A physician recounts one of his first experiences with death.
A new award-winning study, The NCSBN National Simulation Study: a longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education, offers strong evidence supporting the use of high-quality health care simulation as a substitute for up to 50% of traditional clinical time. The findings also reveal that a key factor in successful nursing education simulation programs is a dedicated team of educators who are well trained in the best practices of theory-based simulation and debriefing methods.
Studies are predicting that there will be a significant shortage of primary care physicians in the US by the year 2020. Some estimates say there will be a reduction of 91,500 total physicians, with 45,000 plus in the field of primary care and the remaining in specialties. The nation will be facing a serious issue with a population that is aging and growing. Another important factor is that our doctors are aging too. It’s estimated that one-third of practicing physicians will be retiring in the next decade. Add to that the changes implemented by way of the Affordable Care Act, and the numerous states that have removed barriers regarding what nurse practitioners can and can’t do without physician assistance, and you have a landscape that is changing rapidly and dramatically for the profession.
In the first study to examine the relationship between nurse shift length and patients’ assessment of care, researchers from the University of Pennsylvania School of Nursing report that nurses working shifts of ten hours or longer were up to two and a half times more likely than nurses working shorter shifts to experience burnout and job dissatisfaction. Furthermore, seven out of ten patient outcomes were significantly and adversely affected by the longest shifts.
When Kitty Forman, the quirky mother of Eric Forman and wife of Red Forman in That ’70s Show, wasn’t busy mediating conflicts between her husband and son, she was a nurse. When Kitty is seen in her uniform, she is often portrayed as overworked and underappreciated. In the episode Career Day, Eric accompanies Kitty to the hospital and is amazed with all she has to do on a daily basis. One of Kitty’s coworkers tells him that his mother “does the work of 5 nurses.” In many episodes, Kitty is forced to neglect her roles as a mother and wife to work long shifts at the hospital. At one point in the series, she quits her job as a nurse because she finds herself struggling with balancing her home life and work. Is this how real-life nurses typically feel about their profession? Is “nurse burnout” a problem in America?