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Nursing Research Paper Example

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Page 1: Nursing Research Paper Example
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Running head: MANDATORY OVERTIME IN NURSING ! 1

Instructions

Topic: Current Issues in Nursing Practice

Level: Undergraduate

Style: APA

Sources: 5

Description: Consider mandatory overtime as a current issue that affects the field of nursing

and carry out assessment of the problem. Further, focus on the implications of the

issue on nursing practice policies by identifying some of the provisions it

undermines. Additionally, identify the link between mandatory overtime and

nursing before evaluating its implications on the future of nursing practice.

Spacing: Double

Pages: 4

Written by: https://writerperhour.com

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MANDATORY OVERTIME IN NURSING ! 2

Mandatory Overtime in Nursing as Current Issue in the Profession

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MANDATORY OVERTIME IN NURSING ! 3

Introduction

The problematic issue of mandatory overtime in the nursing profession has elicited mixed

reactions from the chief stakeholders that influence the healthcare sector. Axiomatically, the issue

of mandatory overtime has been accounted for the significant exit of nurses from the healthcare

workforce thereby posing a threat to the quality of the services delivered to the public.

Specifically, Nelson and Kennedy (2008) associate mandatory overtime with situations where

employees are required to work past the recommended hours in a bid to complete certain tasks.

In this concern, the predetermined and regularly developed work schedules, contract provisions,

policies experience alterations thereby, interfere with the human resource aspect. Consequently,

some nursing professionals have viewed the mandatory overtime as a hurdle to their satisfaction

and efficacy while other have perceived it as a method of earning extra income with regards to

the overtime rewards thus, depicting the divergent reactions among the nursing professionals

(Bae, 2013). Therefore, this paper will center on the problem of mandatory overtime in the

nursing fraternity as a current issue, its influence on the practice of nursing and clients’

satisfaction before delving into the related policies and the implications of the problem

concerning the future nursing practice.

Effects of mandatory overtime on nursing policy

Policies on staffing and customer fulfillment in the nursing fraternity have been

straightforwardly or in a roundabout way influenced by the rising instances of compulsory

additional time in different healthcare organizations. Hence, the issue has been an expanding test

for nursing practitioners in healthcare provision because of the immediate and indirect

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MANDATORY OVERTIME IN NURSING ! 4

ramifications of patient consideration standards and nursing occupation satisfaction. The U.S

laws uphold 12-hour working shifts that run between 0900 hours and 1700 hours. For the

situation that nursing staff are occupied with over 12 hours of work on a particular day along

these lines experience lacking sleep and fatigue. Sleep deprived nurses because of compulsory

overtime work routines bring out the weakness that considerably prompts challenges in

neurobehavioral operations that include lack of attentiveness and carefulness, choice-making

capacity, and lessened response time. (Nelson & Kennedy, 2008). The consequence of the

extensive working schedules without satisfactory rest have subjected both the patients and

medical attendants to advocate for proposals against practices that do not comply with the

nursing policy stipulations.

Further, the issue encroaches the stipulations built up by the ANA Policy and Provisions

of Health Reform Law. The ANA (2010), requires that all patients are given standard bundles of

key well-being services. Low-quality patient care undermines the effectiveness of this

procurement accordingly affecting the policy requirements in a negative way. In addition, the

body requires successful, patient-focused, convenient, and proficient nursing services to all

patients with a uniformity approach. The obligatory overtime burdens induced by several

healthcare providers’ trade off the policy stipulations of ANA (2010) along these lines

influencing the nursing profession.

The association between mandatory overtime and nursing

In every one of the sectors in a specific economy, the problem of mandatory overtime has

been a typical pattern whereby workers are required to prolong their endeavors on healthcare

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administrations past the regular working hours (Olds & Clarke, 2010). In the later past, the field

of nursing has evidenced worries over the ramifications of compulsory additional time bringing

about recommendations for banning the practice in healing facilities. In any case, the issue of

understaffing and the patients' needs that rise above the normal working hours have driven

expanded instances of required extra minutes among medical caretakers. Therefore, the aspect of

understaffing ought to be considered for the purpose of mitigating the problem.

