Personal Safety in Nursing Practice
Chamberlain University College of Nursing
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Personal Safety in Nursing Practice
The primary objective of nursing practice is to delivery quality patient care. However, this can only be achieved when the care providers are in a safe working environment. It is crucial to advocate for the personal safety of nurses in determining their resultant output. A significant number of stressors are linked to diseases and injury in nursing practice. These stressors are revolved around organizational structure, immediate working contexts, and changes occurring in the health industry but affecting the organization. It is prudent to say that the demands experienced by nurses are not limited to physical and psychological needs only, but also adverse work safety climate. Reduced personal safety in practice results in hazards that have both long term and short term impacts like infections, injuries, neoplastic diseases, among others (Perry et al., 2016).
The purpose of this paper is to describe two unique safety risks in nursing practice with a clear description of the occurrences based on research findings. These include risks associated with working arrangements and nurse injury and disease outcomes (specifically, musculoskeletal diseases). It will also include mitigation strategies for the management of the hazards.
Risks Associated with Working Arrangements
Most facilities have shifts ranging from a day to night shifts or even rotational shifts. The driving factors in the determination of work safety during working schedules are determined by the exact characteristics of the particular shift (e.g., time, rest breaks and length of the shift), the health worker, working environment, and job characteristics. It is documented that shift variability is linked to disturbances in the circadian system, miserable social life, sleep disturbances, and family issues (Yoost and Crawford, 2015).
Night shift and rotating shifts have been linked to adverse side effects like insomnia, reduced work performance, increased chances of personal injury, and decreased reaction time. A study conducted by Drake and his colleagues in 2005 showed that 32% of night-shift workers and 26% of rotating shift workers had extreme signs of insomnia and sleepiness. Shift workers, as mentioned above, tend to have a miserable social life. This is because other activities choke interaction with friends and family during the day. This is further confirmed by the fact that in some organizations, the shift workers are required to work on weekends and holidays. There is a record of complaints among workers with families of reduced family interactions and challenges in child care provision (Waddill-Goad, 2016). Several diseases have been associated with shift work. This includes gastrointestinal complaints, colonic cancer, and psychological complaints. Cardiovascular diseases have also been linked to it and are considered to be a result of increased insulin resistance, elevated cortisol levels, and sympathetic activities. Effects on women’s reproduction include preterm births and reduced infertility. Studies have also shown that shift work contributes significantly to worsening preexisting chronic diseases due to interfered treatment regimen(Perry et al., 2016).
Nurse Injury and Disease outcomes-Musculoskeletal Diseases
Studies have shown an increase in reported cases of work-related musculoskeletal diseases (MSD) among nurses. This is linked to the rapid structural and design changes occurring in the health industry. The major contributing factors include increased working pace, prolonged schedules, elevated physical and psychological demands.A survey conducted in 2001 showed that in that year, the U.S. recorded a total of 108,000 work-related musculoskeletal diseases among registered nurses (Chang and Daly, 2015).
MSD contributes to reduced work performance job dissatisfaction, sick days, disabilities, and turnover among nurses. Research has shown that six to eleven percent of nurses have opted to change their jobs due to MSD (Wilson and Gibbens, 2016). The occurrences can be linked to reduced facility staffing and increased workload, which also reduces recovery time. It is common to have nurses get MSD, especially during patient transfers. Another cause is awkward and prolonged body placements during working hours. Working schedules, i.e., shifts and long working hours, were also found to be a contributing factor. A study found out that 1,428 nurses (more than a third of the total surveyed) with MSD had prolonged work schedules (Chang and Daly, 2015).
Staffing is vital in the management of long working hours. It should also include a limit for working hours to up to 60 hours, as suggested by Perry and colleagues (2016). It is also vital to design new schedules that include rest breaks during shifts. Waddill-Goad (2016) suggests that working conditions should be improved by adding dietary regimens, use of caffeine, family counseling, support groups, reduction of stress as well as the optimal timing of work demands. It is also to improve alertness by including naps during working hours
There is a need for overall organizational involvement in the mitigation of MSD among nurses. It is suggested that the use of participatory ergonometric can help reduce the cases. This should involve clear and collaborative identification of risk factors and probable solutions, handling controls implementation, assessing the effectiveness of applied solutions, and incorporating the results to the system. A study conducted showed that there is a need for regular training of nurses on body mechanics, safe lifting methods, and back belts (Wager et al., 2017). Other recent studies have recommended the incorporation of no-lift policies, training (and) frequent proper use of patient handling equipment as well as a robust patient lift teams (Bibby and Suzy Lamplugh Trust., 2017).
Research has proven the adverse effects of variable working arrangements as well as resultant injuries and disease to care providers during practice. However, there is limited information on the mitigation of these hazards. More research needs to be done to provide more reliable mitigation measures. It is a personal responsibility to utilize the available mitigation strategies to prevent personal harm. Since the desired goal is improved, patient care, health facilities, and bodies should also provide the support that will enhance the performance of nurses.
