How safe staffing can improve emergency nursing: time to cut the Gordian knot.

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ID: 67978
2019
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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.
Reference Key
wolf2019howemergency Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Wolf, Lisa;
Journal emergency nurse : the journal of the rcn accident and emergency nursing association
Year 2019
DOI
10.7748/en.2019.e1928
URL
Keywords
emergency services workforce bullying workload emergency care staffing levels workforce planning staff welfare recruitment and retention safe staffing skill mix

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