I'm doing a short EBP practice powerpoint presentation on Mandatory Overtime as a patient safety issue. Right now I am looking at:
1." What can we do as Nurses to help stop MOT?"
2. "How do we Implement and assess our plan?"
3. "What outcome do we hope to see with our implementation of this plan?
After reading this article from the American Nurse Today, I came up with this list of things I thought that Nurses can do to stop MOT.
Stopping the vicious cycle of mandatory overtime - American Nurse Today
Push for Magnet status because nurse retention rates are linked to less staffing issues.
Join your state nurse association, get informed on your state law, work with them for change.
Raise awareness: With other nurses, nursing students, state reps, family, friends, and communities.
Make sure to decline working if you know you are too fatigued.
Fight to have proper staffing ratios so OT isn't relied upon so heavily.
Implement voluntary OT with some guidelines to prevent working when fatigued.
Longterm solutions like proper recruiting, implementing new graduate nursing programs or residency programs, investing in new nurses leads to long-term retention rates.
Implement Direct Education Unit programs with nursing schools to have nurses work one-on-one with a student for their entire shift and entire patient load, have that same nurse assigned to one student longterm like a preceptorship. This allows the nurse to train the student to be more efficient and the student will learn the nurse's style, needs and be able to better anticipate what the nurse and her patient's needs. This leads to student nurses being a more effective low-cost resource for direct nursing care and gets rid of the problems associated with the disjointed Clinical group approach.
The IOM recommends public reporting of Nurse-patient ratios and turnover rates, nurses should get behind this and help make this the new normal.
What are your thoughts, do you have anything to add?