Suicide among young people has become a growing concern in life in the 21st century and is a tragedy faced by an increasing number of families and in particular parents. This study set out to focus on the experiences of parents reentering the workplace following the death of a child by suicide. Although the immediate aftermath of experiencing traumatic death has been studied, we know less about the longer-term effects on life tasks such as returning to work. A sample of bereaved parents was interviewed and their responses thematically analyzed. The three major areas of experience related by parents were social and emotional aspects of readjusting to the workplace, followed by changes in cognitive, emotional and physical functioning and their changed attitudes toward work and life. Limitations of the study include the transferability of findings to other populations and to less close-knit cultures. The implications for employee adjustment and employers and co-workers' responses are considered. A fuller picture of adjustment might emerge from future studies that seek to document all parties' experiences during this period of transition.
OBJECTIVETo describe how one organization built a business case for a wound, ostomy, and continence (WOC) nurse team expansion.SETTINGThe organization is part of a multihospital system; it is an 862-bed, urban, academic medical center with a gastrointestinal surgery program.METHODSThe director of nursing and the WOC nurse staff worked collaboratively to build a staffing proposal. Finding a lack of published staffing guidelines for WOC nurses, researchers assessed workload and volume growth, benchmarked internal and external staffing, and conducted a market comparison. The proposal demonstrated impact on care outcomes related to a reduction in WOC nurses.RESULTSBased on the case presented, the Off Budget Investment Team committee was satisfied that additional WOC nurse resources would bring both quality and financial value to the organization by reducing hospital-acquired pressure injury (HAPI) incidence and increasing ostomy consults. Approval of additional full-time equivalents was contingent upon a commitment to reduce year-over-year HAPI incidence and to assess the additional costs of treating a HAPI, specific to this organization.CONCLUSIONSWound ostomy continence nurses bring value to clinical outcomes that impact patient experience, direct and indirect expenses, rankings, reputation, liability, and pay for performance.
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