Registered Nurse working mandatory overtime
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Registered Nurse working mandatory overtime
October 10, 2021
The Honorable Richard Burr
217 Russell Senate Office Building
Washington, DC 20510
Dear Senator Burr,
My name is John Doe. I am a Registered Nurse working mandatory overtime due to COVID-19 in City, State. I am writing in regard to the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2017 [S.1063], that is pending approval by the Senate of the United States of America. “Establishing safe staffing standards for direct care registered nurses is a critical component of assuring that there is adequate hospital staffing at all levels to improve the delivery of quality care and protect patient safety” (U.S. Senate, 2017).
Establishing safe staffing standards is important because, in the United States, approximately 250,000 deaths per year are related to medical errors (John Hopkins, 2016, para. 1). According to this number it makes medical errors the third highest cause of death in the United States “Most errors represent systemic problems, including poorly coordinated care, fragmented insurance networks, the absence or underuse of safety
nets, and other protocols, in addition to unwarranted variation in physician practice patterns that lack accountability” (John Hopkins, 2016, par.10). Mandated nurse-patient ratios can help decrease deaths due to
medical errors. A study by Eunhee, et al. (2015) found, “Risk-adjusted models reveal that nurse staffing, nurse work environments, and nurse education were significantly associated with patient mortality. These odds ratios imply that each additional patient per nurse is associated with an 5% increase in the odds of patient death within 30 days of admission, that the odds of patient mortality are nearly 50% lower in the hospitals
with better nurse work environments than in hospitals with mixed or poor nurse work environments” (p. 535). Another study by West, et al. (2014) found “a statistically significant interaction between the number of nurses and patient’s risk of mortality, suggesting that nursing staff availability has the greatest impact on those at greatest risk of death”.
As a member of the Committee on Health, Education, Labor, and Pensions, you have the opportunity to help with this issue. I ask that you support the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 [S.1063]. In supporting this bill, it will guarantee the improvement of quality of care and protect patient safety. It will guarantee the decrease of medical errors as well as decrease the rate of patient mortality. Hopefully, it will also decrease nurse burnout that my colleagues and I have personally experienced.
Thank you for your time and efforts to protect and serve State!
Sincerely,
John Doe, RN, BSN
2055 Country Lane
City, State Zip Code
jdoe@gmail.com
(864)999-6666
References
Eunhee, C., Sloane, D. M., Eun-Young, K., Sera, K., Miyoung, C., Il Young, Y., & … Aiken, L. H. (2015). Effects of nurse staffing, work environments, and education on patient mortality: An observational study. International Journal of Nursing Studies, 52(2), 535-542. doi:10.1016/j.ijnurstu.2014.08.006
Johns Hopkins. (2016, May 3). Study suggests medical errors now third leading cause of death in the U.S. Retrieved from https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us
U.S. Senate. (2017). 115th Congress, 1st Session. S. 1063, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2017. Edition statement. Washington, DC: Government Printing Office.
West, E., Barron, D. N., Harrison, D., Rafferty, A. M., Rowan, K., & Sanderson, C. (2014). Nurse staffing, medical staffing and mortality in intensive care: An observational study. International Journal of Nursing Studies, 51(5), 781-794. doi:10.1016/j.ijnurstu.2014.02.007
(Note: This is a sample only. Recall that updated sources must be used.)
Registered Nurse working mandatory overtime
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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