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Original Question

Read the following, and answer the questions below. Working long hours due to inadequate staffing, job turnover, and other factors can result in chronic overtime, placing another burden on nurses. “Staff nurses across the nation are reporting a dramatic increase in the use of mandatory overtime as a staffing tool,” the ANA says. “This dangerous staffing practice, in part due to a nursing shortage, is having a negative impact on patient care, fostering medical errors, and driving nurses away from the bedside.” (CITE) How does mandatory overtime and work burnout effect job satisfaction among nurses? This was not a study that was conducted or an article, but a more informative read. The Ohio Nurses Association (ONA) has worked for several years, beginning in 2008, to outlaw mandatory overtime requirements for nurses. In 2017, the ONA began requiring hospitals to submit their nurse staffing plans to the Department of Health to increase transparency. In 2018, a bill was introduced that would make mandatory overtime illegal. It was later passed into legislation in January 2021. Ohio is one of only 18 states to pass legislation regarding nurse overtime. The purpose of Bill 456 is to: Make it illegal to force a nurse to work overtime. Empower nurses to use their professional judgment to assess if they are able to continue on providing safe patient care. Prohibit discipline or termination from the employer if a nurse refuses overtime. In 2017, an anonymous online survey (random sample) was conducted on nurses to determine burnout and career choice regret. Out of 89,995 survey participants, 6,933 nurses reported that they regretted their career choice. Burnout was the strongest factor, followed by unplanned or mandatory overtime that was required. Nurses educated at the BSN and ASN were more likely to be unsatisfied than those at the MSN level. While mandatory overtime can offer a solution to the nursing shortages, it negatively impacts nurse well-being and patient care. It can also cause an increase in shortages due to nurses resigning related to feeling burned out, overworked, and underpaid. Nurses who work longer than 12-hour shifts on a regular basis or without enough time off between shifts become fatigued, which can lead to mistakes. Lack of sleep can cause declines in cognitive functioning, including concentration, reaction times, memory and motor skills. The Ohio Nursing Association notes that nurses understand these risks, but they may be afraid to speak up against mandated overtime requirements. ONA surveyed 170,000 nurses belonging to the organization, and 35 percent said they didn’t feel comfortable voicing their issues with overtime because of fears they might lose their jobs. A logical decision would be for the federal government to make regulations regarding nurse staffing and overtime. States should also make it a requirement for hospitals to report nurse staffing plans, as the state of Ohio did last year. Critique classmates’ evidence based practice solution including: Opinion if the proposed practice change was relevant and supported by the literature Discussion of the feasibility of a plan to implement, evaluate and sustain practice change At least one suggestion for how to improve the proposal for an evidence-base practice solution

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