{"title":"How safe staffing can improve emergency nursing: time to cut the Gordian knot.","authors":"L. Wolf","doi":"10.7748/en.2019.e1928","DOIUrl":null,"url":null,"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.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7748/en.2019.e1928","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
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.
cut The Gordian knot这个短语描述的是对一个复杂问题大胆而直接的解决方案。护理存在被定义为护士关注病人的能力,并使他们感到他们的需求得到了考虑。在急诊科(ED),护理存在可能会受到疲劳,工作场所欺凌,道德困扰和人员配备不足等因素的不利影响,这可能导致患者预后不佳并损害护理目标。护理存在对护士的工作满意度也很重要,因此对员工留任也很重要。本文探讨了疲劳、职场欺凌、道德困扰和人员配备不足对急诊护士的综合影响。为了解决棘手的问题,它还提供了建议,通过考虑患者敏锐度和技能组合的安全人员配置决策来减轻急诊科的这些问题。