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In the unit’s monthly staff meetings, staff stress is brought up as a growing problem. Staff complain that they are overworked and there are not enough staff. They are also tired of orienting new staff, and temporary staff members are not effective.
Two nurses mention they have personally experienced more near misses when administering medications. Additionally, the unit experienced three sentinel events that resulted in complications for patients which extended the length of stay.
One of the errors was due to an overdose of medications that was not recognized before major complications occurred. The nurse manager tells the staff that the administration recognizes from the discussion that there is a lot of tension and this is a concern. After the meeting, the manager goes to the office to consider how the administration and the unit should respond to the concerns.
You want to better understand the impact of stress, workload, staffing, and quality care problems on your unit. Discuss the impact of these items.
What strategies might you use to decrease stress and improve quality care? Be specific, and describe 3-5 options.

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