3 problems nurses or healthcare providers face on a daily basis

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    I am doing a research project regarding problems that nurses and healthcare face on a daily basis. Who better to ask, than all of you dealing with issues on a daily basis. If you can, please give me a minumum of three, but would love to hear more if you have more. Part of my project is to see if there is a trend among nurses and what I could do to resolve the issue. I would appreciate any help on this, thanks so much in advance!
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  4. 5 Comments so far...

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    Lazy locum tenens MDs/NPs. This is r/t shortage of healthcare providers and locums not being invested in the facility. Questionable practice/orders can lead to moral distress/ethical dilemmas for the nurse.

    Lofty ideas of electronic charting but in reality it's duplicate work because we use electronic charting AND paper charts. This is a systems problem r/t an application mismatch between implementation/reality.

    Stubborn, obstinate techs who don't earn their pay. See next item for root cause.

    Nurse managers who are afraid to affect/force change. Lacking nursing leadership. R/t lack of training/education in leadership? Lack of top-down leadership?

    Nurses who gossip instead of going about their work in a straight-forward business-like manner. This is a lateral violence related issue commonly found in female-dominated occupations, IMO.
    Last edit by Multicollinearity on Sep 10, '12
    MsBruiser likes this.
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    Wish I could 'like' the above comment
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    There could be an endless list of issues.

    1) Healthcare is a limited resource.
    2) Healthcare interventions without regard to item 1
    3) Too many interventions without better healthcare outcomes.
    4) Escalating costs to both employee and taxpayer.
    5) Increased number of uninsured/underinsured.
    6) Little regard for the nurse's health and safety.
    7) Aging nurse population.
    8) Poor planning/processes.
    9) Patient having little prior information or control over costs.
    10) Lagging or questionable technological implementation in nursing.
    11) Defensive medicine
    12) Higher U.S. prescription med costs vs other countries.
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    1) Lateral violence. I never would've guessed in a million years that I would be affected by this in my very first nursing job.
    2) As Multicollinearity said, nurse managers who basically fail to do their job. Which allows #1 to happen, because "I cannot write someone up because of a behavior issue. That's not a nursing issue"
    3) The gossip, which keeps going because of number 2, which leads to number 1.
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    1) Multicollinearity said it best - unreasonable expectations about electronic charting. The technology isn't bad - just that it is usually designed and implemented at the facility level by nurses, who tend to be anal, nit-picking, and create excess work.

    2) A lack of nursing leadership (again, Multicollinearity). Managers are not rewarded for effecting change.

    3) A general sense that nurses are their own worst enemies. See comment #1 - they will never fail to engineer complexity and useless work into their routines. Just look at the DNP trend. Who gives a crap about doctoral trained NP(s)? Instead, they added two years of time and expense onto a degree with no tangible benefit in terms of money or prestige.


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