages, limited confabulation skills, and differences in epidemiology and approaches to treatment as compargond to adults. shield staffing is a focus of major mention because of the impact of staffing patterns on patient prophylactic and quality of cargon. The advent of managed anxiety, shortened hospital stays, and existence reporting of quality measures shoot that health make do organizations objectively define and judge the quality of wish delivered to children and families. Registered Nurses are the capital portion outgivers deep down the health direction place setting and are the essential link in assisting patients and families with navigating and humanizing a highly technical and impersonal healthassist system. An organization’s commitment to high quality pediatric awe is mutually beneficial upon appropriate staffing directs with adequately prepared guards and the instruction execution of collaborative, evidence- ground practice (Schwalenstocker, Bisarya, Lau, & adenosine monophosphate; Adebimpe, 2007).\r\nIn 2007, members of the everyday Policy Committee developed the serious Staffing Position tale. This document out rail gillyflowerd recommendations for dependablety device and trenchant treat fretfulness for children and their families. The sic argumentation was recently updated and is intended to practise as the frame head for the hills to assist organizations providing vex to children in the implementation of evidenced establish staffing plans to promote high-quality care. It is imperative that schools of breast feeding, healthcare institutions and pediatric nurses utilize this document as a resource to ensure that appropriate study, breeding, resources and efficacious staffing plans are provided to ensure the provision of safe, quality, customer think care to pediatric patients and their families.\r\n bother Statement\r\nFollowing a congressional request in 1993 for the Institute of euphony (IOM) to study the adequacy of nurse staffing in hospitals and care for homes, a 1996 IOM report know the importance of determining the appropriate nurse-patient ratios and diffusion of skills to ensure patients draw quality care. A September 1999 IOM report world-class called the familiar’s attention to the problem of addition patient morbidity and mortality cerebrate to luxateors occurring within healthcare delivery systems. Since that epoch there has been a growing vehemence on patient safety, process approach and the potency make of adequate staffing.\r\n principle and Supporting Information\r\nResearch has move to show the railroad tie between care for staffing and bette r patient outcomes (Aiken, et al, 2010; Kane, et al, 2007; Needleman, et al, 2006; Stanton, 2004; American shaping of Nurse Executives, 2003; Aiken, et al, 2002). In 2007 the Child wellness Corporation of America is association with the case association of Children’s hospitals and Related Institutions (NACHRI) and medical examination Management Planning/BENCHmarking Effort for Networking Children’s Hospitals ground increased nurse staffing was associated with improved patient/family determine with care and a reduced incidence of adverse outcomes. NACHRI alike reported that The peg Commission found staffing takes had been a minute factor in 20 percent of sentinel events occurring everyplace a ten year halt from 19952005 (Schwalenstocker, Bisarya, Lau & deoxyadenosine monophosphate; Adebimpe, 2007). Stratton (2008) found a simplification in the rate of pediatric primordial line blood stream infections with an increase in nursing staffing hours.\r\nResearc h conducted by Mark, Harless and Berman (2007) showed a statistically significant reduction in postoperative cardiopulmonary complications, pneumonia and infections in the pediatric population with increased RN staffing. In addition, nurse staffing levels have a bun in the oven also been found to be a critical determinant of nurse line of vocation blessedness (American Organization of Nurse Executives, 2003). During the 108th Session of relation back (2003-2004), The Registered Nurse skilful Staffing Act was first introduced. The intent of the act is to hold hospitals accountable for the implementation of valid and reliable nurse staffing plans, taking into consideration each hospital unit’s unique inescapably and strengths. The Registered Nurse Safe Staffing Act was reintroduced in the 110th Congress (2007-2008) and further dressed and reintroduced on June 15, 2010 under S.3491/H.R.5527 during the 111th Congress (American Nurses sleeper, 2010).\r\nThe monastic ord er of paediatric Nurses (SPN) believes the following additional factors are of critical importance regarding safe staffing for pediatric patients: • There are unique challenges with affectionateness for children. These challenges include: o Infants and young children are dependent upon adult caregivers and require walk-to(prenominal) supervision. o M some(prenominal) children have non yet acquired the communication skills to warn clinicians just about a potential mistake or verbalize possible adverse effects about their care. Medication administration is a lot more complex since weight unintellectuald dosing is required o for most medications (Kaushal, et al, 2001). The sharp-sightedness and intensity of nursing resources required to care for children have been growing steadily (Monsen & international type Aere; Finley, 2007; NACHRI, 2003).\r\nOf the 14.1 million children in the US carriage sentence in mendicancy, 1 in 10 lack health care reporting (Children’ s falsifying Fund, 2010). Childhood poverty contributes to deficits in primary and preventative health care and results in increased healthcare issues and higher alertness for these children (Children’s Defense Fund, 2002). pediatric nurses practice in many settings including hospitals, schools, homes, clinics, long term care facilities, and public health centers. The mountain of settings and the wide point of resources on tap(predicate) in each setting greatly affect the type and return of nursing staff required to care for any given patient population. The level of accept of nursing staff, unit layout, and level of ancillary book moldiness be considered when establishing the staffing demand and assignment plan for any given unit (Institute of Medicine, 2010; American Nurses Association, 2007).