Hospital administration is considering a fundamental reorganization of the way that nursing care is provided in the medicalsurgical units.
The administration would like to provide more people to care for the clients' every need. To do this, the administration plans to decrease registered nurses (RN) and replace them with more unlicensed assistive personnel (UAPs) and fewer licensed practical nurses (LPN). Which is the most important consideration to base a decision regarding reorganization for nursing care delivery?
A) Cost analysis supports the change, providing more profit for the hospital, a decrease in costs to clients and insurers, and a potential for increased market because of an increase in client satisfaction.
B) Previous research studies support that a decrease in licensed professional nurses at the bedside increases rates of mortality, increases hospital-acquired infections and complications, and increases the rate of medication and procedural errors.
C) A consumer poll of clients and families supports providing more persons at the bedside to care for them when they are hospitalized; clients and families expressed that they would feel safer when more people cared for their every need.
D) A risk-to-benefit analysis supports a trial of the reorganization based upon the gain of profits versus the potential loss in any potential for lawsuits or mishaps of not identifying an unstable client in time and transferring the client to a critical care unit.
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