12 hour shift Essay Example | Topics and Well Written Essays - 500 words

12 hour shift - Essay Example Sloane et al., 2012). It is indispensable to consider the consequence of the 12-hour shift for nurses on all the stakeholders involved who are the nurses, patients, as well as hospital management’s reason for implementing this structure. This needs assessment will benefit the recommendation to adopt or reject the 12-hour shift for the registered nursing community depending on their sentiments and responses to the questions posed to them through a professionally-written survey. The needs assessment in this case is very much dependent on the available resources that entail people, money, and time as factors of consideration. The targeted population in this particular needs assessment is the nursing community. In looking at the effect of the 12-hour shift on registered nurses, the questions to be responded to will allude to pertinent issues. These are related to the needs such as patient safety in view of the effects of longer working hours, hospital’s reason for implementing the 12-hour shift, and the effects on the registered nurses in particular (Rogers & Hwang et al., 2011). Using a needs assessment survey is an appropriate approach to this problem because the need to be assessed is tri-faceted and should be approached from this angle by involving all stakeholders in the intended survey. Stimpfel and Sloane et al. (2012) assert that these extended work shifts that range from 12 hours or more have become common in the field of registered nurses and are popular with hospital staff nurses. Little is known concerning the effects of such extended hours on patient care or the registered nurses’ well-being (Stimpfel & Aiken, 2013). It is from this point of view that the survey approach comes in handy as a way of aggregating the experiences and responses especially from nurses and patients. In their survey, that featured nurses from four states, results indicated that more than 80% of the nurses were

Substance abuse and mental health service administration Research Paper

Substance abuse and mental health service administration - Research Paper Example Of this number, 36.2 million do not have substance abuse disorder. Comparatively 20.8 million or about 9% of the US adult population had SUD, but 11.9 million of them had no mental illness. The convergence of the blue and yellow circles represented by the green portion, or 8.9 million, accounts for those who both had substance use and mental health disorder at the same time. This suggests that about 4% of the US adult population in 2009 suffered from co-morbidity of substance abuse and mental illness (SAMSHA, 2010b). As indicated graphically in Figure 2, there were more substance users among US adults with mental illness in 2009 than in 2008, across all the illicit substances considered in the figure. It may be observed that Marijuana use increased by 10% in 2009, while use of psychotherapeutics posted an increment of 8.6%, and cocaine use swelled by 2.9%. Hallucinogens, inhalants and Heroin registered usage growth of 2.4%, 0.9% and 0.6% respectively (SAMSHA, 2010b). These statistics suggests that substance use among adults with mental illness dramatically increased between 2008 and 2009. In terms of rehabilitation, the Substance Abuse and Mental Health Services Administration (2010b) reported that 30.2 million adults received mental health services in 2009. Approximately the same percentage was reported for 2008 (13%). However, more than half of the 8.9 million adults who had both mental illness and substance use disorders were found to have received no treatment for either one of the co-morbid disorders. As depicted in Figure 3, 55.8% or close to 5 million of adults with both substance abuse and mental health disorders did not receive any treatment. Of those who received treatment, 32.9% or about 3 million received treatment for mental health only and 3.8% or 0.34 million received treatment for substance use only. Only 7.4% or 0.66 million were able to receive care and treatment for both mental