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How safe staffing can improve emergency nursing: time to cut the Gordian knot.
- Source :
-
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association [Emerg Nurse] 2020 Jan 03; Vol. 28 (1), pp. 28-32. Date of Electronic Publication: 2019 Nov 21. - Publication Year :
- 2020
-
Abstract
- The phrase 'cut the Gordian knot' describes a bold and direct solution to a complicated problem. Nursing presence has been defined as nurses' ability to pay attention to patients and make them feel that their needs have been considered. In the emergency department (ED), nursing presence can be adversely affected by factors such as fatigue, workplace bullying, moral distress and inadequate staffing levels, which could lead to suboptimal patient outcomes and compromise the goals of nursing. Nursing presence is also important for nurses' job satisfaction and therefore for staff retention. This article explores the combined effects of fatigue, workplace bullying, moral distress and inadequate staffing levels on emergency nurses. To cut the Gordian knot it also provides recommendations for mitigating these issues in EDs through safe staffing decisions that consider patient acuity and skill mix.<br />Competing Interests: None declared<br /> (© 2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.)
Details
- Language :
- English
- ISSN :
- 2047-8984
- Volume :
- 28
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
- Publication Type :
- Academic Journal
- Accession number :
- 31769255
- Full Text :
- https://doi.org/10.7748/en.2019.e1928