C.U.T! Invite to Comment


  1. very interesting, but I don’t agree with you

    Comment by Idetrorce — December 15, 2007 @ 12:39 pm

  2. Thank you, for your brief comment: I only wish you had submitted more expansive input on why you disagree, as we are seeking positive solutions and a constructive way forward. Do you feel that there is no need for regulating staffing to guarantee the safety of patient care? If you are a Medical professional or working in some aspect of Healthcare, I am glad to hear that at your facility you have not been impacted by the dire consequences of understaffing. We all greatly desire the opportunity to deliver safe, high quality, patient care, as this is what initially motivated the majority of us to enter this career in the first place, but this has become increasingly difficult under the current circumstances. If you are a patient or family member of a patient who has received excellent care, by attentive staff who were able to perform their duties and monitor conditions thoroughly without the added stress of an unreasonable workload, I am genuinely thrilled to hear this. It is important that we highlight facilities that are getting things right so that their good example might be emulated by less forward thinking, struggling institutions. I welcome your future comments, many thanks, Kim.

    Comment by Kim Sanders-Fisher — December 17, 2007 @ 2:39 pm

  3. thats for sure, man

    Comment by Keatonwv — March 19, 2008 @ 2:43 pm

  4. Please be kind enough to contact me via my email address. I would like to know more about your organization. Many thanks.


    Comment by Josephine Carol Cicchini — May 19, 2008 @ 11:26 pm

  5. As you can see I am support or your campaign.

    Nurses are afraid to speak up but inside the walls it is very obvious that it is about profits. Hospitals are raking in profits selling merchandise which used to be referred to as medical care, diagnostics and education. They are constantly trying to find a new product to sell. There profits are well displayed in forms of remodeling, fountains, new buildings, newer and fancier televisions and more. The money exists in the hospitals to provide better nursing care to patients but they refuse to do so. They have turned nurses into slaves bound to secrecy in order to save their jobs. Whistleblowing is a big problem with staff members being slandered by vicious management personnel for speaking up or complaining about conditions. It is negligent! It is criminal. It is practically pre-meditated when mistakes cause death or serious injury. They are fully aware of how unsafe conditions are and choose to do nothing about it to assure large profits. The patient has gone from customer to victim in this inhumane corporation! Nurses have turned from professional to slave.

    Comment by Blogger6420 — July 22, 2008 @ 4:49 am

  6. Could’nt agree more. Its way over due. JACHO and the state agencies that are supposed to ensure safety and safe delivery of care are a joke. The hospitals and their administrators are allowed to act without regard to safety and the patients and the staff are the ones that suffer. When you speak up, you are labled a trouble maker or a moral problem. The problem is not enough staff, not enough respect and managers that have forgotten they are nurses and that their primary responsibility is to be the patients advocate. We need legislation now. I will post a link to your site on my blog and hope we can help one another in our efforts to improve health care. I applaud your efforts and support your cause. Let me know if I can help in any way.

    Comment by Michael Chapman — July 22, 2008 @ 9:13 pm

  7. I sincerely believe that the movement for single payer healthcare cannot ignore the issue of patient safety or lack of such.

    In Texas only the CNA?NNOC has attempted to address this issue with the patient safety act. At present nurses are NOT fully protected when they advocate for their patients!

    Hospitals used to be where one could go and get well. Today it is the last place to get well. Today due to workforce cutbacks, nursing shortages and other major factors people get sicker when they have to stay in a hospital. Infection control seems to be ignored as patients are acquiring MSRA, scabies, VRE and other infectious conditions in hospitals! Nurse to patient ratios are typically 12:1 and as high as 15:1! Depending on the condition of the patient, these are NOT safe nursing care levels!

    California recently voted to implement a safe patient to nurse ratio and as a result the so-called nursing shortage is rapidly coming to an end! The number of nurses not in a hospital available for work has NOTHING to do with a shortage of nurses! It is about hospital bosses squeezing as much work out of nurses as they can!

    We must band together and fight as one united force if we expect to make significant changes in the system!

    Comment by Frank Valdez — July 24, 2008 @ 7:52 pm

  8. Hi There,

    I only just saw your post on my site. I know it has been awhile. I hope to see more from you!!

    This is a great site.

    Comment by Anne — February 8, 2009 @ 8:23 pm

  9. I was a graduate student at the homewood campus of Johns Hopkins, and I worked at Johns Hopkins hospital in summer of 2005. My father also was in Johns Hopkins in summer of 2005 for a prostatectomy. He was only in the hospital for a brief period of time but I did not witness any of the treatment issues or understaffing that you discuss on the website or at . However, I also volunteer at Keswick nursing home, and in speaking to one of the residents I believe he mentioned that there was sanitation issues, and other issues at Johns Hopkins hospital. I believe he mentioned that he lost a lot of weight while he was there perhaps because of the understaffing issues. I haven’t read through your website, but I applaud your efforts to try to improve healthcare for all Americans, and I expect that these issues will continue to confront us as the population ages.