The ANA (2010) position articulation on the subject of overtime underscores that medical

caretakers can associate themselves in nursing practice past the normal working hours. In times

of calamities, attendants are permitted to be discharged as sets of organized medicinal groups

that assist in such cases occasions for intervention purposes. Nonetheless, the autonomy of the

medical attendants ought to be considered in light of such calls of obligation amid calamity

circumstances.

Moreover, healthcare experts ought to consider their level of fatigue before voluntarily

accepting to engage in overtime work. Coercive overtime situations induced by the management

usually creates the violation of nurses rights thereby triggering erratic processes in healthcare

services provision. In such a manner, Olds and Clarke (2010) argue that the mandatory overtime

issue damages the privileges of medical caretakers since they are typically issued the notification

an hour prior to the augmentation of the working timetable following 12 hours of working.

The effects of mandatory overtime on future nursing practice

Several short- and long-term implications of compulsory overtime influence the future of

nursing as a profession. The depiction of this through the continued efforts of policy makers with

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the aim of encouraging nurses to voluntarily engage in either free or paid overtime to curb the

adverse outcomes that affect both the patient and the healthcare expert (Bae, 2013). In this

respect, the legislation would not only undermine the exploitation of nurses by the management

but also enhance the quality of services offered by the professionals. Besides, the executed

implications would bolster adherence to policy provisions regarding working conditions in the

healthcare sector.

Additionally, stopping the vicious cycle that propels the mandatory overtime in nursing is

crucial for securing the future of the profession since it holds great significance in the healthcare

sector. The burnout that is usually induced by overtime working could render the nursing sector

ineffective if the problem of mandatory overtime is not addressed by breaking the links that favor

the vicious cycle. In this way, breaking the endless loop of obligatory additional time in nursing

ought not just look to sanction laws to check the issue but additionally focus on plans to

guarantee sufficient nursing experts.

Currently, in the U.S., the Joint Committee on Administrative Rules accommodates a

policy that focuses on the prohibition of compulsory overtime in the field of nursing American

(Association of Critical Care Nurses, 2015). The policy upholds that no nurse should be relied

upon to work extra time not unless it is in the situation of unexpected circumstances that would

render the overtime as a last resort. Furthermore, the ANA (2010), created a strategy to shield the

nursing society from compulsory occasions with the aim of upgrading effectiveness. The

approach centers on securing the interests of the healthcare clients and the nursing experts by

undermining the practice of obligatory overtime. Therefore, such approaches would foster an

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improvement of the nursing sector by freeing it from mandatory overtime and thus, develop the

standard of the delivery of services to those who need them most.

Conclusion

The efficacy of the healthcare sector is crucial since it is an essential aspect of any given

society with concern to the status of the public’s health. In this light, the management of health

care organizations ought to regard not only the satisfaction of the clients but also that of the

clinicians. Thus, issues like the subjection of nurses to mandatory overtime require to be

addressed since it could trigger substandard delivery of healthcare services as errors may occur

due to fatigue. Nursing agencies that include the American Nurses Association have considerably

addressed the problem through the ANA Policy and Provisions of Health Reform Law that seeks

the prohibition of mandatory overtime unless in critical situations like in the occurrence of

disasters. Moreover, the key stakeholders in the healthcare industry including the policymakers,

management, nurses, and clients ought to collectively put efforts that undermine the practice of

mandatory overtime in the health sector so as to bolster a promising future in the field.

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References

American Association of Critical Care Nurses: Mandatory Overtime. (2015). Retrieved from

http://www.aacn.org/wd/practice/content/publicpolicy/mandatoryovertime.pcms?

menu=practice.

American Nurses Association (ANA): ANA Policy & Provisions of Health Reform Law. (2010).

Retrieved from http://nursingworld.org/MainMenuCategories/Policy-Advocacy/

HealthSystemReform/Policy-and-Health-Reform-Law.pdf.

Bae, S. (2013). Presence of Nurse Mandatory Overtime Regulations and Nurse and Patient

Outcomes. Nursing Economics, 31(2), 59-68.

Nelson, R., & Kennedy, M. (2008). The Other Side of Mandatory Overtime. AJN. American

Journal of Nursing, 108(4), 23-24.

Olds, D., & Clarke, S. (2010). The Effect of Work Hours on Adverse Events and Errors in Health

Care. Journal of Safety Research, 41(2), 153–162.

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