Bibby, P., & Suzy Lamplugh Trust. (2017). Personal safety for health care workers.
In Chang, E., & In Daly, J. (2015). Transitions in nursing: Preparing for professional practice.
Perry, A. G., Potter, P. A., & Ostendorf, W. (2016). Nursing interventions & clinical skills. St. Louis, Missouri: Elsevier.
Waddill-Goad, S. (2016). Nurse burnout: Overcoming stress in nursing. Indianapolis, IN: Sigma Theta Tau International.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health Care Information Systems: A Practical Approach for Health Care Management. Somerset: John Wiley & Sons, Incorporated.
Wilson, S. F., & Giddens, J. (2016). Health assessment for nursing practice.
Yoost, B. L., & Crawford, L. R. (2015). Fundamentals of Nursing – E-Book: Active Learning for Collaborative Practice.
NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 1 Purpose The purpose of this assignment is to explore a critical concept in nursing. The student will be able to demonstrate application of information literacy and ability to utilize resources (library, writing center, Center for Academic Success [CAS], APA resources, Turnitin, and others) through literature search and writing the paper. Course outcomes: This assignment enables the student to meet the following course outcomes. CO 2: Identify characteristics of professional behavior including emotional intelligence, communication, and conflict resolution. CO 3: Demonstrate information literacy and the ability to utilize resources. Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment. Total points possible: 150 points Preparing the assignment Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. 1) Locating Evidence a. Using the Chamberlain University library, search for a recent (published within the last five years) evidencebased article from a scholarly journal that addresses one of the topics listed. • Safety • Delegation • Prioritization • Caring 2) Include the following sections. a. Introduction – 20 points/13% • Clearly establishes the purpose of the paper • Includes key points to be covered • Captures the reader’s interest b. Body of Paper – 60 points/40% • Complete, well-developed discussion of key points • Supports the purpose or main idea of the paper • Logical development of ideas with clear and accurate information • Ideas and statements are supported by three or more examples from personal and/or professional experiences • Provides own perspectives on the topic that is reflective, insightful, and original c. Conclusion – 30 points/20% • Clear and concise • Summarizes key points discussed in the paper • Leaves a strong impression, message, or idea on the reader d. Writing Style – 15 point/10% e. Correct use of standard English grammar, paragraph, and sentence structure f. No spelling or typographical errors g. Organized around required components h. Information flows in a logical sequence that is easy for the reader to follow i. APA Format, and References – 25 points/17% • There is correct and appropriate use of margins, spacing, font, and headers • Document setup includes title and reference pages in correct APA format NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 2 • Citation of sources included in the body of the paper uses correct APA format for direct and indirect quotes • All elements of each reference are included in the correct order • All information taken from the source, even if summarized, is cited and listed on the Reference page • All sources used are nursing journals published within the last five years For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library. Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.
NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 3 Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment. Assignment Section and Required Criteria (Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Introduction (20 points/13%) 20 points 19 points 15 points 7 points 0 points Required criteria 1. Clearly establishes the purpose of the paper 2. Includes key points to be covered 3. Captures the reader’s interest Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirement for section. Present, yet includes no required criteria. No requirements for this section presented. Body of Paper – 60 points/40% (60 points/40%) 60 points 55 points 46 points 23 points 0 points Required criteria 1. Complete, well-developed discussion of key points 2. Supports the purpose or main idea of the paper 3. Logical development of ideas with clear and accurate information 4. Ideas and statements are supported by three or more examples from personal and/or professional experiences 5. Provides own perspectives on the topic that is reflective, insightful, and original Includes 5 requirements for section. Includes 4 requirements for section. Includes 3 requirements for section. Includes 1-2 requirements for section. No requirements for this section presented. Conclusion (30 points/20%) 30 points 27 points 23 points 12 points 0 points Required criteria 1. Clear and concise 2. Summarizes key points discussed in the paper 3. Leaves a strong impression, message, or idea on the reader Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. Section present yet includes no required criteria. No requirements for this section presented. NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 4 Assignment Section and Required Criteria (Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Writing Style (15 points/10%) 15 points 14 points 11 points 6 points 0 points Required criteria 1. Correct use of standard English grammar, paragraph, and sentence structure 2. No spelling or typographical errors 3. Organized around required components 4. Information flows in a logical sequence that is easy for the reader to follow Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented. APA Style and Organization (25 points/10%) 25 points 23 points 19 points 9 Points 0 points Required criteria 1. There is correct and appropriate use of margins, spacing, font, and headers. 2. Document setup includes title and reference pages in correct APA format. 3. Citation of sources included in the body of the paper uses correct APA format for direct and indirect quotes. 4. Sources are cited correctly on the Reference page. All elements of each reference are included in the correct order. 5. All information taken from the source, even if summarized, must be cited and listed on the Reference page. 6. All sources used are nursing journals published within the last five years. Includes 6 requirements for section. Includes 5 requirements for section. Includes 3-4 requirements for section. Includes 1-2 requirements for section. No requirements for this section presented. Total Points Possible = 150 points