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Massachusetts Nurses Association Prepared by Opinion Dynamics Corporation July 2005 PowerPoint Presentation
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The State of Nursing and Patient Care. Massachusetts Nurses Association Prepared by Opinion Dynamics Corporation July 2005. Two-Thirds of RNs Interviewed Do NOT Belong to the MNA. Do you belong to the Massachusetts Nurses Association?. Yes 34%. No 67%. Q20.

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slide1

The State of Nursing and Patient Care

Massachusetts Nurses Association

Prepared by

Opinion Dynamics Corporation

July 2005

slide2

Two-Thirds of RNs Interviewed Do NOT Belong to the MNA

Do you belong to the Massachusetts Nurses Association?

Yes 34%

No 67%

Q20

slide3

Understaffing Most Likely to Be Rated Very Serious Problem

Rate the seriousness of the following problems facing the nursing profession as they relate to providing health care to patients. Use a scale of "1" meaning "not a problem at all“, to "7" meaning "a very serious problem".

% very serious problem

The acute care units are understaffed and nurses working in acute care are forced to care for too many patients

Fewer young people are choosing nursing as a career

RNs are forced to work mandatory overtime

Registered nurses are too often floated from one unit to another without appropriate training and orientation

Liability and malpractice lawsuits

Low pay

Managers rarely implement recommendations made by staff nurses regarding patient care

Q12 - 18

slide4

One-Half of RNs Cite Understaffing As The Single Most Serious Problem Facing Profession

Which one of the above problems do you think is the most serious problem facing the nursing profession today?

The acute care units are understaffed and nurses working in acute care are forced to care for too many patients.

Fewer young people are choosing nursing as a career.

Registered nurses are too often floated from one unit to another without appropriate training and orientation.

RNs are forced to work mandatory overtime.

Low pay.

Liability and malpractice lawsuits.

Q19

slide5

9-in-10 Nurses Agree Patient Care is Suffering Due to Nurse Staffing Issues

Some people say that the quality of patient care in Massachusetts hospitals is suffering because there are not enough registered nurses working in the hospitals and nurses are being forced to care for too many patients at once. Do you agree or disagree?

Q20

slide6

RN’s Report Wide Range of Adverse Patient Outcomes As A Result of High Patient Loads

Are you aware of any incidents in Massachusetts hospitals that a registered nurse having to care for too many patients has led to...

Nurses not having enough time to educate patients and their families

Nurses not having enough time to comfort and assist patients and their families

Patients having to wait for long periods of time for their medication and medical procedures

Medical errors, such as improper medication or dosages

Complications or other problems for a patient

Re-admission for a patient

Injury or harm to patients

Longer hospital stays

Mortality for patients

Q38 - 46

slide7

Establishing RN-to-Patient Ratios Seen As Most Effective Solution to Nurse Staffing Issues

Rate how effective you feel each one would be as a solution for addressing the nurse staffing issue using a scale of "1" meaning "not effective at all" to "7" meaning "very effective".

% very effective

Regulating RN-to-patient ratios

Providing flexible scheduling programs

Increasing nursing salaries

Scholarships and loan forgiveness programs to recruit new nurses

Weekend and Off-shift bonus programs

Prohibiting mandatory overtime

Requiring hospitals to post a nurse-staffing plan

Sign-on bonuses

Utilization of agency and travel nurses

Utilization of foreign-schooled nurses

Q21 - 30

slide8

RN-to-Patient Ratios Seen As Single Most Effective Solution to Nurse Staffing Issue

Of the possible solutions we just discussed, which one do you feel would be the single most effective for addressing the nurse staffing issue?

Regulating RN-to-patient ratios

Increasing nursing salaries

Providing flexible scheduling programs

Scholarships and loan forgiveness programs to recruit new nurses

Prohibiting mandatory overtime

Sign-on bonuses

Requiring hospitals to post a nurse-staffing plan

Weekend and Off-shift bonus programs

Utilization of foreign-schooled nurses

Utilization of agency and travel nurses

Q31

slide9

8-in-10 RNs Favor Ratios; Less Than Half Favor Hospital Proposal

One proposal is a bill that would require hospitals to appropriately staff acute care facilities and limit the number of patients RNs could care for at one time by setting minimum registered nurse-to-patient ratios. These ratios would vary by unit—in an ICU the ratio would be 1 nurse to not more than 2 patients; in Medical/Surgery units the ratio would be 1 nurse to not more than 4 patients. Would you favor or oppose the legislature passing such a bill?

The second proposal is a bill that would not regulate a nurse to patient ratio but require each hospital to post a nurse-staffing plan that has been approved by the hospital’s board of directors, and require hospitals to report their nurse staffing plan to the Department of Public Health. This plan is designed to ensure transparency in hospital nurse staffing, and to provide a process for evaluating measures to improve the quality of patient care.Would you favor or oppose the legislature passing such a bill?

Q32, 33

Oppose

Favor

Favor

Oppose

slide10

By Wide Margin, RNs Favor Ratio Plan Over Posting and Reporting Plan

Which do you think is a better approach to addressing the nurse staffing issue:

The plan which would regulate staffing levels and set a minimum nurse staffing level

The plan which would require hospitals to post a nurse staffing plan and report it to the Department of Health, but would not set minimum staffing levels

Neither/not sure

Q34

slide11

Nearly Two-Thirds of RNs Not Currently at the Bedside Would Consider Returning To Acute Care Settings if Ratios Are Established

(Non-acute care nurses): Let's say this safe staffing law was passed by the Legislature and registered nurses were required to care for fewer patients at once - for example, a 1:2 ratio was the standard in an ICU and 1:4 in Med/Surg. Would you consider taking a job as a staff nurse providing direct patient care in a hospital if such a law were passed to regulate RN-to-patient ratios?

Q37