Does increasing nurse-patient ratio increase in hospital patient Research Paper

Does increasing nurse-patient ratio increase in hospital patient mortality - Research Paper ExampleThe issue of high nurse-patient rations provide continue to affect the delivery of healthcare services across the U.S (Institute of Medicine, 2004). Additionally, the nursing shortage in the USA is expected to grow to 260,000 registered nursing staff by the year 2025. A shortage of this degree will be double that experienced in the past, in the US since the 1960s. Relating the case of nurse shortage in the U.S, one of the developed nations of the world, the case has not been any different for less developed nations like Taiwan. In Taiwan, a high number of hospitals are face up the problem of low nurse-staffing. The case has been very acute in recent years, leading to the closure of a number of wards at given hospitals, according to the statistics pinched from a study by the National union of Nurses association (Central News Agency, 2011). Research studies on hospitals and healthcare centers come on that institutions with inadequate nursing personnel show poorer patient outcomes, which compromises the care administered to patients. Decreased nurse staffing was linked to patient safety concerns and the increased incidence of adverse situations like the development of pneumonia, pressure ulcers, urinary nerve tract infections (UTIs) (Lichtig, Knauf & Milholland, 1999), patient mortality (Aiken et al., 2002), medication errors (McGills-Hall, Doran & Pink, 2004), unplanned extubation cases (Marcin et al., 2005) and longer length of stay on average (Pronovost et al., 1999). Blegen and Vaughn (1998) discussed that, with a higher proportion of the service hours offered by registered nurses (RNs), at that place was a resultant decrease in the average length of stay (ALOS), cases of upper gastrointestinal bleeding, UTIs, medication errors and patient complaints, pressure ulcers, and pneumonia and cardiac arrests or bump with failure to rescue. Towards addressing the nurse shortage, the government has adopted a potential payment model to address the increasing medical expenditures. This has been affected through the imposition of measures like, the structure of the operations of the hospitals facing financial pressure. This encompasses the adoption of strategies like the hiring of unlicensed assistant nurses or casual nurses, who are paid lower amounts as compared to the RNs, and can film the service gaps (Sun et al., 2005). Nevertheless, it is challenging to improve nursing staff levels, even after the replacement of registered nurses with the less costly personnel. The factors leading to the unsolvable nature of the situation imply the gap between the numbers of available vacancies and the number of qualified registered nurses, willing to fill these vacancies, the working conditions, the nurse burnout resulting from the shortage and low job satisfaction levels (Yin & Yang, 2002). some other issue heightening the nursing shortage is the ab andonment of the nursing profession due to increased involvement in extra-patient care services like nursing informatics and utilization management. This is evident from a recent study, which showed an average vacancy level of 28% in Taiwan (Sun et al., 2005). In Taiwan, there is also code requiring a minimum nurse-to-patient ratio of 18 at hospitals. However, this minimum ratio was