The facility I did my practicum was a sub-unit care in a care center; the unit is divided into two separate units, the sub-acute unit care and the senior nursing facility (SNF). During this time, the major problem I witnessed is the lack of registered nurses (RN). During my time at the facility, the organization never used agency nurses. This shortage results in a lot of overtime for the remaining nurses, which helps them earn more in the process. However, this trend is a potential risk for nurse burns out. Moreover, burnout in the health sector is very risky, considering that it increases the risk of compromising patient outcome, delivery of care and patient safety ( Paul III, Bakhamis, Smith & Coustasse, 2017) . These issues result in patients not acquiring adequate attention. Despite the increased shifts and overtime, the nurses have managed to conduct their duties effectively; conversely, this does not do away with nurse burn out.
Another challenge experienced within the facility is inadequate training for the nurses. In my unit, the patients require total care; moreover, most of them have PEG tubes. Every nurse works an eight-hour shift and is in charge of 27-patient beds. Therefore this type of situation is very challenging and very intensive hence requires high-level training, which most of the nurses do not have ( Alberti, 2009 ). This type of situation could result in blunder and burnout for the nurses considering they are not well equipped to handle such high-pressure situations. Furthermore, there is a high turnover rate within the organization. These issues are sensitive and must be handled with utmost urgency to ensure the organization operates properly.
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References
Paul III, D. P., Bakhamis, L., Smith, H., & Coustasse, A. (2017). An American Epidemic: Burnout Syndrome in Hospital Nurses.
Alberti, G. (2009). Many trauma nurses lack formal training, conference poll finds. Emergency Nurse , 17 (3), 5.