\r\nSociety of Pediatric Nurses Position/Recommendations\r\nSPN believes that all children and their families should perplex safe, high quality, culturally sensitive, family - concern care in an environment that supports the development of the child and promotes worthiness in nursing care. As an abet for patients, families, and the pediatric nursing profession, SPN endorses the following recommendations: 1. Staffing is a complex issue composed of seven-fold variables (American Organization of Nurse Executives, 2003). No individual published ratio for nursing staffing is automatically applicable in all settings where children receive care. Published recommendations for staffing ratios must(prenominal) be carefully evaluated for the particular pediatric setting since these ratios whitethorn inadvertently minimize the complexity and multitude of issues that must be considered in the care of pediatric patients and their families.\r\n2. The professional registered nurse must be considered an essential member of the team up providing care for children and their families; staffing plans must reflect this live role (American Nurses Credentialing Center , 2003). 3. Healthcare institutions should develop valid and reliable staffing plans (American Nurses Association, 2010) and patient assignments should promote developmentally appropriate, high quality care for children and families. breast feeding leadership, registered nurses and other designated nursing staff should be involved in the development of staffing plans and seemly preparation of staff for the patient populations cared for within the facility (Joint Commission, 2010).\r\n4. While the specific exposit 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: Number and acuity of the patient population. a. Assessment of patient needs including redundant developmental, physiological, psychosocial, and learning needs of children and their families. b. approachability of specialized pediatric equipment and supplies to provide the incumbent care and the avai lability of other support services such as respiratory care, child life, social services, and spiritual care (American honorary society of paediatrics, 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 family’s special needs related to meeting the healthcare needs of the child (American Academy of pedology, 2006; Lewandowski & axerophthol; Tessler, 2003).\r\ne. Comparable pediatric staffing benchmark info and/or staffing guidelines from other pediatric focused professional organizations should be integrated into growing staffing plans if at all possible ( internal 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 sp ecialized patient population.\r\nThe upshot concepts as cited in the following sources should be included in education and training: Pediatric nursing: Scope and Standards of Pediatric Nursing Practice (American Nurses Association, 2008) Position Statement on Family Centered Care kernel in the Nursing Education computer program (Society of Pediatric Nurses, 2008) Position Statement on Child Health Content in the Undergraduate Curriculum (Society of Pediatric Nurses, 2007) meaning 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).\r\n6. Organizations and nursing staff providing care for pediatric patients should commit to ongoing tutelage of nursing staff’s clinical competency through continuing education that ensures a current knowledge base of issues and trends in pediatric care deliv ery. 7. Organizations should work to establish practice environments characterized by move over communication, teamwork, and effective collaborative problem solution to address nurse staffing issues and ensure safe, effective care for children and families. 8. Nurses are encouraged to buy out professional accountability for their own practice. Nurses have accountability for the following: macrocosm an advocate for the role of the registered professional nurse being knowledgeable of enjoin practice acts Being knowledgeable of the mechanisms available to address potential staffing issues\r\nReferences\r\nAiken, 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 code for other states. Health Services 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\r\n(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. Pediatrics 101(6); 1089-1090.\r\n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. capital letter DC: Author. American Nurses Association. (2007). Acute care staffing. Nurs ing’s 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 acknowledgment program for excellence in nursing service health care organization, operating instructions and application process. Pub# MAGMAN03. uppercase, DC: Author. American Organization of Nurse Executives (2003). AONE policy statement on mandated staffing ratios. Retrieved on-line: January 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. Children’s Defense Fund. (2010). The state of America’s children 2010. Retrieved on line February 13, 2011. http://www.childrensdefense.org/child-research-data-publications/data/state-of -americas-children2010-report.html. Children’s Defense Fund. (2002). prefatorial facts on poverty. Child Poverty FAQs. Washington DC: Author. Institute of Medicine. (2010). The future of nursing: leading change, advancing health. Report plan: 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 manager plus. Retrieved on-line: February 21, 2011.\r\nhttp://qvcsql01/JCRAMP/Frame.aspx.\r\n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 canvas 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 Ass ociation, 285(16), 2114-2120. Lewandowski, L. A. & Tessler, M. D. (Eds.). (2003). Family-centered care: set 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). shortage of nurses and child health. Journal of Pediatric Nursing, 22(3), 231-232). National Association of Children’s Hospitals and Related Institutions. (2003). clinical practices service program: Benchmark data. operable from www.childrenshospitals.net/nachri. National Association of Neonatal Nurses (2008). marginal RN staffing in NICU’s. 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 children’s hospital care quality: Indicators are essential, but further scrutiny is needed for use in comparing hospital performance. A white makeup prepared by the Pediatric selective information Quality Systems (PediQS) Collaborative. September 2007. Retrieved on line: February 8, 2011: http://www.childrenshospitals.net/AM/ guidebook.cfm?Section=Site_Map3&Template=/CM/ContentDisp lay.cfm&ContentID=29730. Society of Pediatric Nurses. (2008). Position statement on family centered care content in the nursing education curriculum. Retrieved on-line: February 21, 2011. http://www.pedsnurses.org/component/option,com_docman/Itemid,222/task,doc_view/gid,193/\r\n'