    Comment by David Friedman — May 19, 2009 @ 2:14 am

  10. Hey there,

    I’ve been following this forum for awhile and thought I’d sign up and see if I can contribute anything… I work in the health screening industry. Thanks!


    Comment by Atmonenvinese — December 9, 2009 @ 10:18 pm

  11. Hi all,
    I am currently pursuing my post graduate degree in Optimal staffing needs in government hospitals in Northern Uganda. One of my interests in this study is also determine the major causes of understaffing. In Uganda Age of staff and the loss of interest in pursuing a career in health care is prominent. More and more health workers are retiring and yet there are fewer young people to step up to the challenge! This situation is amplified by the bureaucracies involved in the recruitment of health workers

    Comment by Irama — January 10, 2010 @ 1:22 pm

    • Hi Irama,

      I recently returned from a tour of ten countries in Southern Africa where my mission was to do a “Needs Assessment of Anaesthesia Care in Sub Saharan Africa.” Although I went there with an open mind, primarily to listen to the views of local practitioners regarding needs, their were certain things that I knew about and just wanted to document the impact. As I had strongly suspected, understaffing in African Hospitals is greatly exacerbated by the scavenging of Medical professionals by Western Industrialized Nations. There appears to be some migration between countries in Africa, from places where pay and conditions are poorest, to better established healthcare systems in countries like Botswana. In all I visited South Africa, Lesotho, Swaziland, Mozambique, Botswana, Zimbabwe, Zambia, Malawi, Tanzania and Kenya, but did not get to Uganda.

      We cannot blame Medical personnel for seeking better opportunities overseas and I would not suggest measures to prevent this, however, many of the countries that trained them can ill afford to loose them and the expenditure on their training is a financial burden, an additional loss. I believe that countries like the US and the UK have a duty to be more responsible with regard to the harmful impact that this has on developing countries. In the worst cases, fully qualified Doctors from overseas are placed in downgraded positions in our Hospitals, this is a huge waste of resources. I believe that the British should proactively “outsource” their Medical training to use facilities overseas.

      I am currently writing up my findings from the recent trip and I have been working on some positive strategies. I would like to persuade the British Government to form an alliance with a number of Hospitals in stable African countries, to set up training programs for UK Nurse candidates to train alongside local student Nurses. The training should be led by African staff who have experienced working within the NHS. The clinical time required of candidates would help contribute to local staffing and it would provide an excellent experience for those who decided to train abroad. In the UK we must remind students to “treat the patient, not the machine!” In Africa they might be expected to place less reliance on high tech equipment with more emphasis on direct observation.

      Right now the NHS provides a bursary to Nursing and other allied Healthcare students as a living allowance, plus their fees are also paid. These same expenses would be lower for students who trained in Africa: the cost to the UK tax payer would be lower. Those wishing to train should have a choice: train in Britain at your own expense or train overseas on a bursary. The Hospitals chosen would have to be well operated and decently supplied with all the basic equipment, but then that kind of support should be part of the UK commitment to any such program.

      The investment might form part of our overseas aid budget, which in reality is always configured to be more beneficial to the donor than the recipient anyway. Please excuse the cynicism, but I have seen how this works in everything from disaster relief to regular aid; there is very little difference in policy between nations when it comes to “aid contracts.” A training program like this would be a real boost to the local economy and the Healthcare system in developing countries. This might help make up for the appalling scavenging we have been responsible for in the past.

      Countries like the UK cannot continue to pretend they are doing everything possible to assist developing nations, while they maintain a policy of scavenging their most critical Medical personnel in such a self serving way. I am not proud of some of my country’s overseas policies; we really need to start giving back. Following my visit I have also been looking into ways to help fund getting African practitioners to conferences like the All Africa Anaesthesia one I attended in Nairobi before I returned. Such conferences are among the few rare opportunities practitioners have to keep current in their field. I found many practitioners who did not feel respected or well remunerated in their chosen profession, there were few opportunities for ongoing training. These issues result in fewer young people going into the profession another cause of understaffing.

      I gained a lot of respect for those I met in Africa, who, despite huge responsibilities, poor supplies, faltering equipment and challenging conditions, still managed to deliver safe care. They were very resourceful and we could learn a great deal from them. I am hoping to persuade some of the practitioners here to help in creating innovative teaching materials, using Accelerated Learning techniques, PowerPoint presentations and videos for self study on computer. I feel very strongly that we must all pitch in and cooperate to improve the overall state of Healthcare worldwide. I would like to establish contact with you regarding mutual goals.


      Comment by Kim Sanders-Fisher — January 10, 2010 @ 4:35 pm

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